Pain and analgaesics in patients with hard-to-heal ulcers: using telemedicine or standard consultations.

摘要: OBJECTIVE: To compare consultations carried out via video with those performed in person for patients painful, hard-to-heal ulcers, a focus on ulcer pain and treatment. A further aim was to investigate predictors treatment.METHOD: This register-based, quasi-experimental study based data from the Swedish Registry of Ulcer Treatment (RUT). total 100 ulcers diagnosed consultation were compared 1888 regard assessment, intensity assessed by visual analogue scale (VAS). Normally distributed variables (age, VAS) between groups using Student's t-test. Non-normally (ulcer size, duration) Mann-Whitney U-test, except healing time, which analysed log-rank test. Categorical (gender, aetiology prescribed analgesics) Pearson's chi-square test (χ2). p value less than 0.05 considered indicate statistical significance. Predictors treatment multiple regression analyses.RESULTS: The results showed high presence pain; 71% reported severe pain. There no significant difference ability assess VAS group (90%) (86%) (χ2, p=0.233). significantly higher amount analgesics found (84%) in-person assessment (68%) p=0.044). high-intensity female gender or due inflammatory vessel disease, while receiving older age, longer time being consultation.CONCLUSION: identify, treat is equally possible as consultation. this confirm that suffer pain, discrepancy relief. Further well-designed randomised controlled studies are necessary understand how best deploy telemedicine (Less)