Show simple item record

dc.contributorArnoby Chacón José
dc.contributor.advisorCHACON CARDONA, JOSE ARNOBY
dc.contributor.authorOLIVEROS MUÑOZ, JOHANA CAROLINA
dc.date.accessioned2023-05-15T20:34:45Z
dc.date.available2023-05-15T20:34:45Z
dc.date.issued2023-05-15
dc.identifier.urihttps://repositorio.ucaldas.edu.co/handle/ucaldas/19435
dc.descriptionTablas, gráficasspa
dc.description.abstractspa:En los servicios de urgencias, el dolor es el motivo de consulta más frecuente. A pesar de esto múltiples registros reportan oligoanalgesia. Se presentan barreras con relación a los pacientes, al personal asistencial y al sistema de atención que entorpecen el manejo del dolor. Este estudio pretende describir las características de los pacientes que consultan por dolor agudo al servicio de urgencias y el tratamiento que se prescribe en una institución de tercer nivel de la ciudad de Manizales. Material y Métodos: Análisis descriptivo con muestreo no probabilístico por conveniencia tomado de forma prospectiva de personas mayores de 18 años con dolor menor a 6 semanas de evolución, que consultaron a un servicio de urgencias entre noviembre 2022 y enero 2023. Resultados: Se recolecto un total de 254 de esos se excluyeron 15 pacientes para un total de 239 pacientes estudiados. El 62.8% de los pacientes fueron mujeres, no se encontró diferencia significativa en la escala de dolor entre los dos sexos. En cuanto al origen de dolor el mayor número de ingresos se debió a eventos no traumáticos (n=181; 75.7%), y en cuanto a la localización, el dolor abdominal es el más prevalente (n:102; 42.7%). Conclusiones: La mayor prevalencia de dolor de origen no traumático, es una población joven, con pocas comorbilidades cardiovasculares. Los AINES son los analgésicos más utilizados independiente de la severidad del dolor al ingreso. Se registró una baja proporción de revaloraciones en cuanto a la efectividad del manejo analgésico.spa
dc.description.abstracteng:To describe the characteristics of patients who consult the emergency department for acute pain and the management performed in a tertiary institution in the city of Manizales. Material and Methods: Descriptive analysis with non-probabilistic sampling by convenience taken prospectively from people older than 18 years with pain less than 6 weeks of evolution, who consulted an emergency department between November 2022 and January 2023. Results: A total of 254 patients were collected, of which 15 were excluded for a total of 239 patients studied. The predominant sex in the consultation was female with 62.8%, no significant differences were found in the severity of the pain admission scale between men and women. From the analysis of the prevalence of the origin of pain the highest number of admissions was due to non-traumatic events (n=181; 75.7%), and in terms of location, abdominal pain is the most prevalent (n:102; 42.7%). Conclusions: The highest prevalence of pain of non-traumatic origin, is a young population, with few cardiovascular comorbidities. NSAIDs are the most commonly used analgesics regardless of the severity of pain on admission. There was a low proportion of reevaluations regarding the effectiveness of analgesic management.eng
dc.description.tableofcontents1.INTRODUCCIÓN / 2.JUSTIFICACIÓN / 3. OBJETIVOS / 3.1. Objetivo general / 3.2. Objetivos específicos / 4. METODOLOGÍA / 5. CONSIDERACIONES ETICAS / 6.RESULTADOS / 7.DISCUSIÓN / 8.LIMITACIONES / 9.CONCLUSIONES Y RECOMENDACIONES / 10.REFERENCIAS BIBLIOGRÁFICAS / 11.ANEXOSspa
dc.format.mimetypeapplication/pdfspa
