Latest & greatest articles for acute pain

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Top results for acute pain

282. 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 R J, Oakes R A L, Delaney B C, Barton P M, Deeks J J, Hammersley L, Davies R C, Davies M K, Hobbs F D R 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 Mant J, McManus R J, Oakes R A L, Delaney B C, Barton P M, Deeks J J, Hammersley L, Davies R C, Davies M K, Hobbs F D R. Systematic review and modelling of the investigation of acute and chronic chest pain presenting in primary care. Health Technology Assessment 2004; 8(2): 1-170 Authors' objectives This review sought to answer

Health Technology Assessment (HTA) Database.2004

283. 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 Journals Library An error has occurred in processing the XML document An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation

NIHR HTA programme2004

284. Triage of patients with acute chest pain and possible cardiac ischemia: the elusive search for diagnostic perfection.

Triage of patients with acute chest pain and possible cardiac ischemia: the elusive search for diagnostic perfection. Few diagnostic decisions in medicine have been more heavily researched than the approach to the patient with acute chest pain. Despite the advances in both diagnosing and treating patients presenting with this symptom, cases of missed myocardial infarctions still cause substantial morbidity and mortality. This article examines a case in which a patient was sent home from (...) the emergency department after presenting with chest pain and was subsequently found to have a myocardial infarction. In the context of the case, the article discusses clinical decision making about the diagnosis and triage of patients presenting with acute chest pain or with symptoms consistent with possible cardiac ischemia. A standardized approach to addressing the management of these patients is essential, given the adverse consequences of missing a life-threatening condition.

Annals of Internal Medicine2003

285. Evaluation of acute knee pain in primary care.

Evaluation of acute knee pain in primary care. BACKGROUND: The evaluation of acute knee pain often includes radiography of the knee. OBJECTIVE: To synthesize the literature to determine the role of radiologic procedures in evaluating common causes of acute knee pain: fractures, meniscal or ligamentous injuries, osteoarthritis, and pseudogout. DATA SOURCES: MEDLINE search from 1966 to October 2002. STUDY SELECTION: We included all published, peer-reviewed studies of decision rules for fractures (...) %; and posterior cruciate ligament, 95%). The Lachman test is more sensitive and specific for ligamentous tears than is the drawer sign. For meniscal tears, joint line tenderness is sensitive (75%) but not specific (27%), while the McMurray test is specific (97%) but not sensitive (52%). Compared with the physical examination, MRI is more sensitive for ligamentous and meniscal damage but less specific. When the differential diagnosis for acute knee pain includes an exacerbation of osteoarthritis, clinical

Annals of Internal Medicine2003

286. Oral valdecoxib and injected parecoxib for acute postoperative pain: a quantitative systematic review

Oral valdecoxib and injected parecoxib for acute postoperative pain: a quantitative systematic review Oral valdecoxib and injected parecoxib for acute postoperative pain: a quantitative systematic review Oral valdecoxib and injected parecoxib for acute postoperative pain: a quantitative systematic review Barden J, Edwards J E, McQuay H J, Moore R A CRD summary This review assessed the efficacy, duration of analgesia, and safety of oral valdecoxib and injected parecoxib, for acute post-operative (...) pain. The authors concluded that both oral valdecoxib and injected parecoxib were effective analgesics. The authors' conclusions should be viewed with some caution due to variation in the patient populations examined. Authors' objectives To assess the efficacy, duration of analgesia, and safety of oral valdecoxib and injected parecoxib for acute post-operative pain. Searching PubMed (December 2002) and the Cochrane Library (Issue 4, 2002) were searched; the search terms were reported. The authors

DARE.2003

287. Evaluation of acute knee pain in primary care

Evaluation of acute knee pain in primary care Evaluation of acute knee pain in primary care Evaluation of acute knee pain in primary care Jackson J L, O'Malley P G, Kroenke K CRD summary This review set out to determine the role of radiological procedures in evaluating the causes of acute knee pain. Only a single radiological technique, magnetic resonance imaging, was evaluated. The conclusions drawn by the authors were recommendations for practice, based on a limited number of studies (...) of unclear quality. The results of this review must therefore be treated with caution. Authors' objectives To determine the role of radiological procedures in evaluating causes of acute knee pain. Searching MEDLINE was searched from 1966 to October 2002; the search strategy is available online (accessed 21/09/2005). See Web Address at end of abstract. The bibliographies of retrieved studies were also checked. Study selection Study designs of evaluations included in the review Inclusion criteria relating

