Prehospital pain treatment: an economic productivity factor in emergency medicine?
Identifieur interne : 000672 ( Ncbi/Merge ); précédent : 000671; suivant : 000673Prehospital pain treatment: an economic productivity factor in emergency medicine?
Auteurs : Hervé Hubert [France] ; Comlavi Guinhouya ; Agnès Ricard-Hibon ; Eric Wiel ; Alain Durocher ; Patrick GoldsteinSource :
- Journal of evaluation in clinical practice [ 1365-2753 ] ; 2009.
Descripteurs français
- KwdFr :
- MESH :
- soins infirmiers : Douleur.
- traitement médicamenteux : Douleur.
- économie : Services des urgences médicales.
- Adulte, Adulte d'âge moyen, Analgésie, Femelle, France, Humains, Mâle, Sujet âgé, Équipe soignante, Études cas-témoins, Études de cohortes, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- drug therapy : Pain.
- economics : Emergency Medical Services.
- nursing : Pain.
- statistics & numerical data : Analgesia.
- Adult, Aged, Case-Control Studies, Cohort Studies, Female, France, Humans, Male, Middle Aged, Patient Care Team, Prospective Studies.
Abstract
Analgesia is a recommended practice for pain treatment in prehospital emergency medicine, but all experts note suboptimal pain relief or oligoanalgesia. The increase in the Care Workload (CW) and the Medical Treatment Duration (MTD) linked to analgesia are two explanatory factors, and they are representative of the unavailability of a prehospital team. The unavailability of a team is an opportunity cost which is probably the most important cost within the framework of prehospital emergency. The aim of this study was to analyse the influence of analgesia use on the availability of prehospital emergency teams.
DOI: 10.1111/j.1365-2753.2008.00973.x
PubMed: 19239596
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Agnes" sort="Ricard Hibon, Agnes" uniqKey="Ricard Hibon A" first="Agnès" last="Ricard-Hibon">Agnès Ricard-Hibon</name></author><author><name sortKey="Wiel, Eric" sort="Wiel, Eric" uniqKey="Wiel E" first="Eric" last="Wiel">Eric Wiel</name></author><author><name sortKey="Durocher, Alain" sort="Durocher, Alain" uniqKey="Durocher A" first="Alain" last="Durocher">Alain Durocher</name></author><author><name sortKey="Goldstein, Patrick" sort="Goldstein, Patrick" uniqKey="Goldstein P" first="Patrick" last="Goldstein">Patrick Goldstein</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:19239596</idno><idno type="pmid">19239596</idno><idno type="doi">10.1111/j.1365-2753.2008.00973.x</idno><idno type="wicri:Area/PubMed/Corpus">002030</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002030</idno><idno type="wicri:Area/PubMed/Curation">002030</idno><idno 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region">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation></author><author><name sortKey="Guinhouya, Comlavi" sort="Guinhouya, Comlavi" uniqKey="Guinhouya C" first="Comlavi" last="Guinhouya">Comlavi Guinhouya</name></author><author><name sortKey="Ricard Hibon, Agnes" sort="Ricard Hibon, Agnes" uniqKey="Ricard Hibon A" first="Agnès" last="Ricard-Hibon">Agnès Ricard-Hibon</name></author><author><name sortKey="Wiel, Eric" sort="Wiel, Eric" uniqKey="Wiel E" first="Eric" last="Wiel">Eric Wiel</name></author><author><name sortKey="Durocher, Alain" sort="Durocher, Alain" uniqKey="Durocher A" first="Alain" last="Durocher">Alain Durocher</name></author><author><name sortKey="Goldstein, Patrick" sort="Goldstein, Patrick" uniqKey="Goldstein P" first="Patrick" last="Goldstein">Patrick Goldstein</name></author></analytic><series><title level="j">Journal of evaluation in clinical practice</title><idno type="eISSN">1365-2753</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Analgesia (statistics & numerical data)</term><term>Case-Control Studies</term><term>Cohort Studies</term><term>Emergency Medical Services (economics)</term><term>Female</term><term>France</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pain (drug therapy)</term><term>Pain (nursing)</term><term>Patient Care Team</term><term>Prospective Studies</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analgésie ()</term><term>Douleur (soins infirmiers)</term><term>Douleur (traitement médicamenteux)</term><term>Femelle</term><term>France</term><term>Humains</term><term>Mâle</term><term>Services des urgences médicales (économie)</term><term>Sujet âgé</term><term>Équipe soignante</term><term>Études cas-témoins</term><term>Études de cohortes</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Pain</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Emergency Medical Services</term></keywords><keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Pain</term></keywords><keywords scheme="MESH" qualifier="soins infirmiers" xml:lang="fr"><term>Douleur</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Analgesia</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Douleur</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Services des urgences médicales</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Case-Control Studies</term><term>Cohort Studies</term><term>Female</term><term>France</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Care Team</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analgésie</term><term>Femelle</term><term>France</term><term>Humains</term><term>Mâle</term><term>Sujet âgé</term><term>Équipe soignante</term><term>Études cas-témoins</term><term>Études de cohortes</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Analgesia is a recommended practice for pain treatment in prehospital emergency medicine, but all experts note suboptimal pain relief or oligoanalgesia. The increase in the Care Workload (CW) and the Medical Treatment Duration (MTD) linked to analgesia are two explanatory factors, and they are representative of the unavailability of a prehospital team. The unavailability of a team is an opportunity cost which is probably the most important cost within the framework of prehospital emergency. The aim of this study was to analyse the influence of analgesia use on the availability of prehospital emergency teams.