dc.language.isoengspa
dc.language.isospaspa
dc.titleManejo de dolor agudo en pacientes que consultan a urgencias de tercer nivel Manizales noviembre 2022-enero 2023.spa
dc.typeTrabajo de grado - Especializaciónspa
dc.contributor.researcherCarlos Alberto Duque
dc.description.degreelevelEspecialización médico - quirúrgicaspa
dc.identifier.instnameUniversidad de Caldasspa
dc.identifier.reponameRepositorio Institucional Universidad de Caldasspa
dc.identifier.repourlhttps://repositorio.ucaldas.edu.co/spa
dc.publisher.facultyFacultad de Ciencias para la Saludspa
dc.publisher.placeManizalesspa
dc.relation.referencesPines JM, Hollander JE. Emergency Department Crowding Is Associated With Poor Care for Patients With Severe Pain. Ann Emerg Med. 2008 Jan 1;51(1):1–5.spa
dc.relation.referencesMura P, Serra E, Marinangeli F, Patti S, Musu M, Piras I, et al. Prospective study on prevalence, intensity, type, and therapy of acute pain in a second-level urban emergency department. J Pain Res [Internet]. 2017 Dec 12 [cited 2020 Sep 11];10:2781–8. Available from: /pmc/articles/PMC5732548/?report=abstractspa
dc.relation.referencesJohnston CC, Gagnon AJ, Fullerton L, Common C, Ladores M, Forlini S, et al. ONE-WEEK SURVEY OF PAIN INTENSITY ON ADMISSION TO AND DISCHARGE FROM THE EMERGENCY DEPARTMENT: A PILOT STUDY. 1998.spa
dc.relation.referencesErazo MA, Pérez L, Colmenares CC, Álvarez H, Suárez I, Mendivelso F. Prevalencia y caracterización del dolor en pacientes hospitalizados. Revista de la Sociedad Espanola del Dolor. 2015;22(6):241–8.spa
dc.relation.referencesGuerrero Liñero AM, Gómez López MP. Prevalencia del dolor cronico en colombia.VIII Estudio Nacional de Dolor 2014. Asociacion Colombiana de Neurologia [Internet]. 2014 [cited 2020 Sep 11];1–44. Available from: http://www.dolor.org.co/encuesta/VIII Estudio Prevalencia dolor cronico en colombia publicación página ACED 2014.pdfspa
dc.relation.referencesNawar EW, Niska RW, Xu J. National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary. Adv Data. 2007;(386):1–32.spa
dc.relation.referencesDale J, Bjørnsen LP. Assessment of pain in a Norwegian Emergency Department. Scand J Trauma Resusc Emerg Med. 2015 Oct 29;23(1).spa
dc.relation.referencesIbagón H, Erazo Muñoz M, Canizo Gutiérrez A, Torres HÁ, Peñuela Sánchez A, Cuervo JB, et al. Analgesic management protocol for patients with acute pain at clinica COLSANITAS. RevMedicaSanitas. 2018;21(1):26–38.spa
dc.relation.referencesWilson JE, Pendleton JM. Oligoanalgesia in the emergency department. American Journal of Emergency Medicine. 1989;7(6):620–3.spa
dc.relation.referencesFosnocht DE, Swanson ER, Barton ED. Changing attitudes about pain and pain control in emergency medicine. Vol. 23, Emergency Medicine Clinics of North America. W.B. Saunders; 2005. p. 297–306.spa
dc.relation.referencesCalil AM, Pimenta CADM, Birolini D. The “oligoanalgesia problem” in the emergency care. Clinics [Internet]. 2007 [cited 2020 Nov 4];62(5):591–8. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322007000500010&lng=en&nrm=iso&tlng=enspa
dc.relation.referencesHämäläinen J, Kvist T, Kankkunen P. Acute Pain Assessment Inadequacy in the Emergency Department: Patients’ Perspective. J Patient Exp. 2022 Jan 1;9.spa
dc.relation.referencesRupp T, Delaney KA. Inadequate Analgesia in Emergency Medicine [Internet]. Vol. 43, Annals of Emergency Medicine. Mosby Inc.; 2004 [cited 2020 Aug 19]. p. 494–503. Available from: https://pubmed.ncbi.nlm.nih.gov/15039693/spa