DARE.2003

288. Treatment- and cost-effectiveness of early intervention for acute low-back pain patients: a one-year prospective study

Treatment- and cost-effectiveness of early intervention for acute low-back pain patients: a one-year prospective study Treatment- and cost-effectiveness of early intervention for acute low-back pain patients: a one-year prospective study Treatment- and cost-effectiveness of early intervention for acute low-back pain patients: a one-year prospective study Gatchel R J, Polatin P B, Noe C, Gardea M, Pulliam C, Thompson J 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 An early intervention programme to prevent acute low-back pain (ALBP) from becoming a chronic disability was studied in high-risk ALBP patients. The programme was compared with no early intervention for high-risk patients, and also with no early

NHS Economic Evaluation Database.2003

289. Comparison of classification-based physical therapy with therapy based on clinical practice guidelines for patients with acute low back pain: a randomized clinical trial

Comparison of classification-based physical therapy with therapy based on clinical practice guidelines for patients with acute low back pain: a randomized clinical trial Comparison of classification-based physical therapy with therapy based on clinical practice guidelines for patients with acute low back pain: a randomized clinical trial Comparison of classification-based physical therapy with therapy based on clinical practice guidelines for patients with acute low back pain (...) : a randomized clinical trial Fritz J M, Delitto A, Erhard R E 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 A classification-based approach to the rehabilitation of patients with acute work-related lower back pain (LBP) was compared with a guidance

NHS Economic Evaluation Database.2003

290. A comparison of three techniques for acute postoperative pain control following major abdominal surgery

A comparison of three techniques for acute postoperative pain control following major abdominal surgery A comparison of three techniques for acute postoperative pain control following major abdominal surgery A comparison of three techniques for acute postoperative pain control following major abdominal surgery Shapiro A, Zohar E, Hoppenstein D, Ifrach N, Jedeikin R, Fredman B Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED (...) sample of patients as that used in the effectiveness analysis. Study sample After excluding both patients who refused to participate into the Acute Pain Service and those who were unsuitable for participation for cognitive reasons, all eligible patients considered at the study centre were included in the analysis. A sample of 358 patients was identified. Of these, 90 were in the basic pain treatment group, 101 in the IV-PCA group, and 167 in the epidural morphine group. The patients in the basic

NHS Economic Evaluation Database.2003

291. Cost effectiveness of diagnostic strategies for patients with acute, undifferentiated chest pain

Cost effectiveness of diagnostic strategies for patients with acute, undifferentiated chest pain Cost effectiveness of diagnostic strategies for patients with acute, undifferentiated chest pain Cost effectiveness of diagnostic strategies for patients with acute, undifferentiated chest pain Goodacre S, Calvert N 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 Several diagnostic strategies for patients with acute, undifferentiated chest pain were examined. Strategy 0 was to discharge all patients without additional testing. Strategy 1 was cardiac enzyme testing at presentation. Strategy 2 was observation until at least 6 hours after onset of pain then cardiac enzyme testing. Strategy 3, as for strategy 2, but followed

NHS Economic Evaluation Database.2003

292. Single-dose rofecoxib for acute postoperative pain in adults: a quantitative systematic review

Single-dose rofecoxib for acute postoperative pain in adults: a quantitative systematic review Single-dose rofecoxib for acute postoperative pain in adults: a quantitative systematic review Single-dose rofecoxib for acute postoperative pain in adults: a quantitative systematic review Barden J, Edwards J E, McQuay H J, Moore R Authors' objectives To examine the efficacy of single-dose rofecoxib for acute post- operative pain in adults. Searching The Cochrane Library (Issue 4, 2001), Biological (...) ), celecoxib (200 mg), paracetamol (600 mg) plus codeine (60 mg), or naproxen sodium (550 mg). Participants included in the review Adults with acute post-operative pain. To be included, the baseline post-operative pain had to be of moderate to severe intensity, and the patients had to be over 15 years of age. The characteristics of the participants were not reported. Outcomes assessed in the review To be included, the studies had to have pain outcomes measures of total pain relief (TOTPAR) or summed pain

