Predictors of patient satisfaction with pain management in the emergency department

Echo Fallon, Sierra Fung, Georgina Rubal-Peace, Asad E Patanwala

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

To identify predictors of patient satisfaction with pain control measured after emergency department (ED) discharge. This was a prospective, cross-sectional study conducted in an academic, urban ED in the United States. Adult patients with a pain-related complaint were interviewed via telephone within 72 hr of discharge from the ED. A standardized questionnaire was used to obtain demographic and clinical information. The primary outcome of interest was patient satisfaction with pain management in the ED measured using the following question: "How often was your pain well controlled in the ED?" (0-10 scale; 0 = never, 10 = always). Linear regression analyses were used to identify predictors of pain satisfaction. The study included 75 patients. The mean age of patients was 43 ± 18 years, and the majority of patients were female (n= 47; 63%). There were 24 patients (32%) who had chronic pain conditions, 23 (31%) with depression, and 2 patients who admitted to using heroin. In the multivariate regression analysis, patient perception of enough pain medication provision (coefficient = 2.81; 95% CI [1.35, 4.26]; p<0.001), staff helpfulness (coefficient = 0.35; 95% CI [0.10, 0.59]; p= 0.006), report of generalized pain (coefficient =-1.62; 95% CI [-2.87,-0.36]; p= 0.013), and lowest pain score achieved in the ED (coefficient=-0.30; 95% CI [-0.53,-0.04]; p= 0.021) was significantly associated with patient satisfaction (model R2 = 0.57). Patient perception of enough pain medication provision, staff helpfulness, lowest pain scores achieved, and patient report of generalized pain were associated with satisfaction with pain management in the ED.

Original languageEnglish (US)
Pages (from-to)115-122
Number of pages8
JournalAdvanced Emergency Nursing Journal
Volume38
Issue number2
DOIs
StatePublished - May 15 2016

Keywords

  • Analgesia
  • Department
  • Emergency service
  • Health care
  • Hospital
  • Pain
  • Quality indicators

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency

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