Chronicisation des douleurs abdominales aigu?s non traumatiques vues aux urgences : incidence et facteurs prédictifs

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• 作者：G. Durand ; V. Bounes ; D. Lauque
• 关键词：Douleur abdominale ; Chronicisation ; Oligoanalgésie ; Abdominal pain ; Chronicization ; Oligoanalgesia
• 刊名：Annales fran?aises de m篓娄decine d'urgence
• 出版年：2015
• 出版时间：May 2015
• 年：2015
• 卷：5
• 期：3
• 页码：159-165
• 全文大小：1,248 KB
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• 作者单位：G. Durand (1)
  V. Bounes (1) (2)
  D. Lauque (1) (3)
  
  1. P?le de médecine d’urgence, h?pital Purpan, CHU de Toulouse, place du Docteur-Baylac, TSA 40031, F-31059, Toulouse cedex, France
  2. équipe de pharmaco-épidémiologie de l’UMR INSERM 1027, Faculté de médecine, université Paul-Sabatier, 37, allée Jules Guesde, F-31000, Toulouse, France
  3. Toulouse III, 118, route de Narbonne, Université Paul Sabatier, F-31062, Toulouse cedex 9, France
  
• 刊物主题：Emergency Medicine; Anesthesiology; Intensive / Critical Care Medicine;
• 出版者：Springer Paris
• ISSN：2108-6591

文摘

Objective The aim of this study was to investigate incidence of chronicization of pain in patients suffering from acute non-traumatic abdominal pain and discharged from emergency department (ED). Methods We conducted a retrospective study in an academic hospital ED between June 2013 and June 2014. Patients were selected on ED electronic database, and then contacted for a phone interview three months after discharge. The main outcome was a pain score up to 3/10 on a numerous scale, more than twice a month, three months after discharge from ED. Results Among the 440 patients completing inclusion criteria, 200 patients were contacted and gave their consent. Forty-two patients (21%) reported abdominal pain with an intensity more than 3/10 and with a frequency more than twice a month. Factors associated with pain chronicization where age (odds-ratio (OR) 1,02 IC95% [1,01-,05] pear year and clinical gravity score at admission (OR 0,40 IC95% [0,21-,75] pear level). One hundred and twenty two patients (61%) reported no pain during the three months of follow-up. Conclusions One patient out of five is exposed to chronicization of his abdominal pain three months after discharge from ED. Age and clinical gravity score at admission are risk factors for pain chronicization. The lack of organic diagnosis (41%) was not found to be a risk factor for chronicization of pain in our study.