DARE.2002

293. Evidence for the optimal management of acute and chronic phantom pain: a systematic review

Evidence for the optimal management of acute and chronic phantom pain: a systematic review Evidence for the optimal management of acute and chronic phantom pain: a systematic review Evidence for the optimal management of acute and chronic phantom pain: a systematic review Halbert J, Crotty M, Cameron I D Authors' objectives To determine the optimal management of phantom limb pain (PLP) in the pre- and post-operative phases of amputation. Searching MEDLINE was searched from 1966 to 1999 (...) management of acute and chronic phantom pain: a systematic review. Clinical Journal of Pain 2002; 18(2): 84-92 PubMedID Other publications of related interest Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 1996;17:1-12. Indexing Status Subject indexing assigned by NLM MeSH Acute Disease; Aged; Amputation; Analgesia, Epidural; Chronic Disease; Evidence

DARE.2002

294. Evaluation of early abdominopelvic computed tomography in patients with acute abdominal pain of unknown cause: prospective randomised study.

Evaluation of early abdominopelvic computed tomography in patients with acute abdominal pain of unknown cause: prospective randomised study. 12480851 2002 12 13 2003 01 10 2016 11 24 1756-1833 325 7377 2002 Dec 14 BMJ (Clinical research ed.) BMJ Evaluation of early abdominopelvic computed tomography in patients with acute abdominal pain of unknown cause: prospective randomised study. 1387 To evaluate the impact of early abdominopelvic computed tomography in patients with acute abdominal pain (...) of unknown cause on length of hospital stay and accuracy of diagnosis. Randomised, prospective controlled trial. Teaching hospital in England. 120 patients admitted with acute abdominal pain for which no immediate surgical intervention or computed tomography was indicated. 55 participants were prospectively randomised to early computed tomography (within 24 hours of admission) and 65 to standard practice (radiological investigations as indicated). Length of hospital stay, accuracy of diagnosis

BMJ2002 Full Text: Link to full Text with Trip Pro

295. Hydromorphone for acute and chronic pain.

Hydromorphone for acute and chronic pain. BACKGROUND: While morphine is the gold standard for the management of severe cancer pain, some patients either do not achieve adequate analgesia, or suffer intolerable morphine-related toxicity. For these patients alternatives such as hydromorphone are recommended. However, there appear to be gaps in our understanding of the efficacy and potency of hydromorphone. OBJECTIVES: This review explores and assesses the evidence for the efficacy (...) of hydromorphone in the management of pain. SEARCH STRATEGY: Randomised trials which included hydromorphone were sought using electronic databases and by handsearching relevant journals. Date of the most recent search: February 2000. SELECTION CRITERIA: RCTs which involved the administration of hydromorphone, for both acute and chronic pain conditions, in adults and children, were included. DATA COLLECTION AND ANALYSIS: A data extraction form was designed for the purpose of the review. The validity of each

Cochrane2002

296. Sufentanil: an overview of its use for acute pain management

Sufentanil: an overview of its use for acute pain management Sufentanil: an overview of its use for acute pain management Sufentanil: an overview of its use for acute pain management Savoia G, Loreto M, Gravino E Authors' objectives To evaluate peri-operative sufentanil with a view to designing the optimal peri-operative sufentanil regimen. Searching MEDLINE (from 1997 to June 2001), EMBASE (from 1998 to 1999), BIOSIS Previews (from 1998 to 1999) and SciSearch (from 1998 to 1999) were searched (...) for acute pain management. Minerva Anestesiologica 2001; 67(9 Supplement 1): 206-216 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Acute Disease; Analgesics, Opioid; Humans; Pain, Postoperative /prevention & Randomized Controlled Trials as Topic; Sufentanil; control AccessionNumber 12002004011 Date bibliographic record published 29/02/2004 Date abstract record published 29/02/2004 Record Status This is a critical abstract of a systematic review that meets the criteria for inclusion

