If you are experiencing problems downloading PDF or HTML fulltext, our helpdesk recommend clearing your browser cache and trying again. If you need help in clearing your cache, please click here . Still need help? Email help@ingentaconnect.com

Gender, age and ethnic aspects of analgesia in acute abdominal pain: is analgesia even across the groups?

$48.00 plus tax (Refund Policy)

Download / Buy Article:

Abstract:

Abstract

Background: Numerous studies have shown differences in pain perception between men and women, which may affect pain management strategies.

Aim: Our primary aim was to investigate whether there are gender‐based differences in pain management in patients admitted to our emergency department with acute, non‐specific abdominal pain (NSAP). Our secondary aim was to evaluate if other factors influence administration of analgesia for patients admitted with NSAP.

Methods: From June 2007 to June 2008, we carried out a retrospective, gender‐based, frequency‐matched control study with 150 patients (75 consecutive men and 75 women) who presented with NSAP at our emergency department. Pain was documented using a numerical rating scale (‘0’ no pain, ‘10’ most severe pain). A multinomial regression model was used to assess factors that might influence pain management.

Results: No statistically significant difference was seen between men and women with respect to pain management (P= 0.085). Younger patients were, however, more likely to receive weaker (P= 0.011) and fewer analgesics (P < 0.001). Patients with previous abdominal surgery (P= 0.012), known chronic pain conditions (P= 0.029) or relevant comorbidities (P= 0.048) received stronger analgesia. Nationality (P= 0.244), employment status (P= 0.988), time of admission (P= 0.487) and known psychiatric illness (P= 0.579) did not influence pain management.

Conclusions: No statistically significant gender‐dependent differences in pain management were observed. However, younger patients received less potent analgesic treatment. There is no reason for certain groups to receive suboptimal treatment, and greater efforts should be made to offer consistent treatment to all patients.

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1445-5994.2010.02255.x

Affiliations: 1: Departments of Visceral Surgery and Medicine and 2: Emergency Medicine, Inselspital, Berne University Hospital and University of Berne, Berne, Switzerland

Publication date: March 1, 2012

Related content

Tools

Favourites

Share Content

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more