dc.relation.referencesMotov SM, Khan ANGA. Problems and barriers of pain management in the emergency department: Are we ever going to get better? [Internet]. Vol. 2, Journal of Pain Research. Dove Press; 2009 [cited 2020 Nov 4]. p. 5–11. Available from: /pmc/articles/PMC3004630/?report=abstractspa
dc.relation.referencesGuéant S, Taleb A, Borel-Kühner J, Cauterman M, Raphael M, Nathan G, et al. Quality of pain management in the emergency department: Results of a multicentre prospective study. Eur J Anaesthesiol [Internet]. 2011 Feb [cited 2021 Feb 4];28(2):97–105. Available from: https://pubmed.ncbi.nlm.nih.gov/21119516/spa
dc.relation.referencesHwang U, Platts-Mills TF. Acute Pain Management in Older Adults in the Emergency Department [Internet]. Vol. 29, Clinics in Geriatric Medicine. Clin Geriatr Med; 2013 [cited 2020 Nov 10]. p. 151–64. Available from: https://pubmed.ncbi.nlm.nih.gov/23177605/spa
dc.relation.referencesGreen CR, Anderson KO, Baker TA, Campbell LC, Decker S, Fillingim RB, et al. The unequal burden of pain: Confronting racial and ethnic disparities in pain [Internet]. Vol. 4, Pain Medicine. Oxford Academic; 2003 [cited 2020 Nov 18]. p. 277–94. Available from: https://academic.oup.com/painmedicine/article/4/3/277/1862837spa
dc.relation.referencesWarden V, Hurley AC, Volicer L. Development and psychometric evaluation of the pain assessment in advanced dementia (PAINAD) scale. J Am Med Dir Assoc. 2003;4(1):9–15.spa
dc.relation.referencesXia AD, Dickerson SL, Watson A, Nokela M, Colman S, Szende A. Evaluation of pain relief treatment and timelines inemergency care in six european countries and Australia. Open Access Emergency Medicine [Internet]. 2019 [cited 2020 Sep 11];11:229–40. Available from: /pmc/articles/PMC6756271/?report=abstractspa
dc.relation.referencesHachimi-Idrissi S, Coffey F, Hautz WE, Leach R, Sauter TC, Sforzi I, et al. Approaching acute pain in emergency settings: European Society for Emergency Medicine (EUSEM) guidelines—part 1: assessment. Intern Emerg Med. 2020 Oct 1;15(7):1125–39.spa
dc.relation.referencesChang HY, Daubresse M, Kruszewski SP, Alexander GC. Prevalence and treatment of pain in EDs in the United States, 2000 to 2010. American Journal of Emergency Medicine [Internet]. 2014 [cited 2020 Aug 19];32(5):421–31. Available from: https://pubmed.ncbi.nlm.nih.gov/24560834/spa
dc.relation.referencesRobinson-Papp J, George MC, Dorfman D, Simpson DM. Barriers to Chronic Pain Measurement: A Qualitative Study of Patient Perspectives. Pain Medicine (United States) [Internet]. 2015 [cited 2020 Sep 11];16(7):1256–64. Available from: https://pubmed.ncbi.nlm.nih.gov/25688752/spa
dc.relation.referencesOrr PM, Shank BC, Black AC. The Role of Pain Classification Systems in Pain Management. Crit Care Nurs Clin North Am. 2017 Dec 1;29(4):407–18.spa
dc.relation.referencesCakir U, Cete Y, Yigit O, Bozdemir MN. Improvement in physician pain perception with using pain scales. European Journal of Trauma and Emergency Surgery [Internet]. 2018 Dec 1 [cited 2020 Nov 18];44(6):909–15. Available from: https://pubmed.ncbi.nlm.nih.gov/29196785/spa
dc.relation.referencesHatherley C, Jennings N, Cross R. Time to analgesia and pain score documentation best practice standards for the Emergency Department - A literature review. Vol. 19, Australasian Emergency Nursing Journal. Elsevier Ltd; 2016. p. 26–36.spa
dc.relation.referencesGiusti GD, Reitano B, Gili A. Pain assessment in the emergency department. Correlation between pain rated by the patient and by the nurse. an observational study. Acta Biomedica [Internet]. 2018 Apr 11 [cited 2020 Sep 12];89(4-S):64–70. Available from: https://pubmed.ncbi.nlm.nih.gov/29644991/spa