DARE.2001

297. Efficacy and safety of patient-controlled opioid analgesia for acute postoperative pain: a quantitative systematic review

Efficacy and safety of patient-controlled opioid analgesia for acute postoperative pain: a quantitative systematic review Efficacy and safety of patient-controlled opioid analgesia for acute postoperative pain: a quantitative systematic review Efficacy and safety of patient-controlled opioid analgesia for acute postoperative pain: a quantitative systematic review Walder B, Schafer M, Henzi I, Tramer M R Authors' objectives To analyse the efficacy and safety data on patient-controlled devices (...) : The authors did not state any implications for practice. Research: The authors state that more data are needed on the cost-effectiveness of both acute pain services and PCA pumps. In addition, further trials are needed to identify patients who are most likely to profit from PCA. These should be in the form of randomised trials of a reasonable size, reporting on all important outcomes, including long-term results. Funding Swiss National Science Foundation, grant number 3233-051939-97. Bibliographic details

DARE.2001

298. Single-dose dipyrone for acute postoperative pain.

Single-dose dipyrone for acute postoperative pain. BACKGROUND: The use of dipyrone as an analgesic is controversial. It is used most commonly to treat postoperative pain, colic pain, cancer pain and migraine, and in many countries, eg, Russia, Spain, Brazil, and in many parts of South-America and Africa, it is the most popular non opioid first line analgesic. In others it has been banned (e.g. USA, UK) because of its association with potentially life-threatening blood dyscrasias (...) such as agranulocytosis. Dipyrone is currently available in Austria, Belgium, France, Germany, Italy, The Netherlands, Spain, Switzerland, South Africa, Latin America, Russia, Israel and India. OBJECTIVES: To assess quantitatively the analgesic efficacy and adverse effects of single-dose dipyrone in randomised trials in moderate to severe postoperative pain. To compare the relative efficacy of dipyrone with other drugs assessed in the same way. SEARCH STRATEGY: Published reports were identified from Medline, Embase

Cochrane2001

299. Single-dose ketorolac and pethidine in acute postoperative pain: systematic review with meta-analysis

Single-dose ketorolac and pethidine in acute postoperative pain: systematic review with meta-analysis Single-dose ketorolac and pethidine in acute postoperative pain: systematic review with meta-analysis Single-dose ketorolac and pethidine in acute postoperative pain: systematic review with meta-analysis Smith L A, Carroll D, Edwards J E, Moore R A, McQuay H J Authors' objectives To examine the postoperative analgesic efficacy and adverse effects of single doses, injected or oral, of pethidine (...) H J. Single-dose ketorolac and pethidine in acute postoperative pain: systematic review with meta-analysis. British Journal of Anaesthesia 2000; 84(1): 48-58 PubMedID Original Paper URL Other publications of related interest 1. Moore A, McQuay H, Gavaghan D. Deriving dichotomous outcome measures from continuous data in randomised controlled trials of analgesics. Pain 1996;66:229-37. 2. Moore A, McQuay H, Gavaghan D. Deriving dichotomous outcome measures from continuous data in randomised

DARE.2000

300. Acute and chronic low back pain

Acute and chronic low back pain Acute and chronic low back pain Acute and chronic low back pain NHS Centre for Reviews and Dissemination 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 NHS Centre for Reviews and Dissemination. Acute and chronic low back pain. University of York. Effective Health Care 6(5). 2000 Authors' objectives (...) This bulletin aims to summarise the available evidence on the treatment of acute and chronic low back pain. Authors' conclusions Low back pain is very common in developed countries, especially in adults of working age. For acute low back pain, advice to continue ordinary activity can give equivalent or faster symptomatic recovery from the acute attack and lead to less chronic disability and less time off work. Bed rest should not be recommended as a treatment for acute low back pain. Non-steroidal anti

Health Technology Assessment (HTA) Database.2000