Very young and elderly patients are less likely to receive narcotic prescriptions for clavicle fractures

1 Introduction There has been increased interest in the management of pain in the emergency department (ED) in the last decade partly as a result of increased emphasis by the Joint Commission on Accreditation of Healthcare Organizations. Patients with clavicle fractures also tend to receive initial...

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Bibliographic Details
Published in:The American journal of emergency medicine 2007-07, Vol.25 (6), p.651-653
Main Authors: Dohrenwend, Paul B., MD, Fiesseler, Frederick W., DO, Cochrane, Dennis G., MD, Allegra, John R., MD, PhD
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Aged
Analgesics, Opioid - therapeutic use
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Child
Child, Preschool
Clavicle - injuries
Clinical death. Palliative care. Organ gift and preservation
Confidence intervals
Drug Prescriptions - statistics & numerical data
Drug Utilization
Emergency
Emergency medical care
Emergency Service, Hospital
Female
Fractures, Bone - drug therapy
Hospitals
Humans
Infant
Injuries of the limb. Injuries of the spine
Intensive care medicine
Male
Medical sciences
Middle Aged
Narcotics
Narcotics - therapeutic use
Older people
Pain
Physicians
Prescriptions
Retrospective Studies
Traumas. Diseases due to physical agents
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Summary:1 Introduction There has been increased interest in the management of pain in the emergency department (ED) in the last decade partly as a result of increased emphasis by the Joint Commission on Accreditation of Healthcare Organizations. Patients with clavicle fractures also tend to receive initial treatment by emergency physicians not requiring immediate surgical treatment or subspecialist intervention. [...]patients with clavicular fractures are uniquely suited to be examined for age-related differences in the treatment of pain at the time of discharge.2 Methods 2.1 Study design We performed a retrospective analysis of consecutive ED patients seen between January 1996 and February 2005 using an ED computerized tracking system. 2.2 Study setting and population The study setting included a mix of suburban, urban, and academic hospitals with annual visit volumes ranging from 20000 to 75000.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2006.11.040