Latest & greatest articles for acute pain

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Top results for acute pain

261. Systematic reviews of clinical decision tools for acute abdominal pain

Systematic reviews of clinical decision tools for acute abdominal pain Systematic reviews of clinical decision tools for acute abdominal pain Systematic reviews of clinical decision tools for acute abdominal pain Liu J L Y, Wyatt J C, Deeks J J, Clamp S, Keen J, Verde P, Ohmann C, Wellwood J, Dawes M, Altman D G 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 Liu J L Y, Wyatt J C, Deeks J J, Clamp S, Keen J, Verde P, Ohmann C, Wellwood J, Dawes M, Altman D G. Systematic reviews of clinical decision tools for acute abdominal pain. Health Technology Assessment 2006; 10(47): 1-186 Authors' objectives The aim of this report is to review for acute abdominal pain (AAP), the diagnostic accuracies of combining decision tools (DTs) and doctors aided by DTs compared with those of unaided doctors. Also to evaluate the impact of providing

Health Technology Assessment (HTA) Database.2006

262. Contrast-enhanced cardiac computed tomographic angiography in the diagnosis of coronary artery stenosis or for evaluation of acute chest pain

Contrast-enhanced cardiac computed tomographic angiography in the diagnosis of coronary artery stenosis or for evaluation of acute chest pain Contrast-enhanced cardiac computed tomographic angiography in the diagnosis of coronary artery stenosis or for evaluation of acute chest pain Contrast-enhanced cardiac computed tomographic angiography in the diagnosis of coronary artery stenosis or for evaluation of acute chest pain BlueCross BlueShield Association Record Status This is a bibliographic (...) or for evaluation of acute chest pain. Chicago: BlueCross BlueShield Association (BCBS). TEC Assessment 21(5). 2006 Authors' objectives The objective of this Assessment is to determine the usefulness of computed tomography angiography (CTA) as a substitute for coronary angiography for two indications: 1) in the diagnosis of coronary artery stenosis, and 2) in the evaluation of acute chest pain in the emergency room (ER). Uses of CTA for other indications are not addressed in this Assessment. Authors

Health Technology Assessment (HTA) Database.2006

263. The Paining, Part I (Morphine in acute abdomen)

The Paining, Part I (Morphine in acute abdomen) The Paining, Part I (Morphine in acute abdomen) « Sinai EM Journal Club Emergency Medicine Discussion Forum The Paining, Part I (Morphine in acute abdomen) I’m finally getting around to the some of the good articles on ED pain management that appeared this summer. The first was in the August 2006 Annals of EM, an article by Gallagher, Esses et al. entitled, “ The authors tested the oft-repeated dictum that morphine affects diagnostic accuracy (...) , measuring pain on a 0-100mm visual scale in a prospective double-blind random trial, giving 0.1 mg / kg of IV Morphine sulfate or placebo (ouch!) with an endpoint of “diagnostic accuracy” (ie, comparing the provisional diagnosis made by an emergency physician in 15 minutes after the agent is given, vs. diagnosis at six or more weeks of followup.) They randomized 78 patients into the morphine arm, 73 into the placebo group. After fifteen minutes, the patients who got morphine changed their pain rating

Sinai EM Journal Club2006

264. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes.

Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. CONTEXT: The chest pain history, physical examination, determination of coronary artery disease (CAD) risk factors, and the initial electrocardiogram compose the information immediately available to clinicians to help determine the probability of acute myocardial infarction (AMI) or acute coronary syndrome (ACS) in patients with chest pain. However, conflicting data exist about (...) the usefulness of the chest pain history and which components are most useful. OBJECTIVE: To identify the elements of the chest pain history that may be most helpful to the clinician in identifying ACS in patients presenting with chest pain. EVIDENCE ACQUISITION: MEDLINE and Ovid were searched from 1970 to September 2005 by using specific key words and Medical Subject Heading terms. Reference lists of these articles and current cardiology textbooks were also consulted. EVIDENCE SYNTHESIS: Certain chest pain

JAMA2005

265. Anticonvulsant drugs for acute and chronic pain.

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 the 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 (1980-1999) and the Cochrane Controlled Trials Register (CENTRAL/CCTR) (Cochrane Library Issue 3, 1999). In addition, 41 medical journals were hand searched. Additional reports were

Cochrane2005

266. Review: ear pain and a cloudy, bulging, or distinctly immobile tympanic membrane appear to help diagnose acute otitis media in children

Review: ear pain and a cloudy, bulging, or distinctly immobile tympanic membrane appear to help diagnose acute otitis media in children Review: ear pain and a cloudy, bulging, or distinctly immobile tympanic membrane appear to help diagnose acute otitis media in children | 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 Review: ear pain and a cloudy, bulging, or distinctly immobile tympanic membrane appear to help diagnose acute otitis media in children Article Text Diagnosis Review: ear pain and a cloudy, bulging, or distinctly immobile tympanic

Evidence-Based Medicine (Requires free registration)2005

267. Review: several diagnostic aids have moderate to high accuracy for detecting abnormalities in acute knee pain

Review: several diagnostic aids have moderate to high accuracy for detecting abnormalities in acute knee pain Review: several diagnostic aids have moderate to high accuracy for detecting abnormalities in acute knee pain | 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 Review: several diagnostic aids have moderate to high accuracy for detecting abnormalities in acute knee pain Article Text Diagnosis Review: several diagnostic aids have moderate to high accuracy for detecting abnormalities in acute knee pain Free Ken Trinh , MD, BSc, MSc, PhD (Can) Statistics from

Evidence-Based Medicine (Requires free registration)2005

268. Calcitonin for treating acute pain of osteoporotic vertebral compression fractures: a systematic review of randomised, controlled trials

Calcitonin for treating acute pain of osteoporotic vertebral compression fractures: a systematic review of randomised, controlled trials Calcitonin for treating acute pain of osteoporotic vertebral compression fractures: a systematic review of randomised, controlled trials Calcitonin for treating acute pain of osteoporotic vertebral compression fractures: a systematic review of randomised, controlled trials Knopp JA, Diner BM, Blitz M, Lyritis GP, Rowe BH CRD summary This review concluded (...) that calcitonin appeared effective in the management of acute pain associated with acute osteoporotic vertebral compression fractures. The reporting of the review methodology suggests that this was a well-conducted review. However, poor reporting of the individual study data means that it is not possible to confirm the reliability of the authors' conclusion. Authors' objectives To compare the efficacy of calcitonin with placebo for the treatment of acute pain from recent, stable, osteoporotic vertebral

DARE.2005

269. The efficacy of preemptive analgesia for acute postoperative pain management: a meta-analysis

The efficacy of preemptive analgesia for acute postoperative pain management: a meta-analysis The efficacy of preemptive analgesia for acute postoperative pain management: a meta-analysis The efficacy of preemptive analgesia for acute postoperative pain management: a meta-analysis Ong C K, Lirk P, Seymour R A, Jenkins B J CRD summary This meta-analysis compared the efficacy of analgesic regimens administered to patients pre- or post-surgery. The authors concluded that preemptive epidural (...) benefits in managing post-operative pain, decreasing the requirement for supplemental analgesia and prolonging the time to the first rescue dose. The use of preemptive local analgesia and NSAIDs can also provide benefits in clinical practice. Research: The authors did not state any implications for future research. Bibliographic details Ong C K, Lirk P, Seymour R A, Jenkins B J. The efficacy of preemptive analgesia for acute postoperative pain management: a meta-analysis. Anesthesia and Analgesia 2005

DARE.2005

270. Cost effectiveness of diagnostic laparoscopy in reproductive aged females suffering from non-specific acute low abdominal pain

Cost effectiveness of diagnostic laparoscopy in reproductive aged females suffering from non-specific acute low abdominal pain Cost effectiveness of diagnostic laparoscopy in reproductive aged females suffering from non-specific acute low abdominal pain Cost effectiveness of diagnostic laparoscopy in reproductive aged females suffering from non-specific acute low abdominal pain Gaitan H G, Eslava Schmalbach J, Gomez P I Record Status This is a critical abstract of an economic evaluation (...) that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology This study considered the laparoscopic investigation and diagnosis of non-specific acute lower abdominal pain between 6 and 24 hours after hospitalisation. Non-specific lower abdominal pain is defined as that for which two observers disagree about the base

NHS Economic Evaluation Database.2005

271. Individual active treatment combined with group exercise for acute and subacute low back pain

Individual active treatment combined with group exercise for acute and subacute low back pain Individual active treatment combined with group exercise for acute and subacute low back pain Individual active treatment combined with group exercise for acute and subacute low back pain Wright A, Lloyd Davies A, Williams S, Ellis R, Strike P Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary (...) The authors did not make explicit recommendations for changes in policy or practice or the need for further research. However, their discussion highlighted areas where more robust information is needed. Source of funding Federal/Institutional funds were received in support of this work. Bibliographic details Wright A, Lloyd Davies A, Williams S, Ellis R, Strike P. Individual active treatment combined with group exercise for acute and subacute low back pain. Spine 2005; 30(11): 1235-1241 PubMedID Indexing

NHS Economic Evaluation Database.2005

272. Cost-effectiveness of medical and chiropractic care for acute and chronic low back pain

Cost-effectiveness of medical and chiropractic care for acute and chronic low back pain Cost-effectiveness of medical and chiropractic care for acute and chronic low back pain Cost-effectiveness of medical and chiropractic care for acute and chronic low back pain Haas M, Sharma R, Stano M Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed (...) by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Two treatments for patients with acute and chronic low-back pain (LBP) were examined. Chiropractic care consisted of spinal manipulation, physical modalities, an exercise plan and self-care education. Medical care included prescription drugs, an exercise plan and self-care advice, with some patients being also referred for physical therapy. Chronic LBP was defined as an episode of at least 7 weeks

NHS Economic Evaluation Database.2005

273. Review: patients with acute low back pain and associated disability improve substantially within 1 month

Review: patients with acute low back pain and associated disability improve substantially within 1 month Review: patients with acute low back pain and associated disability improve substantially within 1 month | 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 Review: patients with acute low back pain and associated disability improve substantially within 1 month Article Text Prognosis Review: patients with acute low back pain and associated disability improve substantially within 1 month Free Paul Shekelle , MD, PhD Statistics from Altmetric.com

Evidence-Based Medicine (Requires free registration)2005

274. Should treatment of (sub)acute low back pain be aimed at psychosocial prognostic factors? Cluster randomised clinical trial in general practice.

Should treatment of (sub)acute low back pain be aimed at psychosocial prognostic factors? Cluster randomised clinical trial in general practice. 15967762 2005 07 08 2005 07 15 2014 06 06 1756-1833 331 7508 2005 Jul 09 BMJ (Clinical research ed.) BMJ Should treatment of (sub)acute low back pain be aimed at psychosocial prognostic factors? Cluster randomised clinical trial in general practice. 84 To compare the effects of a minimal intervention strategy aimed at assessment and modification (...) of psychosocial prognostic factors and usual care for treatment of (sub)acute low back pain in general practice. Cluster randomised clinical trial. 60 general practitioners in 41 general practices. 314 patients with non-specific low back pain of less than 12 weeks' duration, recruited by their general practitioner. In the minimal intervention strategy group the general practitioner explored the presence of psychosocial prognostic factors, discussed these factors, set specific goals for reactivation

BMJ2005 Full Text: Link to full Text with Trip Pro

275. Review: ophthalmic non-steroidal anti-inflammatory drugs reduce pain without delaying healing in acute corneal abrasions

Review: ophthalmic non-steroidal anti-inflammatory drugs reduce pain without delaying healing in acute corneal abrasions Review: ophthalmic non-steroidal anti-inflammatory drugs reduce pain without delaying healing in acute corneal abrasions | 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 Review: ophthalmic non-steroidal anti-inflammatory drugs reduce pain without delaying healing in acute corneal abrasions Article Text Therapeutics Review: ophthalmic non-steroidal anti-inflammatory drugs reduce pain without delaying healing in acute corneal

Evidence-Based Medicine (Requires free registration)2004

276. Single dose oral indometacin for the treatment of acute postoperative pain.

Single dose oral indometacin for the treatment of acute postoperative pain. BACKGROUND: Indometacin is a non-steroidal anti-inflammatory drug (NSAID) used most commonly for the treatment of inflammation and pain resulting from rheumatic disease (arthritis), and less commonly in postoperative pain management. When taken for chronic pain conditions, indometacin has been associated with a high incidence of adverse events. The benefits and harms of orally-administered indometacin for postoperative (...) pain are not clear. OBJECTIVES: To determine the efficacy of a single dose of oral indometacin compared with placebo in treating acute postoperative pain in adults, and to analyse information relating to adverse events. SEARCH STRATEGY: We searched the Cochrane Central Register of Controlled Trials in The Cochrane Library (Issue 3, 2004), MEDLINE, EMBASE and the Oxford Pain Relief Database for relevant studies. Additional studies were sought from the reference lists of retrieved reports. SELECTION

