Comparative Effectiveness of Patient-Controlled Analgesia for Treating Acute Pain in the Emergency Department.

ABSTRACT:

Study objective

We assess the effectiveness of patient-controlled analgesia in the emergency department (ED). We hypothesized that decline in pain intensity from 30 to 120 minutes after initial intravenous opioid administration is greater in patients receiving morphine by patient-controlled analgesia compared with usual care and would differ by a clinically significant amount.

Method

This was a pragmatic randomized controlled trial of patient-controlled analgesia and usual care (opioid and dose at physician's discretion) in 4 EDs. Entry criteria included age 18 to 65 years and acute pain requiring intravenous opioids. The primary outcome was decline in numeric rating scale pain score 30 to 120 minutes postbaseline. Secondary outcomes included satisfaction, time to analgesia,

SUBMITTER: Bijur PE 

PROVIDER: S-EPMC5698131 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature