Latest & greatest articles for acute pain

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Top results for acute pain

181. High-Sensitivity Troponin T Concentrations in Acute Chest Pain Patients Evaluated With Cardiac Computed Tomography

High-Sensitivity Troponin T Concentrations in Acute Chest Pain Patients Evaluated With Cardiac Computed Tomography 20194879 2010 03 16 2010 04 07 2016 11 25 1524-4539 121 10 2010 Mar 16 Circulation Circulation High-sensitivity troponin T concentrations in acute chest pain patients evaluated with cardiac computed tomography. 1227-34 10.1161/CIRCULATIONAHA.109.893826 For evaluation of patients with chest pain and suspected acute coronary syndrome (ACS), consensus guidelines recommend use (...) underwent a 64-slice coronary computed tomography coronary angiogram at the time of phlebotomy, on average 4 hours from initial presentation. Among patients with acute chest pain, 37 (9.8%) had an ACS. Using the 99th percentile cut point for a healthy population (13 pg/mL), hsTnT had 62% sensitivity, 89% specificity, 38% positive predictive value, and 96% negative predictive value for ACS. Compared with the cardiac troponin T method, hsTnT detected 27% more ACS cases (P=.001), and an hsTnT above the 99

EvidenceUpdates2010 Full Text: Link to full Text with Trip Pro

182. Association between admission supine systolic blood pressure and 1-year mortality in patients admitted to the intensive care unit for acute chest pain.

Association between admission supine systolic blood pressure and 1-year mortality in patients admitted to the intensive care unit for acute chest pain. CONTEXT: High resting blood pressure (BP) is among the best studied and established risk factors for cardiovascular disease. However, little is known about the relationship between BP under acute stress, such as in acute chest pain, and subsequent mortality. OBJECTIVE: To study long-term mortality related to supine BP in patients admitted (...) to the medical intensive care unit (ICU) for acute chest pain. DESIGN, SETTING, AND PARTICIPANTS: Data from the RIKS-HIA (Registry of Information and Knowledge About Swedish Heart Intensive Care Admissions) was used to analyze the mortality in relation to supine admission systolic BP in 119,151 participants who were treated at the ICU for the symptom of chest pain from 1997 through 2007. Results from this prospective cohort study were presented according to systolic BP quartiles: Q1, less than 128 mm Hg; Q2

JAMA2010

183. WITHDRAWN. Anticonvulsant drugs for acute and chronic pain.

WITHDRAWN. Anticonvulsant drugs for acute and chronic pain. BACKGROUND: Anticonvulsant drugs have been used in the management of pain since the 1960s. The clinical impression is that they are useful for chronic neuropathic pain, especially when the pain is lancinating or burning. Readers are referred to reviews of carbamazepine and gabapentin in T he Cochrane Library which replace the information on those drugs in this review. Other drugs remain unchanged at present in this review OBJECTIVES (...) : To evaluate the analgesic effectiveness and adverse effects of anticonvulsant drugs for pain management in clinical practice . Migraine and headache studies are excluded in this revision. SEARCH STRATEGY: Randomised trials of anticonvulsants in acute, chronic or cancer pain were identified by MEDLINE (1966-1999), EMBASE (1994-1999), SIGLE (1980 to 1999) and the Cochrane Controlled Trials Register (CENTRAL/CCTR) (The Cochrane Library Issue 3, 1999). In addition, 41 medical journals were hand searched

Cochrane2010

184. Multi-detector computerized tomography angiography for evaluation of acute chest pain: a meta analysis and systematic review of literature

Multi-detector computerized tomography angiography for evaluation of acute chest pain: a meta analysis and systematic review of literature Multi-detector computerized tomography angiography for evaluation of acute chest pain: a meta analysis and systematic review of literature Multi-detector computerized tomography angiography for evaluation of acute chest pain: a meta analysis and systematic review of literature Athappan G, Habib M, Ponniah T, Jeyaseelan L CRD summary This review concluded (...) that multidetector computed tomography angiography had excellent accuracy for detection of significant coronary artery stenosis in patients with acute chest pain. The review had a number of methodological limitations and the methodological quality of included studies was uncertain. Therefore, this conclusion should be viewed cautiously. Authors' objectives To assess the diagnostic performance of multidetector computed tomography angiography (MDCTA) in the evaluation of acute chest pain. Searching PubMed database

