Prescription patterns of analgesics and pain relief for hospitalized trauma patients in a tertiary care teaching hospital of a Caribbean developing country pp. 241-246
Authors: Seetharaman Hariharan, Deryk Chen, Ogolotse Morapedi, Daniel Bathusi, Billy Segakolodi, and Kago Sejeso,
Abstract: The objective of this paper was to evaluate the prescription patterns for trauma patients admitted to the general wards and quantify the pain relief. Methods: Demographics, diagnoses on admission, cause of trauma, Injury Severity Score (ISS), analgesics prescribed, dosage, duration, and route of administration were recorded prospectively in the general surgical and orthopaedic wards of a tertiary care teaching hospital in Trinidad. Pain was quantified using a modified McGill questionnaire and a Visual Analog Pain Score. Results: 286 patient-days were encountered from 42 patients studied. The mean ISS was 8.3. Commonly prescribed analgesics were pethidine (64%), diclofenac (17%) and tramadol (12%). 21% of the patients were prescribed analgesics on a ‗when needed‘ (p.r.n) basis. The median visual analog score was 6, (5-7, interquartile range). 40% of the patients described the pain as distressing, 21% each as horrible and discomforting, 9.5% as mild. 48% had continuous pain and 60% had a significant sleep disturbance. Conclusions: Prescription patterns of analgesics for trauma patients do not adhere to standard guidelines. Oligoanalgesia is commonly found in hospitalized trauma patients.