These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Does age affect analgesia provision at discharge among children with long bone fractures requiring emergency care?
    Author: Ortega HW, Vander Velden H, Lin CW, Engels JA, Reid S.
    Journal: J Emerg Med; 2013 Nov; 45(5):649-57. PubMed ID: 23845523.
    Abstract:
    BACKGROUND: Inadequate treatment of painful conditions in children is a significant and complex problem. The wide range of cognitive abilities associated with a child's age is a particular challenge for providers treating children with painful conditions. STUDY OBJECTIVE: To examine the effect of patient age on the provision of analgesic medicines at discharge in children treated emergently for a long bone fracture. METHODS: A retrospective review was performed of all patients during a 1-year period with a long bone fracture treated in two urban pediatric Emergency Departments (EDs). RESULTS: Eight hundred seventy-eight patients were identified who met our inclusion criteria. Nearly 60% of patients received a prescription for an opioid-containing medicine and 19% received a prescription for an over-the-counter analgesic medicine at ED discharge. Patients younger than 4 years old had lower pain scores, less severe fractures, and overall were significantly less likely to receive an opioid-containing prescription compared to children 4 years old or greater. In children with more severe fractures requiring reduction in the ED, no significant age-related differences were noted in opioid prescription rates. No age-related significant differences were noted for over-the-counter prescription analgesic medicines provided at discharge. CONCLUSION: Young patient age is associated with different analgesic prescription patterns in children treated in the ED for a long bone fracture.
    [Abstract] [Full Text] [Related] [New Search]