Assessing patient satisfaction with pain management for traumatic injuries in the emergency department | [Rawal Medical Journal • 2025]

Author(s):

1. Kourosh Javdani Esfehani: Department of Emergency Medicine, Iranian Hospital, Dubai, UAE

2. Roya Ghafoury: School of Medicine, Iran University of Medical Sciences, Tehran, Iran

3. Seyed Mohammad Hosseini: Department of Emergency Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

4. Roxana Hessam: Department of Emergency Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

5. Mehdi Mohammadi: Department of Emergency Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

6. Reza Hamidi: School of Medicine, Iran University of Medical Sciences, Tehran, Iran

7. Saeid Gholami Gharab: Emergency Medicine Management Research Center, Health Management Research Institute, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

Abstract:

Objective: To identify factors influencing patient satisfaction and the effectiveness of a common analgesic administered upon triage arrival. Methodology: This randomized, placebo-controlled, double-blind trial included 120 patients with isolated upper or lower limb trauma admitted to the ED. Patients, aged 14 and above, were randomly assigned to receive either 0.05 mg/kg of intravenous morphine or a placebo of distilled water for pain management. Patient satisfaction with pain control was assessed using a 3level rating scale (good, moderate, poor) at the study's conclusion, considering demographic characteristics, education level, mechanism of trauma and injury type and site. Results: Mean age of patients was 35 ± 15.41 years. Intervention group had good to moderate satisfaction across genders, ages, and education levels. While 85% of patients with soft tissue injuries were satisfied, nearly 40% with fractures were dissatisfied. Notably, around 80% of participants with upper or lower limb injuries reported successful pain management satisfaction. Ho-wever, patients with car accident-related trauma expres-sed dissatisfaction, contrasting with about 80% satisfac-tion among those with other traumatic pains. Satisfact-ion was significantly higher in the morphine group com-pared to the control group, where 58.3% reported poor satisfaction. Conclusion: This study underscores the critical role of pain management in enhancing satisfaction among tra-uma patients in ED, irrespective of their demographic traits, injury type and location, or injury mechanism.

Page(s): 501-505

DOI: DOI not available

Published: Journal: Rawal Medical Journal, Volume: 50, Issue: 2, Year: 2025

Keywords:

Emergency department , Pain management , Patients satisfaction , traumatic pain

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