dc.relation.referencesSari O, Temiz C, Golcur M, Aydogan U, Tanoglu A, Ezgu MC, et al. Pain perception differences between patients and physicians: A pain severity study in patients with low back pain. Turk Neurosurg. 2015;25(3):461–8.spa
dc.relation.referencesMoyano-Acevedo JR, Molina-Arteta BM, Matute-Gonzales E, Camargosánchez L. Differences in pain measurement between nurses anphysicians in a teaching hospital. Revista Facultad de Medicina. 2020 Jan 1;68(1):9–13.spa
dc.relation.referencesSepahvand M, Gholami M, Hosseinabadi R, Beiranvand A. The Use of a Nurse-Initiated Pain Protocol in the Emergency Department for Patients with Musculoskeletal Injury: A Pre-Post Intervention Study. Pain Management Nursing [Internet]. 2019 Dec 1 [cited 2020 Oct 28];20(6):639–48. Available from: https://pubmed.ncbi.nlm.nih.gov/31103496/spa
dc.relation.referencesvan Woerden G, van den Brand CL, den Hartog CF, Idenburg FJ, Grootendorst DC, van der Linden MC. Increased analgesia administration in emergency medicine after implementation of revised guidelines. Int J Emerg Med [Internet]. 2016 Dec 1 [cited 2020 Nov 19];9(1):1–7. Available from: https://pubmed.ncbi.nlm.nih.gov/26860533/spa
dc.relation.referencesMuscat C, Fey S, Lacan M, Morvan C, Belle L, Lesage P. Observational, Retrospective Evaluation of a New Nurse-Initiated Emergency Department Pain Management Protocol. Pain Management Nursing. 2021 Aug 1;22(4):485–9.spa
dc.relation.referencesGil JP, Muñoz FL, Ocejo RMC, Ferrera RC, Morizot G. Prevalence and therapeutic approach of acute pain in emergency provided by triage nursing. Aquichan [Internet]. 2019 [cited 2020 Sep 12];19(4). Available from: https://doi.org/10.5294/aqui.2019.19.4.4spa
dc.relation.referencesRicaRdo díaz FM. Dolor crónico nociceptivo y neuropático en población adulta de Manizales (Colombia). ActA MédicA coloMbiAnA . 2011;Vol. 36 n° 1.spa
dc.relation.referencesRicardo Diaz FMXS. Estudio epidemiológico del dolor crónico en Caldas, Colombia (Estudio DolCA). 2009;spa
dc.relation.referencesParra GS, Marulanda F, Santacoloma M, Osorio M, Chacón JA, Suzette G, et al. Trabajos originales. Rev Colomb Gastroenterol. 2003;18(3):2003.spa
dc.relation.referencesFosnocht DE, Swanson ER, Barton ED. Changing attitudes about pain and pain control in emergency medicine [Internet]. Vol. 23, Emergency Medicine Clinics of North America. W.B. Saunders; 2005 [cited 2020 Nov 18]. p. 297–306. Available from: https://pubmed.ncbi.nlm.nih.gov/15829384/spa
dc.relation.referencesHenschke N, Kamper SJ, Maher CG. The epidemiology and economic consequences of pain. In: Mayo Clinic Proceedings [Internet]. Elsevier Ltd; 2015 [cited 2020 Nov 18]. p. 139–47. Available from: https://pubmed.ncbi.nlm.nih.gov/25572198/spa
dc.relation.referencesGoldberg DS, McGee SJ. Pain as a global public health priority. BMC Public Health [Internet]. 2011 [cited 2020 Nov 18];11:770. Available from: /pmc/articles/PMC3201926/?report=abstractspa
dc.relation.referencesDeclaration of Montréal - IASP [Internet]. [cited 2020 Sep 11]. Available from: https://www.iasp-pain.org/DeclarationofMontreal?navItemNumber=582spa
dc.relation.referencesBazargan-Hejazi Ahmadi, R M. Pain management in trauma: A review study. J Inj Violence Res [Internet]. 2016 [cited 2020 Nov 18];8(2). Available from: https://pubmed.ncbi.nlm.nih.gov/27414816/spa
dc.relation.referencesSigakis MJG, Bittner EA. Ten myths and misconceptions regarding pain management in the ICU. Crit Care Med [Internet]. 2015 [cited 2020 Nov 18];43(11):2468–78. Available from: https://pubmed.ncbi.nlm.nih.gov/26308433/spa
