Cited by 571Emergency and Acute Care StudiesTrauma and Emergency Care StudiesEmergency Medicine Education and Research

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The high prevalence of pain in emergency medical care

Cordell, William H., Keene, Kelly K., Giles, Beverly K., Jones, James B., Jones, James H., Brizendine, Edward J.·2002·The American Journal of Emergency Medicine

DOI 10.1053/ajem.2002.32643

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Abstract

Although there is a widely held belief that pain is the number 1 complaint in emergency medical care, few studies have actually assessed the prevalence of pain in the emergency department (ED). We conducted an analysis of secondary data by using explicit data abstraction rules to determine the prevalence of pain in the ED and to classify the location, origin, and duration of the pain. This retrospective cross-sectional study was conducted at an urban teaching hospital in Indianapolis, IN. Charts from 1,665 consecutive ED visits during a 7-day period were reviewed. Pain was defined as the word pain or a pain equivalent word (including aching, burning, and discomfort) recorded on the chart. Of the 1,665 visits, 61.2% had pain documented anywhere on the chart, 34.1% did not have pain, and 4.7% were procedures. Pain was a chief complaint for 52.2% of the visits. This high prevalence of pain has important implications for the allocation of resources as well as educational and research efforts in emergency medical care.

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Authors: Cordell, W. H., Keene, K. K., Giles, B. K., Jones, J. B., Jones, J. H., & Brizendine, E. J.
Affiliations: Indiana University Indianapolis (US)
ORCID: Cordell, William H.
Jones, James B.
Venue: The American Journal of Emergency Medicine
Publisher: Elsevier BV
Published: 2002-05
Volume: 20
Issue: 3
Pages: 165-169
ISSN: 0735-6757 (ISSN-L)
DOI: 10.1053/ajem.2002.32643
OpenAlex: W2087559496
Cited by: 571
References: 15
Citations by year: 2026: 23 · 2025: 25 · 2024: 25 · 2023: 36 · 2022: 25 · 2021: 26 · 2020: 44 · 2019: 34 · 2018: 35 · 2017: 37 · 2016: 35 · 2015: 31 · 2014: 38 · 2013: 24 · 2012: 16
FWCI: 9.29
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The American Journal of Emergency Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
Health Sciences › Medicine › Emergency Medicine › Trauma and Emergency Care Studies
Health Sciences › Medicine › Emergency Medicine › Emergency Medicine Education and Research
Keywords: pain prevalence, emergency department visits, chief complaint, pain localization, pain duration, pain etiology, resource allocation
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Cross-Sectional Studies, Emergency Service, Hospital, Female, Humans, Indiana, Infant, Infant, Newborn, Male, Middle Aged, Pain, Pain Measurement, Retrospective Studies, Observer Variation, Prevalence

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The high prevalence of pain in emergency medical care

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