El dolor en el hospital: de los estándares de prevalencia a los de calidad.

I. Bolíbar*, E. Català, R. Cadena

*Autor corresponent d’aquest treball

Producció científica: Contribució a revistaArticleRecercaAvaluat per experts

17 Cites (Scopus)
1 Descàrregues (Pure)

Resum

OBJETIVES: Pain diminishes the quality of life of
patients and a high prevalence of pain calls into question
the quality of health care being delivered. The present
study analyzes the prevalence of pain in one hospital, by
departments and by therapeutic approach used.
PATIENTS AND METHODS: This cross-sectional study was
carried out in a representative sample of 309 patients
admitted to a tertiary care hospital. Information was
gathered by patient interviews and by reviewing hospital
records for personal characteristics, clinical situation,
pain characteristics and analgesic treatment.
RESULTS: The prevalence of pain was 54.7%overall.
The prevalence of pain eligible for treatment (intensity
>2 on a visual analog scale) was 43.5%. The prevalence
of pain that was moderate to intense (>3) was 34.7%. No
analgesia was prescribed for 18.7% of the patients eligible, and analgesia was effective for 47.3%. Analgesia was
provided on demand (63.2%) in most clinic protocols,
usually with nonsteroidal antiinflammatory drugs, acetaminophen, opioids and special techniques, administered
in combination to half the patients. The prevalence and
intensity of pain and the prescription protocols varied
from one hospital department to another. Analgesic treatment was adequate for 67.1% of the patients.
CONCLUSIONS: The results suggest that the prevalence
of pain in the hospital is high and that it is possible to
improve quality of clinical approach, in agreement with
studies that have been appearing since the 1980s. The
persistence of the problem of pain in health care centers
requires action on all levels of the health care system.
Títol traduït de la contribucióPain in the hospital: from prevalence to quality standards
Idioma originalEspanyol
Pàgines (de-a)131-140
Nombre de pàgines10
RevistaRev. Esp. Anestesiol. Reanim.
Volum52
Número3
Estat de la publicacióPublicada - de març 2005

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