소아 전완부골절 환자의 진통제 투여 요인
Factors associated with administration of analgesics for children with forearm fracture
서기호, 김대희, 이운정, 우선희, 설승환, 이준영, 최승필,
소속 상세정보
서기호 ( Seo Ki-Ho )
가톨릭대학교 의학전문대학원 응급의학교실
김대희 ( Kim Dae-Hee )
가톨릭대학교 인천성모병원 응급의학과
이운정 ( Lee Woon-Jeong )
가톨릭대학교 의학전문대학원 응급의학교실
우선희 ( Woo Seon-Hee )
가톨릭대학교 의학전문대학원 응급의학교실
설승환 ( Seol Seung-Hwan )
가톨릭대학교 인천성모병원 응급의학과
이준영 ( Lee June-Young )
가톨릭대학교 인천성모병원 응급의학과
최승필 ( Choi Seung-Pill )
가톨릭대학교 의학전문대학원 응급의학교실
Abstract
Purpose: Analgesia is essential for the treatment of children’s fracture. We aimed to investigate the factors associated with administration of analgesics in children with forearm fracture.
Methods: We retrospectively reviewed medical records of children (< 20 years) with forearm fracture who visited 2 tertiary hospital emergency departments from 2014 to 2015. We analyzed factors, such as gender, age, whether the mother accompanied the visit, visiting time and route, mechanism of injury, duration of symptoms, complicated fracture, manual reduction, surgery, and type and route of analgesics. We also performed logistic regression analysis to identify the factors associated with administration of analgesics.
Results: Of 179 children with forearm fracture, 48 (26.8%) were administered analgesics. These children showed older age, shorter duration of symptoms, and more frequent visit with their mothers, visit during the day, use of emergency medical services, and surgery. After logistic regression analysis, we found use of emergency medical service (adjusted odds ratio [OR], 8.73; 95% confidence interval [CI], 3.16-24.08; P < 0.001), visit with the mother (OR, 6.23; 95% CI, 1.68-23.09; P = 0.006), age (OR, 1.18; 95% CI, 1.05-1.32; P = 0.004), and duration of symptoms (OR, 0.99; 95% CI, 0.986-0.999; P = 0.035) as the factors associated with administration of analgesics.
Conclusion: The factors associated with administration of analgesics might be communicating skill-related factors, such as older age and shorter duration of symptoms. Children with poor communicating skill may need more aggressive analgesia in the emergency department.
키워드
Child; Emergencies; Fractures; Bone; Pain Management; Wounds and Injuries
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