Saudi Journal of Emergency Medicine

Original Article
SJEMed. 2020; 1(2): 89-95

Patient satisfaction with acute pain management for opioid naive population in a Saudi emergency department

Authors: Hussain Bakhsh, Amina Alkhalaf, Raneem Bukhari, Elham Alshehri, Arwa Alkhalaf.

View PDF HTML Fulltext DOI: 10.24911/SJEMed/72-1573211770

Abstract

Background: Pain is the most compelling factor that leads people to visit the emergency department (ED). We aimed to assess patient satisfaction with the management of acute pain in the ED of a tertiary academic hospital, where opioid agents are used on a minimal and limited basis. Methods: This cross-sectional study was conducted over 2 months. A modified questionnaire was administered by telephone to adult patients who had complained of pain and received analgesics in the ED. Multivariate correlational analysis was performed to identify the predictors of patient satisfaction. Results: We included 76 patients (mean age, 40.88 15.47 years) of these, 65 (85%) received non-opioids, while 11 (14%) received an opioid analgesic. Fifty (65%) of total patients thought they had received enough analgesics. Mean initial pain score was 8.11 1.93 while that at discharge was 4.38 3.03. Multivariate regression showed that ED diagnosis [coefficient = −0.23; 95% confidence interval (CI) −0.43, −0.40], chronic analgesic use (coefficient =1.25; 95% CI 0.21, 2.28), type of analgesic administered (coefficient = −1.11; 95% CI −2.66, 0.43), initial pain score (coefficient = 0.39; 95% CI 0.07, 0.71), pain score at discharge (coefficient = −0.51; 95% CI −0.74, −0.29), perception of enough analgesics (coefficient = 2.30; 95% CI 0.97, 3.63), and staff helpfulness (coefficient = 0.19; 95% CI 0.02, 0.38) were significantly associated with patient satisfaction. The type of analgesic was not significantly associated with patient satisfaction (model R2 = 0.54). Conclusion: Our findings indicate that the use of opioid agents did not significantly increase the patients' satisfaction scores. Adjusting patient satisfaction predictors, including the type of analgesic used, will help in optimizing the patients' experience.

Keywords:   Acute pain management, patient satisfaction, emergency department, analgesics, opioids


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Patient satisfaction with acute pain management for opioid naive population in a Saudi emergency department


Authors
Hussain Bakhsh
Department of Clinical Pharmacy, College of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia
PubMed articlesGoogle scholar articles

Amina Alkhalaf
Department of Clinical Pharmacy, College of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia
PubMed articlesGoogle scholar articles

Raneem Bukhari
Department of Clinical Pharmacy, College of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia
PubMed articlesGoogle scholar articles

Elham Alshehri
Department of Clinical Pharmacy, College of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia
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Arwa Alkhalaf
Faculty of Educational Graduate Studies, King Abdulaziz University, Jeddah, Saudi Arabia
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Correspondence to:
. Hussain Bakhsh, Department of Clinical Pharmacy, College of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia.; Hbakhsh84@gmail.com

Publication history
Received 09 Nov 2019
Revised 25 Jan 2020
Accepted 30 Mar 2020
Published online 26 Apr 2020
Published in print 10 Jul 2020

How to cite this article

Pubmed Style

Bakhsh H, Alkhalaf A, Bukhari R, Alshehri E, Alkhalaf A. Patient satisfaction with acute pain management for opioid naive population in a Saudi emergency department. SJEMed. 2020; 1(2): 89-95. doi:10.24911/SJEMed/72-1573211770


Web Style

Bakhsh H, Alkhalaf A, Bukhari R, Alshehri E, Alkhalaf A. Patient satisfaction with acute pain management for opioid naive population in a Saudi emergency department. http://www.sjemed.com/?mno=72907 [Access: August 05, 2020]. doi:10.24911/SJEMed/72-1573211770


AMA (American Medical Association) Style

Bakhsh H, Alkhalaf A, Bukhari R, Alshehri E, Alkhalaf A. Patient satisfaction with acute pain management for opioid naive population in a Saudi emergency department. SJEMed. 2020; 1(2): 89-95. doi:10.24911/SJEMed/72-1573211770


Vancouver/ICMJE Style

Bakhsh H, Alkhalaf A, Bukhari R, Alshehri E, Alkhalaf A. Patient satisfaction with acute pain management for opioid naive population in a Saudi emergency department. SJEMed. (2020), [cited August 05, 2020]; 1(2): 89-95. doi:10.24911/SJEMed/72-1573211770


Harvard Style

Bakhsh, H., Alkhalaf, . A., Bukhari, . R., Alshehri, . E. & Alkhalaf, . A. (2020) Patient satisfaction with acute pain management for opioid naive population in a Saudi emergency department. SJEMed, 1 (2), 89-95. doi:10.24911/SJEMed/72-1573211770


Turabian Style

Bakhsh, Hussain, Amina Alkhalaf, Raneem Bukhari, Elham Alshehri, and Arwa Alkhalaf. 2020. Patient satisfaction with acute pain management for opioid naive population in a Saudi emergency department. Saudi Journal of Emergency Medicine, 1 (2), 89-95. doi:10.24911/SJEMed/72-1573211770


Chicago Style

Bakhsh, Hussain, Amina Alkhalaf, Raneem Bukhari, Elham Alshehri, and Arwa Alkhalaf. "Patient satisfaction with acute pain management for opioid naive population in a Saudi emergency department." Saudi Journal of Emergency Medicine 1 (2020), 89-95. doi:10.24911/SJEMed/72-1573211770


MLA (The Modern Language Association) Style

Bakhsh, Hussain, Amina Alkhalaf, Raneem Bukhari, Elham Alshehri, and Arwa Alkhalaf. "Patient satisfaction with acute pain management for opioid naive population in a Saudi emergency department." Saudi Journal of Emergency Medicine 1.2 (2020), 89-95. Print. doi:10.24911/SJEMed/72-1573211770


APA (American Psychological Association) Style

Bakhsh, H., Alkhalaf, . A., Bukhari, . R., Alshehri, . E. & Alkhalaf, . A. (2020) Patient satisfaction with acute pain management for opioid naive population in a Saudi emergency department. Saudi Journal of Emergency Medicine, 1 (2), 89-95. doi:10.24911/SJEMed/72-1573211770


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