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Master Thesis

Description des patients douloureux chroniques aux urgences et satisfaction de leur prise en charge : étude CHRODOLURG

Abstract : Introduction: while acute pain is well analysed and treated for, little attention is given to patients dealing with chronic pain in the ED, even though it concerns up to 40% of admitted patients. The goal of this study is to compare patient’s level of care satisfaction, between patients having chronic pain and those without. Material and method: in this observational, prospective, single-center study conducted for eleven days in january 2018 in the ED of a Bordeaux university hospital, all patients aged 18 and older, admitted to the ED between Monday and Friday, received a questionnaire that determined if they had chronic pain, pain intensity and their level of ED care satisfaction. Results: two hundred and forty three patients were analyzed. 32,9% ( 80 patients) reported chronic pain. 10,2% (25 patients) consulted for an exacerbation of their chronic pain. 87% of the patients were satisfied to very satisfied with their care in ED, without significant difference between patients with chronic pain and others. There was no difference in pain outcome between the entrance and exit of emergencies. Discussion: many non-critical ED patients have chronic pain, with a higher use of the ED, but only a third of them consult for an exacerbation of their usual pain. Patients with chronic pain seem to be as satisfied as the others in their care in emergencies. Conclusion: in the ED, chronic pain is common and does not seem to affect patient satisfaction in the care provided.
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Master Thesis
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Jean-Baptiste Robledo. Description des patients douloureux chroniques aux urgences et satisfaction de leur prise en charge : étude CHRODOLURG. Médecine humaine et pathologie. 2019. ⟨dumas-02446352⟩



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