Pain medicine

National review of acute pain service utilization, models of care, and clinical practices within the Veterans Health Administration

Reg Anesth Pain MedPublished Cross-sectional study

Authors' conclusion

Despite widespread efforts to promote opioid safety and improve pain management, the availability of dedicated acute pain services within the VHA is not universal. Higher complexity programs are more likely to have acute pain services, which may reflect differential resource distribution, but the barriers to implementation have not yet been fully explored.

Study context

Population
Anesthesiology service chiefs at Veterans Health Administration (VHA) surgical facilities in the US84 (60%) completed
Participants
140 participants
Outcome
Availability and characteristics of acute pain services within VHA facilities
Methodological detailsnational electronic survey, 50-question survey
  • National electronic survey
  • 50-question survey

Main finding

As reported in the abstract

Facilities with an acute pain service

Responding facilities with an acute pain service

39

46%

Observational data: associations, not effects.

Further findings

Services performed most by formal acute pain programs

Peripheral nerve catheters, inpatient consult services, and ward ketamine infusions

Original publication

National review of acute pain service utilization, models of care, and clinical practices within the Veterans Health Administration. Reg Anesth Pain Med. Published 7 June 2023. doi:10.1136/rapm-2023-104610

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