Cochrane2004

277. Prognostic value of placental growth factor in patients with acute chest pain.

Prognostic value of placental growth factor in patients with acute chest pain. CONTEXT: Experimental data suggest that placental growth factor (PlGF), a member of the vascular endothelial growth factor family, acts as a primary inflammatory instigator of atherosclerotic plaque instability and thus may be useful as a risk-predicting biomarker in patients with acute coronary syndromes (ACS). OBJECTIVE: To determine whether blood levels of PlGF predict risk for death or nonfatal (...) myocardial infarction in patients with acute chest pain. DESIGN, SETTING, AND PATIENTS: Measurement of PlGF levels as well as levels of markers of myocardial necrosis (troponin T [TnT]), platelet activation (soluble CD40 ligand [sCD40L]), and inflammation (high-sensitivity C-reactive protein [hsCRP]) in an inception cohort of 547 patients with angiographically validated ACS participating in the CAPTURE (c7E3 Fab Anti-Platelet Therapy in Unstable Refractory Angina) trial and in a heterogeneous cohort of 626 patients

JAMA2004

278. Systematic review of efficacy of topical rubefacients containing salicylates for the treatment of acute and chronic pain

Systematic review of efficacy of topical rubefacients containing salicylates for the treatment of acute and chronic pain Systematic review of efficacy of topical rubefacients containing salicylates for the treatment of acute and chronic pain Systematic review of efficacy of topical rubefacients containing salicylates for the treatment of acute and chronic pain Mason L, Moore R A, Edwards J E, McQuay H J, Derry S, Wiffen P J CRD summary This review evaluated the efficacy and safety of topical (...) rubefacients in the treatment of acute and chronic pain. The authors concluded that topically applied rubefacient may be efficacious in the treatment of acute pain. However, they acknowledge that estimates for the efficacy of rubefacients are unreliable, owing to the lack of good clinical trials. Authors' objectives To determine the efficacy and safety of topical rubefacients containing salicylates in the treatment of acute and chronic pain. Searching MEDLINE, PREMEDLINE, EMBASE, PubMed and the Cochrane

DARE.2004

279. Systematic review and modelling of the investigation of acute and chronic chest pain presenting in primary care

Systematic review and modelling of the investigation of acute and chronic chest pain presenting in primary care Systematic review and modelling of the investigation of acute and chronic chest pain presenting in primary care Systematic review and modelling of the investigation of acute and chronic chest pain presenting in primary care Mant J, McManus RJ, Oakes RA, Delaney BC, Barton PM, Deeks JJ, Hammersley L, Davies RC, Davies MK, Hobbs FD CRD summary This well-conducted review concluded (...) that, where an acute coronary syndrome was suspected, emergency referral was justified and electrocardiogram (ECG) interpretation in acute chest pain could be highly specific for diagnosis of myocardial infarction. Point of care testing with troponins was cost-effective in the triaging of these patients. Other conclusions were also presented. The authors’ conclusions are likely to be reliable. Authors' objectives To assess the value of different methods, including clinical features, resting and exercise

DARE.2004

280. Can early diagnosis and management of costochondritis reduce acute chest pain admissions

Can early diagnosis and management of costochondritis reduce acute chest pain admissions Can early diagnosis and management of costochondritis reduce acute chest pain admissions Can early diagnosis and management of costochondritis reduce acute chest pain admissions Freeston J, Karim Z, Lindsay K, Gough A Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results (...) and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Early rheumatology referral for patients suffering from costochondritis and presenting with acute chest pain was examined. Type of intervention Diagnosis and treatment. Economic study type Cost-effectiveness analysis. Study population The study population comprised patients presenting with acute chest pain. Setting The setting was a hospital. The economic study was carried

NHS Economic Evaluation Database.2004