DARE.2010

185. Cochrane systematic review: No current evidence that routine administration of oxygen to people with acute myocardial infarction improves pain or mortality; further conclusive trials are needed

Cochrane systematic review: No current evidence that routine administration of oxygen to people with acute myocardial infarction improves pain or mortality; further conclusive trials are needed No current evidence that routine administration of oxygen to people with acute myocardial infarction improves pain or mortality; further conclusive trials are needed | Evidence-Based Medicine This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Log in using (...) your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here No current evidence that routine administration of oxygen to people with acute myocardial infarction improves pain or mortality; further

Evidence-Based Medicine (Requires free registration)2010

186. Cochrane systematic review: Moderate quality evidence that compared to advice to rest in bed, advice to remain active provides small improvements in pain and functional status in people with acute low back pain

Cochrane systematic review: Moderate quality evidence that compared to advice to rest in bed, advice to remain active provides small improvements in pain and functional status in people with acute low back pain Moderate quality evidence that compared to advice to rest in bed, advice to remain active provides small improvements in pain and functional status in people with acute low back pain | Evidence-Based Medicine This site uses cookies. By continuing to browse the site you are agreeing (...) improvements in pain and functional status in people with acute low back pain Article Text Therapeutics Cochrane systematic review Moderate quality evidence that compared to advice to rest in bed, advice to remain active provides small improvements in pain and functional status in people with acute low back pain Bart Koes Statistics from Altmetric.com No Altmetric data available for this article. Commentary on: Dahm KT , Brurberg KG , Jamtvedt G , et al . Advice to rest in bed versus advice to stay active

Evidence-Based Medicine (Requires free registration)2010

187. [Appropriate use of diagnostic imaging technologies in acute abdominal pain]

[Appropriate use of diagnostic imaging technologies in acute abdominal pain] Plan de uso adecuado de tecnologias de diagnostico por imagen en patologia abdominal en atencion primaria y especializada [Appropriate use of diagnostic imaging technologies in acute abdominal pain] Plan de uso adecuado de tecnologias de diagnostico por imagen en patologia abdominal en atencion primaria y especializada [Appropriate use of diagnostic imaging technologies in acute abdominal pain] Valentin Lopez B, Blasco (...) Amaro JA Citation Valentin Lopez B, Blasco Amaro JA. Plan de uso adecuado de tecnologias de diagnostico por imagen en patologia abdominal en atencion primaria y especializada. [Appropriate use of diagnostic imaging technologies in acute abdominal pain] Madrid: Unidad de Evaluacion de Tecnologias Sanitarias (UETS). UETS 2007/7-1. 2010 Authors' objectives

To develop appropriateness criteria for frequently used diagnostic imaging technologies in abdominal pathologies: plain radiography (Rx

Health Technology Assessment (HTA) Database.2010

188. Clinical value of diagnostic instruments for ruling out acute coronary syndrome in patients with chest pain: a systematic review

Clinical value of diagnostic instruments for ruling out acute coronary syndrome in patients with chest pain: a systematic review Clinical value of diagnostic instruments for ruling out acute coronary syndrome in patients with chest pain: a systematic review Clinical value of diagnostic instruments for ruling out acute coronary syndrome in patients with chest pain: a systematic review Steurer J, Held U, Schmid D, Ruckstuhl J, Bachmann LM CRD summary This review concluded that no instrument (...) to assist clinicians in the diagnostic investigation of patients with suspected acute coronary syndrome consistently fulfilled the safety requirements of clinicians. These conclusions are likely to be reliable given the small number of validation studies and differences across the included studies. Authors' objectives To assess the safety and efficiency of all available instruments for ruling out acute coronary syndrome in patients with chest pain investigated in sample validation studies. Searching

