Variables associated with administration of analgesia, nurse-initiated analgesia and early analgesia in the emergency department

作者: David McD Taylor , Jessie Chen , Munad Khan , Marina Lee , Mani Rajee

DOI: 10.1136/EMERMED-2016-206044

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摘要: Objective To determine the patient and clinical variables associated with administration of any analgesia, nurse-initiated analgesia (NIA, prescribed administered by a nurse) early (within 30 min presentation). Methods We undertook retrospective cohort study patients who presented to metropolitan ED in Melbourne, Australia, during July August, 2013. The has an established NIA programme. Patients were included if they aged 18 years or more painful complaint. sample was randomly selected from list all eligible patients. Data extracted electronically records explicit extraction medical record. Logistic regression models constructed assess associations three binary end points. Results 1289 enrolled. less likely receive 08:00–15:59 hours (OR 0.67, 95% CI 0.46 0.98) 16:00–24:00 hours 0.55, 0.37 0.80) triage category 5 0.20, 0.08 0.49) required interpreter 0.34, 0.14 0.86). 56 years 0.70 0.63; OR 0.57 0.21, respectively) had received ambulance 0.59, 0.36 0.95; 0.38, 0.20 0.74, respectively). Conclusions present daytime, have require are analgesia. Older those

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