Factors associated with administration of analgesics for children with forearm fracture
Purpose Analgesia is essential for the treatment of children’s fracture. We aimed to investigate the factors associated with administration of analgesics in children with forearm fracture. Methods We retrospectively reviewed medical records of children (< 20 years) with forearm fracture who visit...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Pediatric Emergency Medicine
2017-12-01
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| Series: | Pediatric Emergency Medicine Journal |
| Subjects: | |
| Online Access: | http://pemj.org/upload/pdf/pemj-2017-00122.pdf |
| _version_ | 1797852267539333120 |
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| author | Ki Ho Seo Dae Hee Kim Woon Jeong Lee Seon Hee Woo Seung Hwan Seol June Young Lee Seung Pill Choi |
| author_facet | Ki Ho Seo Dae Hee Kim Woon Jeong Lee Seon Hee Woo Seung Hwan Seol June Young Lee Seung Pill Choi |
| author_sort | Ki Ho Seo |
| collection | DOAJ |
| description | Purpose Analgesia is essential for the treatment of children’s fracture. We aimed to investigate the factors associated with administration of analgesics in children with forearm fracture. Methods We retrospectively reviewed medical records of children (< 20 years) with forearm fracture who visited 2 tertiary hospital emergency departments from 2014 to 2015. We analyzed factors, such as gender, age, whether the mother accompanied the visit, visiting time and route, mechanism of injury, duration of symptoms, complicated fracture, manual reduction, surgery, and type and route of analgesics. We also performed logistic regression analysis to identify the factors associated with administration of analgesics. Results Of 179 children with forearm fracture, 48 (26.8%) were administered analgesics. These children showed older age, shorter duration of symptoms, and more frequent visit with their mothers, visit during the day, use of emergency medical services, and surgery. After logistic regression analysis, we found use of emergency medical service (adjusted odds ratio [OR], 8.73; 95% confidence interval [CI], 3.16-24.08; P < 0.001), visit with the mother (OR, 6.23; 95% CI, 1.68-23.09; P = 0.006), age (OR, 1.18; 95% CI, 1.05-1.32; P = 0.004), and duration of symptoms (OR, 0.99; 95% CI, 0.986-0.999; P = 0.035) as the factors associated with administration of analgesics. Conclusion The factors associated with administration of analgesics might be communicating skill-related factors, such as older age and shorter duration of symptoms. Children with poor communicating skill may need more aggressive analgesia in the emergency department. |
| first_indexed | 2024-04-09T19:31:18Z |
| format | Article |
| id | doaj.art-b3c54f89dd6b4548b81df6a2e223cf33 |
| institution | Directory Open Access Journal |
| issn | 2383-4897 2508-5506 |
| language | English |
| last_indexed | 2024-04-09T19:31:18Z |
| publishDate | 2017-12-01 |
| publisher | Korean Society of Pediatric Emergency Medicine |
| record_format | Article |
| series | Pediatric Emergency Medicine Journal |
| spelling | doaj.art-b3c54f89dd6b4548b81df6a2e223cf332023-04-04T23:44:08ZengKorean Society of Pediatric Emergency MedicinePediatric Emergency Medicine Journal2383-48972508-55062017-12-0142757810.22470/pemj.2017.0012252Factors associated with administration of analgesics for children with forearm fractureKi Ho Seo0Dae Hee Kim1Woon Jeong Lee2Seon Hee Woo3Seung Hwan Seol4June Young Lee5Seung Pill Choi6Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, KoreaDepartment of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, KoreaDepartment of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, KoreaDepartment of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, KoreaDepartment of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaPurpose Analgesia is essential for the treatment of children’s fracture. We aimed to investigate the factors associated with administration of analgesics in children with forearm fracture. Methods We retrospectively reviewed medical records of children (< 20 years) with forearm fracture who visited 2 tertiary hospital emergency departments from 2014 to 2015. We analyzed factors, such as gender, age, whether the mother accompanied the visit, visiting time and route, mechanism of injury, duration of symptoms, complicated fracture, manual reduction, surgery, and type and route of analgesics. We also performed logistic regression analysis to identify the factors associated with administration of analgesics. Results Of 179 children with forearm fracture, 48 (26.8%) were administered analgesics. These children showed older age, shorter duration of symptoms, and more frequent visit with their mothers, visit during the day, use of emergency medical services, and surgery. After logistic regression analysis, we found use of emergency medical service (adjusted odds ratio [OR], 8.73; 95% confidence interval [CI], 3.16-24.08; P < 0.001), visit with the mother (OR, 6.23; 95% CI, 1.68-23.09; P = 0.006), age (OR, 1.18; 95% CI, 1.05-1.32; P = 0.004), and duration of symptoms (OR, 0.99; 95% CI, 0.986-0.999; P = 0.035) as the factors associated with administration of analgesics. Conclusion The factors associated with administration of analgesics might be communicating skill-related factors, such as older age and shorter duration of symptoms. Children with poor communicating skill may need more aggressive analgesia in the emergency department.http://pemj.org/upload/pdf/pemj-2017-00122.pdfchildemergenciesfractures, bonepain managementwounds and injuries |
| spellingShingle | Ki Ho Seo Dae Hee Kim Woon Jeong Lee Seon Hee Woo Seung Hwan Seol June Young Lee Seung Pill Choi Factors associated with administration of analgesics for children with forearm fracture Pediatric Emergency Medicine Journal child emergencies fractures, bone pain management wounds and injuries |
| title | Factors associated with administration of analgesics for children with forearm fracture |
| title_full | Factors associated with administration of analgesics for children with forearm fracture |
| title_fullStr | Factors associated with administration of analgesics for children with forearm fracture |
| title_full_unstemmed | Factors associated with administration of analgesics for children with forearm fracture |
| title_short | Factors associated with administration of analgesics for children with forearm fracture |
| title_sort | factors associated with administration of analgesics for children with forearm fracture |
| topic | child emergencies fractures, bone pain management wounds and injuries |
| url | http://pemj.org/upload/pdf/pemj-2017-00122.pdf |
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