Perfusion index versus visual analogue scale: as an objective tool of renal colic pain in emergency department
Background: Perfusion index (PI) has use to monitor sympathetic response changes to pain. In this study, we aimed to evaluate the utility of using perfusion index as an objective marker of pain relief and of the need for rescue analgesia in ED patients with documented renal colic. Methods: We conduc...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844022018941 |
| _version_ | 1811180844068372480 |
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| author | Muge Gulen Salim Satar Selen Acehan Derviş Yildiz Ebru Funda Aslanturkiyeli Deniz Aka Satar Melike Kucukceylan |
| author_facet | Muge Gulen Salim Satar Selen Acehan Derviş Yildiz Ebru Funda Aslanturkiyeli Deniz Aka Satar Melike Kucukceylan |
| author_sort | Muge Gulen |
| collection | DOAJ |
| description | Background: Perfusion index (PI) has use to monitor sympathetic response changes to pain. In this study, we aimed to evaluate the utility of using perfusion index as an objective marker of pain relief and of the need for rescue analgesia in ED patients with documented renal colic. Methods: We conducted a prospective observational study between January 2020 and December 2020. The demographic characteristics of the patients, their complaints, nephrolithiasis histories, vital signs, PI, and VAS scores (on admission and after treatment) were recorded. Results: A total of 144 patients were included. All patients were administered 20 mg of Tenoxicam on admission. There was a statistically significant difference between the PI (<0.001) and VAS scores (<0.001) on admission and after the administration of Tenoxicam. 43.1% (n = 62) of the patients needed rescue analgesia. Accordingly to ROC curve, the ability of both PI2 (AUC: 0.615, 95%CI 0.519–0.711, p = 0.018) and ΔPI (AUC: 0.601, 95%CI 0.508–0.694, p = 0.039) indices were determined as statistically significant. The cutoff value of the PI2 level for the prediction of the needed rescue analgesia was 4.65 and the cutoff value for ΔPI (PI2-PI1) was 2. All patients had a pain VAS score of <3 and a mean PI of 5.7 ± 2.9 at discharge from the emergency department. Conclusion: In patients presenting to the emergency department with renal colic, the PI value on admission and after analgesic therapy can be helpful in assessing the severity of pain and predict the need for rescue analgesia. |
| first_indexed | 2024-04-11T09:10:09Z |
| format | Article |
| id | doaj.art-17c58686940e48a3b805efd4b793e29e |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-11T09:10:09Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-17c58686940e48a3b805efd4b793e29e2022-12-22T04:32:31ZengElsevierHeliyon2405-84402022-09-0189e10606Perfusion index versus visual analogue scale: as an objective tool of renal colic pain in emergency departmentMuge Gulen0Salim Satar1Selen Acehan2Derviş Yildiz3Ebru Funda Aslanturkiyeli4Deniz Aka Satar5Melike Kucukceylan6Adana City Training and Research Hospital, Department of Emergency Medicine, Adana, Turkey; Corresponding author.Adana City Training and Research Hospital, Department of Emergency Medicine, Adana, TurkeyAdana City Training and Research Hospital, Department of Emergency Medicine, Adana, TurkeyIskenderun State Hospital, Department of Emergency Medicine, Hatay, TurkeyAdana City Training and Research Hospital, Department of Emergency Medicine, Adana, TurkeyAdana City Training and Research Hospital, Department of Histology and Embryology and Andrology Laboratory, Adana, TurkeyAdana City Training and Research Hospital, Department of Emergency Medicine, Adana, TurkeyBackground: Perfusion index (PI) has use to monitor sympathetic response changes to pain. In this study, we aimed to evaluate the utility of using perfusion index as an objective marker of pain relief and of the need for rescue analgesia in ED patients with documented renal colic. Methods: We conducted a prospective observational study between January 2020 and December 2020. The demographic characteristics of the patients, their complaints, nephrolithiasis histories, vital signs, PI, and VAS scores (on admission and after treatment) were recorded. Results: A total of 144 patients were included. All patients were administered 20 mg of Tenoxicam on admission. There was a statistically significant difference between the PI (<0.001) and VAS scores (<0.001) on admission and after the administration of Tenoxicam. 43.1% (n = 62) of the patients needed rescue analgesia. Accordingly to ROC curve, the ability of both PI2 (AUC: 0.615, 95%CI 0.519–0.711, p = 0.018) and ΔPI (AUC: 0.601, 95%CI 0.508–0.694, p = 0.039) indices were determined as statistically significant. The cutoff value of the PI2 level for the prediction of the needed rescue analgesia was 4.65 and the cutoff value for ΔPI (PI2-PI1) was 2. All patients had a pain VAS score of <3 and a mean PI of 5.7 ± 2.9 at discharge from the emergency department. Conclusion: In patients presenting to the emergency department with renal colic, the PI value on admission and after analgesic therapy can be helpful in assessing the severity of pain and predict the need for rescue analgesia.http://www.sciencedirect.com/science/article/pii/S2405844022018941EmergencyPerfusion indexVisual analogue scaleRenal colic |
| spellingShingle | Muge Gulen Salim Satar Selen Acehan Derviş Yildiz Ebru Funda Aslanturkiyeli Deniz Aka Satar Melike Kucukceylan Perfusion index versus visual analogue scale: as an objective tool of renal colic pain in emergency department Heliyon Emergency Perfusion index Visual analogue scale Renal colic |
| title | Perfusion index versus visual analogue scale: as an objective tool of renal colic pain in emergency department |
| title_full | Perfusion index versus visual analogue scale: as an objective tool of renal colic pain in emergency department |
| title_fullStr | Perfusion index versus visual analogue scale: as an objective tool of renal colic pain in emergency department |
| title_full_unstemmed | Perfusion index versus visual analogue scale: as an objective tool of renal colic pain in emergency department |
| title_short | Perfusion index versus visual analogue scale: as an objective tool of renal colic pain in emergency department |
| title_sort | perfusion index versus visual analogue scale as an objective tool of renal colic pain in emergency department |
| topic | Emergency Perfusion index Visual analogue scale Renal colic |
| url | http://www.sciencedirect.com/science/article/pii/S2405844022018941 |
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