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Increased analgesia administration in emergency medicine after implementation of revised guidelines

Overview of attention for article published in International Journal of Emergency Medicine, February 2016
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (85th percentile)
  • Good Attention Score compared to outputs of the same age and source (77th percentile)

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13 X users

Citations

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23 Dimensions

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64 Mendeley
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Title
Increased analgesia administration in emergency medicine after implementation of revised guidelines
Published in
International Journal of Emergency Medicine, February 2016
DOI 10.1186/s12245-016-0102-y
Pubmed ID
Authors

Geesje Van Woerden, Crispijn L. Van Den Brand, Cornelis F. Den Hartog, Floris J. Idenburg, Diana C. Grootendorst, M. Christien Van Der Linden

Abstract

The most common complaint of patients attending the emergency department (ED) is pain, caused by different diseases. Yet the treatment of pain at the ED is suboptimal, and oligoanalgesia remains common. The objective of this study is to determine whether the administration of analgesia at the ED increases by implementation of revised guidelines in pain management. We conducted a prospective pre-post intervention cohort study with implementation of a revised guideline for pain management at our ED, in which nurses are allowed to administer analgesia (including low-dosage piritramid (opioid) intravenous) without doctor intervention. Numeric Rating Scales (NRS) were measured, and administration of medication (main outcome) was documented. We included every adult patient presenting with pain (NRS 4-10) at the ED. A total of 2107 patients (1089 pre-implementation phase and 1018 post-implementation phase) were included in our study. During pre-implementation, 25.4 % of the patients with NRS between 4 and 10 received analgesia. After implementation, 32.0 % of these patients received analgesia (p < 0.001). After implementation of the revised guidelines in pain management at the ED, the administration of pain medication increased significantly. Nevertheless, the percentage of patients in pain receiving analgesia remain low (32 % after implementation).

X Demographics

X Demographics

The data shown below were collected from the profiles of 13 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 64 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Italy 1 2%
Unknown 63 98%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 11 17%
Researcher 8 13%
Student > Master 6 9%
Other 6 9%
Student > Doctoral Student 4 6%
Other 13 20%
Unknown 16 25%
Readers by discipline Count As %
Medicine and Dentistry 18 28%
Nursing and Health Professions 16 25%
Pharmacology, Toxicology and Pharmaceutical Science 4 6%
Business, Management and Accounting 2 3%
Arts and Humanities 2 3%
Other 5 8%
Unknown 17 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 10. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 June 2016.
All research outputs
#3,102,975
of 22,844,985 outputs
Outputs from International Journal of Emergency Medicine
#107
of 602 outputs
Outputs of similar age
#58,804
of 400,522 outputs
Outputs of similar age from International Journal of Emergency Medicine
#2
of 9 outputs
Altmetric has tracked 22,844,985 research outputs across all sources so far. Compared to these this one has done well and is in the 86th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 602 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.5. This one has done well, scoring higher than 82% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 400,522 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 85% of its contemporaries.
We're also able to compare this research output to 9 others from the same source and published within six weeks on either side of this one. This one has scored higher than 7 of them.