Pain medicine

Pain Assessment and Its Effect on Pain Management During Emergency Medical Services—A Descriptive Study in the Tampere University Hospital Area of Finland

Acta Anaesthesiol ScandPublished Retrospective cohort study

Authors' conclusion

The prevalence of pain assessment is relatively low.

Study context

Population
Patients encountered by Emergency Medical Service (EMS) over a one-month period in the Tampere University Hospital area of Finland, 2021
Participants
7,245 patients
Outcome
Prevalence of pain assessment (NRS) in EMS
Methodological detailsdescriptive, register-based, data collected prospectively
  • Descriptive
  • Register-based
  • Data collected prospectively

Main finding

As reported in the abstract

Pain assessment

Pain assessed once

2586

36%

Pain reassessed a second time (of those assessed)

707

27%

Observational data: associations, not effects.

Further findings

Pain intensity by age and dispatch category

Age and dispatch category affected pain intensity
P < 0.001
Patients under 66 reported higher pain intensity than patients over 66 years
Pain intensity minimal in dispatch categories "oxygen deficiency" and "non-mechanical accident or exposure" vs other categories

Pain numeric rating scale (NRS) ≥4 among patients with a pain assessment

Pain equal to or greater than 4 on the NRS
611 (24%)

Pain intensity and pain medication

High NRS level associated with higher likelihood of administering potent pain medication

Original publication

Pain Assessment and Its Effect on Pain Management During Emergency Medical Services—A Descriptive Study in the Tampere University Hospital Area of Finland. Acta Anaesthesiol Scand. Published 7 May 2025. doi:10.1111/aas.70047

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