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    The minimum clinically significant difference in acute nontraumatic thoracoabdominal pain in adult emergency department patients in Turkey
    (SAGE PUBLICATIONS LTD, 2012-01-01) Degerli, V.; Karcioglu, O.; Larkin, G. L.; Karaduman, S.; Korkmaz, T.; Tunc, M. A.
    Objectives: To determine the minimum clinically significant difference (MCSD) in visual analog scale (VAS) pain scores for acute non-traumatic thoracoabdominal pain (TAP) in the emergency department (ED) and to determine its association with sociodemographic features, location and duration of pain. Methods: An observational survey of adult ED patients with TAP lasting less than 48 hours was conducted over a six-week period. Demographic information and the duration and location of pain were recorded. Patients indicated their pain level on a 100-mm VAS at baseline and at 20, 40, and 60 minutes thereafter. Subjects were also asked to rate their pain as `much less', `a little less', `about the same', `a little more', or `much more' at the 20-, 40-, and 60-minute time points. MCSD was calculated as the difference between the subsequent and preceding VAS scores if a patient reported pain as `a little less' or `a little more'. Results: Data was available for 306 of the 374 patients with TAP who presented during the study period. For pain comparisons (n=428) categorised as `a little less' or `a little more', the MCSD was 24.2 mm (95\% CI 22.6-25.7 mm). The MCSD value was not significantly different among the factors of gender, age, level of education, duration, or location of pain. Conclusions: The MCSD of ED patients with nontraumatic thoracoabominal pain in Turkey is 24.2 mm. The MCSD is not affected by gender, age, level of education, location, or duration of pain. (Hong Kong j.emerg.med. 2012
  • Item
    The Effect of Cannula Material on The Pain of Peripheral Intravenous Cannulation in the Emergency Department: A Prospective, Randomized Controlled Study
    (ELSEVIER SCIENCE BV, 2012-01-01) Ozsarac, Murat; Dolek, Meral; Sarsilmaz, Munevver; Sever, Mustafa; Sener, Serkan; Kiyan, Selahattin; Yuruktumen, Aslihan; Yilmaz, Gulbin
    Objectives The present study was undertaken to compare the pain of peripheral IV cannulation (IVC) using a 20-G peripheral biomaterial PEU-Vialon cannula or the 20-G compound FEP-Teflon cannula widely used in clinical practice. Methods A prospective, randomized, single-blinded, controlled trial was undertaken at the ED of University Hospital. Eighty-nine noncritically ill adult patients who were receiving an IV line as part of their care were enrolled. In each case cannulas were applicated to the antecubital area. Participants rated their pain on a visual analog scale (VAS). The primary outcome was patients pain score, and the secondary outcome was the provider's perception of safety and satisfaction. Results The two treatment groups did not differ in age, gender or cannulation indication (p>0.05). Mean VAS was 2.80 for PEU and 3.56 for FEP (p=0.061). Mean provider safety scores were 4.84 (4 to 5) in the PEU group and 4.00 (2 to 5) in the FEP group (p=0.0001). Mean provider satisfaction of application scores were 4.65 in the PEU group and 4.56 in the FEP group (p>0.05). Conclusions Althogh provider safety perception is high, perception of pain has not reduced when inserting PEU-Vialon cannula compared with compound of FEP.