Inadequate pain management in prehospital emergency care: a retrospective study from Krapina-Zagorje County.

IF 2.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Croatian Medical Journal Pub Date : 2025-07-05

Morena Milić, Ada Barić Grgurević, Josip Vrdoljak, Krunoslav Fučkar, Ana Brundula

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引用次数: 0

Abstract

Aim: To assess the type of analgesics administered and their frequency of administration in pre-hospital pain management in Krapina-Zagorje County, Croatia.

Methods: We retrospectively reviewed the data from 86 573 patients treated by the Emergency Department of Krapina-Zagorje County from October 1, 2017 to September 30, 2022. Data were obtained through the "e-Hitna" program. The inclusion criterion was a possible occurrence of pain based on the International Classification of Diseases diagnosis in patients who were treated by emergency team 1. We collected data on the type of analgesic and the frequency of administration according to age, the main diagnosis, emergency index, and the visual analog scale (VAS) score.

Results: In 75% of the patients (64 938), analgesics were not administered. When analgesics were administered (21 635; 25%), physicians mostly opted for non-opioid analgesics (15480, 71.6%). Opioid analgesia was usually the treatment of choice in palliative care. Tramadol was administered significantly more often than morphine or pethidine (P<0.001, χ2 test).

Conclusion: Despite wide accessibility of analgesics, pain is still not treated adequately in the Emergency Department of Krapina-Zagorje County.

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院前急救中疼痛管理不足：来自Krapina-Zagorje县的回顾性研究

目的：了解克罗地亚Krapina-Zagorje县院前疼痛管理中镇痛药的种类和使用频率。方法：回顾性分析2017年10月1日至2022年9月30日在Krapina-Zagorje县急诊科治疗的86 573例患者的资料。数据通过“e-Hitna”程序获得。纳入标准为急诊小组1治疗的患者根据国际疾病分类诊断可能发生疼痛。我们根据年龄、主要诊断、急诊指数和视觉模拟评分（VAS）收集镇痛药类型和给药频率的数据。结果：75%的患者（64 938例）未给予镇痛药。当给予镇痛药时(21 635；25%)，医生大多选择非阿片类镇痛药（15480,71.6%）。阿片类镇痛通常是姑息治疗的首选治疗方法。曲马多的使用频率明显高于吗啡或哌啶(结论：尽管镇痛药广泛可及，但在克拉皮纳-扎戈列县急诊科，疼痛仍未得到充分治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Croatian Medical Journal 医学-医学：内科

CiteScore

3.00

自引率

5.30%

发文量

105

审稿时长

6-12 weeks

期刊介绍： Croatian Medical Journal (CMJ) is an international peer reviewed journal open to scientists from all fields of biomedicine and health related research. Although CMJ welcomes all contributions that increase and expand on medical knowledge, the two areas are of the special interest: topics globally relevant for biomedicine and health and medicine in developing and emerging countries.