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Master Thesis

Impact du flux de patients aux urgences sur l'évaluation de la douleur

Abstract : Objective: Pain assessment is crucial for the proper management of patients, especially in the emergency room. Pain is still largely under-evaluated, despite the implementation of scales and protocols. The main objective of this study is to determine the impact of patient flow in the emergency department on the evaluation and traceability of pain. The secondary objective is to identify other parameters that may influence the evaluation of pain in emergency departments. Methods: it is a retrospective observational, monocentric, descriptive and analytical study. Patients included are those who were admitted to the adult emergency department of CHU Pellegrin between January and December 2017. Patients who were already assessed by a physician or an IDE before arriving in the emergency room were excluded. The primary outcome was the rate of cases in which pain assessment was correctly performed (according to HAS criteria)(1) which was analyzed according to the flow of patients to the emergency department, determined by the number of patients admitted in the previous 2 hours. Results were obtained from univariate and multivariate analysis with logistic regression. Results: the results obtained on 42240 patients show that the rate of correct pain assessment is decreased when the number of patients increases within 2 hours before admission. This study also demonstrated that other independent factors influence pain assessment: gender, age, time of day, reason for admission, IOA triage level, Glasgow score and temperature. Conclusion: this study provided significant evidence of a feeling shared by many caregivers: pain is less well assessed and/or traced when the flow of patients in the emergency room increases and therefore probably less well managed. It is interesting to note that many other factors also influence this assessment, which opens up prospects for improvement in future management.
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Submitted on : Monday, May 10, 2021 - 3:25:15 PM
Last modification on : Thursday, July 8, 2021 - 3:15:59 AM
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  • HAL Id : dumas-03222937, version 1



Aude Grigoletto. Impact du flux de patients aux urgences sur l'évaluation de la douleur. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03222937⟩



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