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19239596</PMID><DateCompleted><Year>2009</Year><Month>08</Month><Day>17</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1365-2753</ISSN><JournalIssue CitedMedium="Internet"><Volume>15</Volume><Issue>1</Issue><PubDate><Year>2009</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Journal of evaluation in clinical practice</Title><ISOAbbreviation>J Eval Clin Pract</ISOAbbreviation></Journal><ArticleTitle>Prehospital pain treatment: an economic productivity factor in emergency medicine?</ArticleTitle><Pagination><MedlinePgn>152-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1365-2753.2008.00973.x</ELocationID><Abstract><AbstractText Label="RATIONALE AND OBJECTIVES" NlmCategory="OBJECTIVE">Analgesia is a recommended practice for pain treatment in prehospital emergency medicine, but all experts note suboptimal pain relief or oligoanalgesia. The increase in the Care Workload (CW) and the Medical Treatment Duration (MTD) linked to analgesia are two explanatory factors, and they are representative of the unavailability of a prehospital team. The unavailability of a team is an opportunity cost which is probably the most important cost within the framework of prehospital emergency. The aim of this study was to analyse the influence of analgesia use on the availability of prehospital emergency teams.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This study was a prospective, multicentre cohort study conducted in 10 French Mobile Emergency and Resuscitation Services (MERS) between September 2001 and June 2003. A case-control study was performed including 568 case patients who received analgesia matched with controls based on diagnosis and severity. The pairs were compared for MTD and CW.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">No significant difference between cases and controls was found concerning MTD (P = 0.134). Conversely, a difference was found for CW (P < 10(-4)), with a mean value of 53.7 Project Recherche Nursing (PRN) points for the cases and 45.8 PRN points for the controls.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study shows that analgesia generates an additional CW without increasing the MTD, and does not hinder the MERS teams' availability. This economic result should improve adherence to these clinical practice guidelines. Thus, analgesia appears to be a factor of productivity in the current context of economic pressures in terms of the funding of the healthcare system.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hubert</LastName><ForeName>Hervé</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Institute of Engineering in Health of Lille (EA2694), University of Lille, Lille, France. herve.hubert@univ-lille2.fr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guinhouya</LastName><ForeName>Comlavi</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Ricard-Hibon</LastName><ForeName>Agnès</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Wiel</LastName><ForeName>Eric</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Durocher</LastName><ForeName>Alain</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Goldstein</LastName><ForeName>Patrick</ForeName><Initials>P</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Eval Clin Pract</MedlineTA><NlmUniqueID>9609066</NlmUniqueID><ISSNLinking>1356-1294</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000698" MajorTopicYN="N">Analgesia</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004632" MajorTopicYN="N">Emergency Medical Services</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N">France</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010146" MajorTopicYN="N">Pain</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName><QualifierName UI="Q000451" MajorTopicYN="N">nursing</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010348" MajorTopicYN="Y">Patient Care Team</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>2</Month><Day>26</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>2</Month><Day>26</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>8</Month><Day>18</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">19239596</ArticleId><ArticleId IdType="pii">JEP973</ArticleId><ArticleId IdType="doi">10.1111/j.1365-2753.2008.00973.x</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Hauts-de-France</li><li>Nord-Pas-de-Calais</li></region><settlement><li>Lille</li></settlement></list><tree><noCountry><name sortKey="Durocher, Alain" sort="Durocher, Alain" uniqKey="Durocher A" first="Alain" last="Durocher">Alain Durocher</name><name sortKey="Goldstein, Patrick" sort="Goldstein, Patrick" uniqKey="Goldstein P" first="Patrick" last="Goldstein">Patrick Goldstein</name><name sortKey="Guinhouya, Comlavi" sort="Guinhouya, Comlavi" uniqKey="Guinhouya C" first="Comlavi" last="Guinhouya">Comlavi Guinhouya</name><name sortKey="Ricard Hibon, Agnes" sort="Ricard Hibon, Agnes" uniqKey="Ricard Hibon A" first="Agnès" last="Ricard-Hibon">Agnès Ricard-Hibon</name><name sortKey="Wiel, Eric" sort="Wiel, Eric" uniqKey="Wiel E" first="Eric" last="Wiel">Eric Wiel</name></noCountry><country name="France"><region name="Hauts-de-France"><name sortKey="Hubert, Herve" sort="Hubert, Herve" uniqKey="Hubert H" first="Hervé" last="Hubert">Hervé Hubert</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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