DARE.2010

189. NASS contemporary concepts in spine care: spinal manipulation therapy for acute low back pain

NASS contemporary concepts in spine care: spinal manipulation therapy for acute low back pain NASS contemporary concepts in spine care: spinal manipulation therapy for acute low back pain NASS contemporary concepts in spine care: spinal manipulation therapy for acute low back pain Dagenais S, Gay RE, Tricco AC, Freeman MD, Mayer JM CRD summary The authors concluded that spinal manipulation therapy appeared to be superior or equivalent of many commonly used interventions for acute low back pain (...) . Decisions on treatment could not be made on relative efficacy alone. The evidence base was generally limited, there was potential for missed data and the authors' conclusions were broad, suggesting that they should be interpreted with caution. Authors' objectives To assess the effects of spinal manipulation therapy for the treatment of acute low back pain. Searching MEDLINE was searched between 1999 and January 2009 for publications in English. Search terms were reported. Reference lists of included

DARE.2010

190. Pain scales in acute care settings: a review of the accuracy and reliability

Pain scales in acute care settings: a review of the accuracy and reliability Pain scales in acute care settings: a review of the accuracy and reliability Pain scales in acute care settings: a review of the accuracy and reliability Canadian Agency for Drugs and Technologies in Health Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Canadian (...) Agency for Drugs and Technologies in Health. Pain scales in acute care settings: a review of the accuracy and reliability. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). 2010 Authors' conclusions Overall, the reviewed literature indicates self-reports of pain are sensitive in capturing qualities of the pain experience, although they are subject to personal response biases, reflect the person’s appraisal of the consequences of the pain report and require certain cognitive skills

Health Technology Assessment (HTA) Database.2010

191. Review of the efficacy and tolerability of the diclofenac epolamine topical patch 1.3% in patients with acute pain due to soft tissue injuries

Review of the efficacy and tolerability of the diclofenac epolamine topical patch 1.3% in patients with acute pain due to soft tissue injuries Review of the efficacy and tolerability of the diclofenac epolamine topical patch 1.3% in patients with acute pain due to soft tissue injuries Review of the efficacy and tolerability of the diclofenac epolamine topical patch 1.3% in patients with acute pain due to soft tissue injuries Kuehl KS CRD summary The review concluded that diclofenac epolamine (...) topical patch 1.3% significantly reduced pain in patients with soft tissue injuries and was well tolerated. Given the potential for bias in the review and the limitations of the small evidence base (such as uncertain quality and heterogeneity), the author's conclusions should be interpreted with caution. Authors' objectives To assess the efficacy and tolerability of the diclofenac epolamine topical patch 1.3% in the treatment of patients with acute pain due to soft tissue injuries. Searching MEDLINE

DARE.2010

192. Prospective cohort study: Serious pathology in people presenting to primary care with acute low back pain is rare (0.9%), but high false-positive rates for some ?red flags? may limit their diagnostic value

Prospective cohort study: Serious pathology in people presenting to primary care with acute low back pain is rare (0.9%), but high false-positive rates for some ?red flags? may limit their diagnostic value Serious pathology in people presenting to primary care with acute low back pain is rare (0.9%), but high false-positive rates for some ‘red flags’ may limit their diagnostic value | Evidence-Based Medicine This site uses cookies. By continuing to browse the site you are agreeing to our use (...) of cookies. Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Serious pathology in people presenting to primary care with acute low back pain is rare (0.9%), but high false-positive rates

Evidence-Based Medicine (Requires free registration)2010

194. Effectiveness of exercise on work disability in patients with non-acute non-specific low back pain: systematic review and meta-analysis of randomized controlled trials

Effectiveness of exercise on work disability in patients with non-acute non-specific low back pain: systematic review and meta-analysis of randomized controlled trials Effectiveness of exercise on work disability in patients with non-acute non-specific low back pain: systematic review and meta-analysis of randomized controlled trials Effectiveness of exercise on work disability in patients with non-acute non-specific low back pain: systematic review and meta-analysis of randomized controlled (...) trials Oesch P, Kool J, Birger Hagen K, Bachmann S CRD summary This generally well-conducted review concluded that exercise interventions had a significant effect in the long-term on work disability in patients with non-acute non-specific low back pain, but that conclusions could not be made regarding different exercise types. The authors' conclusions reflected the evidence presented, but interpretation should take into consideration the limitations with the included trials. Authors' objectives

DARE.2010

195. Combining paracetamol (acetaminophen) with nonsteroidal antiinflammatory drugs: a qualitative systematic review of analgesic efficacy for acute postoperative pain

