PAIN ASSESSMENT EFFECTIVENESS OF PAINKILLERS AT THE PATIENTS ADMITTED IN THE EMERGENCY DEPARTMENT OF THE IASI "SF. SPIRIDON" COUNTY CLINICAL EMERGENCY HOSPITAL

Pain represents a very common symptom and reason for doctor consultation in the patients coming to the emergency rooms. Aim: to identify the pathological conditions requiring painkillers in the emergency department and analyze the types of painkillers used in practice and their efficiency. Material and methods: patients who received painkillers in the Emergency Room (a total of 121 patients, 47.52% male) with a mean age of 57.57 were included in the study (January-June 2016). To assess pain at the time of admission and after treatment the World Health Organization analgesic scale principles were applied. The data were statistically analyzed by Microsoft Excel 2010 and SPSS 20.0 for Windows. Results: The most common diagnoses that had pain as the main symptom were physical trauma (30%) in various places, followed by abdominal pain syndrome (15 cases) and renal colic (12.4%). Depending on the diagnosis and experience of the emergency medicine doctor, the patients received analgesics such as paracetamol, fentanyl, and tramadol. Only 10% of the patients who received tramadol as initial treatment needed fentanyl to be added to reduce pain intensity (50-250 mcg). We established a positive correlation of p<0.01 between the patients' degree of pain and their need to receive fentanyl. Conclusions: Regardless of etiology, the comparison of pain intensity at emergency department admission and discharge using the numeric pain intensity scale showed lower pain ratings at discharge.