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Table 2 Patient with NRS > 4 after trauma or non-trauma

From: Pre-hospital analgesia in pediatric trauma and critically ill patients: An analysis of a German air rescue service

 

Trauma

Non-trauma

Test

p-Value

No. of cases

4,608

282

  

Age: mean (SD)

9.8 (SD 4.9)

11.4 (4.5)

  

Gender

Male

2789 (60.5%)

124 (44.0%)

  

Female

1702 (36.9%)

152 (53.9%)

  

Missing

117 (2.5%)

6 (2.1%)

  

NRS at EMS arrival: mean (SD)

6.9 (1.5)

6.7 (1.5)

U

0.029

Missing

0

0

  

NRS at EMS arrival > 4

4608 (100%)

282 (100%)

  

Missing

0

0

  

NRS at hospital admission: mean (SD)

1.9 (1.4)

2.7 (1.7)

U

p < 0.001

Missing

56

4

  

NRS at hospital admission > 4

228 (4.9%)

45 (16.0%)

Chi2

p < 0.001

Missing

56 (1.2%)

4 (1.4%)

  

Opioid therapy

2858 (62.0%)

101 (35.8%)

Chi2

p < 0.001

Therapy with strong opioids*a

1882 (40.8%)

46 (16.3%)

  

Therapy with less strong opioid*b

976 (21.2%)

55 (19.5%)

  

Ketamine

1590 (34.5%)

8 (2.8%)

Chi2

p < 0.001

NSAID therapy

Chi2

p < 0.001

No NSAID therapy

4283 (92.9%)

147 (52.1%)

  

NSAID and opioid

181 (3.9%)

39 (13.8%)

  

NSAID mono

144 (3.1%)

96 (34.0%)

  

No pain medication

432 (9.4%)

80 (28.4%)

Chi2

p < 0.001

Development of pain during EMS treatment*c

Chi2

p < 0.001

Pain reduction (= 1 scale point)

60 (1.3%)

12 (4.3%)

  

Effective pain reduction (> = 2 scale point)

4366 (95.9%)

240 (86.3%)

  

No change

123 (2.7%)

25 (9.0%)

  

Increase of pain (> = 1 scale point)

3 (0.1%)

1 (0.4%)

  

Missing

56

4

  
  1. *aIncludes fentanyl and sufentanil
  2. *bIncludes morphine, piritramide and other opiates
  3. *cDifference between NRS at EMS arrival and hospital admission