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Pain Treatment for Older Adults During Prehospital Emergency Care: Variations by Patient Gender and Pain Severity
Journal article   Open access   Peer reviewed

Pain Treatment for Older Adults During Prehospital Emergency Care: Variations by Patient Gender and Pain Severity

Timothy F. Platts-Mills, Katherine M. Hunold, Mark A. Weaver, Ryan M. Dickey, Antonio R. Fernandez, Roger B. Fillingim, Charles B. Cairns and Samuel A. McLean
The journal of pain, v 14(9), pp 966-974
01 Sep 2013
DOI: https://doi.org/10.1016/j.jpain.2013.03.014
PMID: 23726936
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1016/j.jpain.2013.03.014View
Published, Version of Record (VoR)Open Access (License Unspecified),  Open

Abstract

Clinical Neurology Life Sciences & Biomedicine Neurosciences Neurosciences & Neurology Science & Technology
Older adults are less likely than younger adults to receive analgesic treatment during emergency department visits. Whether older adults are less likely to receive analgesics during protocolized prehospital care is unknown. We analyzed all ambulance transports in 2011 in the state of North Carolina and compared the administration of any analgesic or an opioid among older adults (aged 65 and older) versus adults aged 18 to 64. Complete data were available for 407,763 transports. Older men were less likely than younger men to receive an analgesic or an opioid regardless of pain severity. Among women with mild or moderate pain, older women were less likely than younger women to receive either form of pain treatment, but among women with more severe pain (pain score 8 or more), older women were more likely than younger women to receive pain treatment. Further, among women with mild or moderate pain, the oldest patients (aged 85 and older) were the least likely to receive any analgesic or an opioid, but among women with severe pain the oldest patients were the most likely to receive treatment. Further research is needed to assess the generalizability of this interaction between age, gender, and pain severity on pain treatment. Perspective: During prehospital care in North Carolina in 2011, older adults were generally less likely to receive pain treatment. However, older women with severe pain were more likely to receive treatment than younger women with severe pain. These results suggest an interaction between age, gender, and pain severity on pain treatment. (C) 2013 by the American Pain Society

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21 citations in Web of Science
22 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Neurosciences
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