Manejo del dolor en pacientes hospitalizados
Objective To evaluate effectiveness and adequation of analgesia in patients from a tertiary care hospital. Patients and Methods: Descriptive cross sectional study in hospitalized patients with pain evaluated by medical history review and a validated questionary wich included Brief Pain Inventory...
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| Publicado en: | Revista Médica Universitaria |
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| Autores principales: | , , , , |
| Materias: | |
| Acceso en línea: | https://bdigital.uncu.edu.ar/fichas.php?idobjeto=4579 |
| Sumario: | Objective To evaluate effectiveness and adequation of analgesia in patients from a
tertiary care hospital.
Patients and Methods: Descriptive cross sectional study in hospitalized patients with
pain evaluated by medical history review and a validated questionary wich included
Brief Pain Inventory Scale (BPI). The analgesia was considered adequate with a value
≤ 3 (0-10). Statistical analysis: central tendency and dispertion measures, CI 95%.
Results: 139 inpatients were included; 13.67% from internal medicine , 2.88% ICU,
39.57% surgery, 9.35% ginecology, 9.35% maternity, 20.14% trauma, 0.72%
neurology, 2.16% urology. The mean age was 43.40 years (DS±17.52); 41.73% were
males. The median lenght stay at the moment of evaluation was 3 days (1-60).
56.83% (IC 95% 65.07-48.60%) had somatic, visceral 39.57% (IC 95% 47.70-31.44%)
and neuropathic pain 5.04% (IC95% 8.67-1.40). Main etiologies were surgical
pathology 31.65%, trauma 20.14%, postoperative 17.99% and cancer 10.07%.
82.73% received pain medications, 47.48% intravenously and 3.60% were prescribed
by a pain specialist. The dosage was adequate in 65.47% and the most frequently
prescribed were diclofenac 36.69%, ketorolac 16.55%, tramadol 6.47%,
acetaminophen 5.76% and ibuprofen 2.16%. Only 3.60% received morphine,
combinations of NSAID and tramadol 11.51%, steroids 3.60% and antiepileptic drugs
0.72%. Side effects were reported in 3.60%. 38% controled their worst pain and 53%
their average pain. There was a delay of more than 24 hs in prescription of analgesia
in 7.91%. It was written in the medical history in 40.76% of the cases and in nurse
indications in 40.29%. There were daily pain evaluation registered at clinical history in
only 46.76%. |
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