dc.relation.referencesStang AS, Hartling L, Fera C, Johnson D, Ali S. Quality indicators for the assessment and management of pain in the emergency department: A systematic review. Pain Res Manag. 2014 Nov 1;19(6):e179–90.spa
dc.relation.referencesLozner AW, Reisner A, Shear ML, Patel S, Connolly J, Shaltis P, et al. Pain severity is the key to emergency department patients’ preferred frequency of pain assessment. European Journal of Emergency Medicine [Internet]. 2010 Feb [cited 2020 Sep 12];17(1):30–2. Available from: https://pubmed.ncbi.nlm.nih.gov/19641465/spa
dc.relation.referencesDecosterd I, Hugli O, Tamchès E, Blanc C, Mouhsine E, Givel JC, et al. Oligoanalgesia in the Emergency Department: Short-Term Beneficial Effects of an Education Program on Acute Pain. Ann Emerg Med [Internet]. 2007 Oct [cited 2020 Sep 12];50(4):462–71. Available from: https://pubmed.ncbi.nlm.nih.gov/17445949/spa
dc.relation.referencesCetin M, Kaya B, Kilic T, Hanoǧlu N, Gökhan Ş, Eroǧlu S, et al. Pain management practices in the emergency departments in Turkey. Turk J Emerg Med. 2021 Oct 1;21(4):189–97.spa
dc.relation.referencesLeResche L. Defining gender disparities in pain management. Vol. 469, Clinical Orthopaedics and Related Research. Springer New York LLC; 2011. p. 1871–7.spa
dc.relation.referencesKarcioglu O, Topacoglu H, Dikme O, Dikme O. A systematic review of the pain scales in adults: Which to use? [Internet]. Vol. 36, American Journal of Emergency Medicine. W.B. Saunders; 2018 [cited 2020 Sep 12]. p. 707–14. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0735675718300081spa
dc.relation.referencesSilka PA, Roth MM, Moreno G, Merrill L, Geiderman JM. Pain Scores Improve Analgesic Administration Patterns for Trauma Patients in the Emergency Department. Academic Emergency Medicine. 2004;11(3):264–70.spa
dc.relation.referencesMotov SM, Vlasica K, Middlebrook I, Lapietra A. Pain management in the emergency department: a clinical review. Vol. 8, Clinical and Experimental Emergency Medicine. Korean Society of Emergency Medicine; 2021. p. 268–78.spa
dc.relation.referencesManterola C, Vial M, Moraga J, Astudillo P. Analgesia in patients with acute abdominal pain. Cochrane Database of Systematic Reviews [Internet]. 2011 Jan 19 [cited 2023 Apr 23];(1). Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005660.pub3/fullspa
dc.relation.referencesWheeler E, Hardie T, Klemm P, Akanji I, Schonewolf E, Scott J, et al. Level of pain and waiting time in the emergency department. Pain Management Nursing. 2010 Jun;11(2):108–14.spa
dc.relation.referencesManagement of Pain in Adults The College of Emergency Medicine Best Practice Guideline Management of Pain in Adults. 2014;spa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.subject.proposalDolorspa
dc.subject.proposalUrgenciasspa
dc.subject.proposalAnalgésicosspa
dc.subject.proposalManejo del dolorspa
dc.subject.unescoCiencias médicas
dc.type.coarhttp://purl.org/coar/resource_type/c_bdccspa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/masterThesisspa
dc.type.redcolhttps://purl.org/redcol/resource_type/TMspa
dc.type.versioninfo:eu-repo/semantics/publishedVersionspa
oaire.versionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa
dc.description.degreenameEspecialista en Medicina De Urgenciasspa
dc.publisher.programEspecialización en Medicina De Urgenciasspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa


Files in this item

Thumbnail
Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record