Advertisement

Lack of associations of substance use and mental health with self-reported pain scores among emergency department patients

Published:February 18, 2019DOI:https://doi.org/10.1016/j.ajem.2019.02.026
      The most common complaint among Emergency Department (ED) patients is pain [
      • Niska R.
      • Bhuiya F.
      • Xu J.
      National hospital ambulatory medical care survey: 2007 emergency department summary.
      ]. Pain scores have been shown to be influenced by factors such as race, age, and gender [
      • Marco C.A.
      • Kanitz W.
      • Jolly M.
      Pain scores among emergency department (ED) patients: comparison by ED diagnosis.
      ,
      • Marco C.A.
      • Marco A.P.
      • Buderer N.F.
      • Jones J.M.
      Pain perception among ED patients with headache: responses to standardized painful stimuli.
      ,
      • Marco C.A.
      • Nagel J.
      • Klink E.
      • Baehren D.
      Factors associated with self-reported pain scores among emergency department (ED) patients.
      ]. Addiction disorders are frequently encountered in the ED environment [
      • Hansagi H.
      • Engdahl B.
      • Romelsjö A.
      Predictors of repeated emergency department visits among persons treated for addiction.
      ,
      • Liu S.W.
      • Nagurney J.T.
      • Chang Y.
      • Parry B.A.
      • Smulowitz P.
      • Atlas S.J.
      Frequent ED users: are most visits for mental health, alcohol, and drug-related complaints?.
      ,
      • Gorchynski J.
      • Kelly K.
      Analgesia and addiction in emergency department patients with acute pain exacerbations.
      ].
      To read this article in full you will need to make a payment
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Niska R.
        • Bhuiya F.
        • Xu J.
        National hospital ambulatory medical care survey: 2007 emergency department summary.
        in: National Health Statistics Reports; No 26. National Center for Health Statistics, Hyattsville, MD2010
        • Marco C.A.
        • Kanitz W.
        • Jolly M.
        Pain scores among emergency department (ED) patients: comparison by ED diagnosis.
        J Emerg Med. 2013; 44: 46-52
        • Marco C.A.
        • Marco A.P.
        • Buderer N.F.
        • Jones J.M.
        Pain perception among ED patients with headache: responses to standardized painful stimuli.
        J Emerg Med. 2007; 32: 1-6
        • Marco C.A.
        • Nagel J.
        • Klink E.
        • Baehren D.
        Factors associated with self-reported pain scores among emergency department (ED) patients.
        Am J Emerg Med. 2012; 30: 331-337
        • Hansagi H.
        • Engdahl B.
        • Romelsjö A.
        Predictors of repeated emergency department visits among persons treated for addiction.
        Eur Addict Res. 2012; 18: 47-53
        • Liu S.W.
        • Nagurney J.T.
        • Chang Y.
        • Parry B.A.
        • Smulowitz P.
        • Atlas S.J.
        Frequent ED users: are most visits for mental health, alcohol, and drug-related complaints?.
        Am J Emerg Med. 2013 Oct; 31: 1512-1515
        • Gorchynski J.
        • Kelly K.
        Analgesia and addiction in emergency department patients with acute pain exacerbations.
        Cal J Emerg Med. 2005 Jan; 6: 3-8
        • Denis C.
        • Fatséas M.
        • Beltran V.
        • Serre F.
        • Alexandre J.M.
        • Debrabant R.
        • et al.
        Usefulness and validity of the modified Addiction Severity Index: a focus on alcohol, drugs, tobacco, and gambling.
        Subst Abus. 2016; 37: 168-175
        • Denis C.
        • Fatseas M.
        • Beltran V.
        • et al.
        Validity of the self-reported drug use section of the Addiction Severity Index and associated factors used under naturalistic conditions.
        Subst Use Misuse. 2012; 47: 356-363
        • Curran G.M.
        • Sullivan G.
        • Williams K.
        • Han X.
        • Allee E.
        • Kotrla K.J.
        The association of psychiatric comorbidity and use of the emergency department among persons with substance use disorders: an observational cohort study.
        BMC Emerg Med. 2008; 8
        • Vu F.
        • Daeppen J.-B.
        • Hugli O.
        • et al.
        Screening of mental health and substance users in frequent users of a general Swiss emergency department.
        BMC Emerg Med. 2015; 15
        • Turner S.
        • Mota N.
        • Bolton J.
        • Sareen J.
        Self-medication with alcohol or drugs for mood and anxiety disorders: a narrative review of the epidemiological literature.
        Depress Anxiety. 2018; 35: 851-860