Combining paracetamol (acetaminophen) with nonsteroidal antiinflammatory drugs: a qualitative systematic review of analgesic efficacy for acute postoperative pain Combining paracetamol (acetaminophen) with nonsteroidal antiinflammatory drugs: a qualitative systematic review of analgesic efficacy for acute postoperative pain Combining paracetamol (acetaminophen) with nonsteroidal antiinflammatory drugs: a qualitative systematic review of analgesic efficacy for acute postoperative pain Ong CK (...) , Seymour RA, Lirk P, Merry AF CRD summary This review concluded that a combination of paracetamol and NSAIDs provided superior analgesia to either agent administered alone in the management of acute postoperative pain. Poor reporting of review methodology and high levels of clinical and statistical heterogeneity between included studies made the reliability of this conclusion unclear. Authors' objectives To assess the combination of paracetamol with a non-steroidal anti-inflammatory drug (NSAID

DARE.2010

196. Randomized clinical trial comparing a patient-driven titration protocol of intravenous hydromorphone with traditional physician-driven management of emergency department patients with acute severe pain

Randomized clinical trial comparing a patient-driven titration protocol of intravenous hydromorphone with traditional physician-driven management of emergency department patients with acute severe pain 19560838 2009 09 22 2009 10 08 2013 11 21 1097-6760 54 4 2009 Oct Annals of emergency medicine Ann Emerg Med Randomized clinical trial comparing a patient-driven titration protocol of intravenous hydromorphone with traditional physician-driven management of emergency department patients (...) with acute severe pain. 561-567.e2 10.1016/j.annemergmed.2009.05.003 We test the null hypothesis that the "1+1" hydromorphone patient-driven protocol is clinically and statistically equivalent in safety and efficacy to that of traditional physician-driven administration of opioids for emergency department (ED) treatment of acute severe pain. This was a prospective randomized clinical trial of nonelderly adults presenting to an urban academic ED with acute pain of sufficient severity to warrant

EvidenceUpdates2010

199. Usefulness of age and gender in the early triage of patients with acute chest pain having cardiac computed tomographic angiography

Usefulness of age and gender in the early triage of patients with acute chest pain having cardiac computed tomographic angiography 19840556 2009 10 20 2009 11 24 2016 11 25 1879-1913 104 9 2009 Nov 01 The American journal of cardiology Am. J. Cardiol. Usefulness of age and gender in the early triage of patients with acute chest pain having cardiac computed tomographic angiography. 1165-70 10.1016/j.amjcard.2009.06.029 To identify the age- and gender-specific subpopulations of patients (...) with acute chest pain in whom coronary computed tomographic angiography (CTA) will yield the greatest diagnostic benefit. Subjects with acute chest pain and an inconclusive initial evaluation (nondiagnostic electrocardiograhic findings, negative cardiac biomarkers) underwent contrast-enhanced 64-slice coronary CTA as a part of an observational cohort study. Independent investigators determined the presence of significant coronary stenosis (>50% luminal narrowing) and the occurrence of acute coronary

EvidenceUpdates2009 Full Text: Link to full Text with Trip Pro

200. A randomised controlled trial of spinal manipulative therapy in acute low back pain

A randomised controlled trial of spinal manipulative therapy in acute low back pain 18775942 2009 08 13 2009 10 05 2009 08 13 1468-2060 68 9 2009 Sep Annals of the rheumatic diseases Ann. Rheum. Dis. A randomised controlled trial of spinal manipulative therapy in acute low back pain. 1420-7 10.1136/ard.2008.093757 To determine whether treatment with spinal manipulative therapy (SMT) administered in addition to standard care is associated with clinically relevant early reductions in pain (...) and analgesic consumption. 104 patients with acute low back pain were randomly assigned to SMT in addition to standard care (n = 52) or standard care alone (n = 52). Standard care consisted of general advice and paracetamol, diclofenac or dihydrocodeine as required. Other analgesic drugs or non-pharmacological treatments were not allowed. Primary outcomes were pain intensity assessed on the 11-point box scale (BS-11) and analgesic use based on diclofenac equivalence doses during days 1-14. An extended

EvidenceUpdates2009