Zurück

ID: 541 (Conflict of Interest: K)

Schmerzkonsile auf einer chirurgischen Allgemeinstation in einem tertiären Zentrum

M.Brinkers, M.Istel, G.Pfau, F.Meyer
Universitätsklinikum Magdeburg, Magdeburg

Einleitung

As already reported from other medical disciplines, it has been proven that there is only a small percentage of patients who need consultation (e.g., in addition by psychiatry) for optimization of pain therapy.

Material und Methoden

At a university hospital normal surgical ward, all consecutive patients were asked to fill out a standardised pain-associated questionnaire at the time of their admission to the hospital over a time period of 6 months. In a regular follow-up examination, the effect of a former pain-therapeutic consultation was critically assessed and systematically evaluated.

This systematic clinical prospective observational study (design) to reflect daily clinical practice and as contribution to quality assurance (and research on clinical care) was permitted by the institutional ethic committee.

Ergebnisse

21 of 269 patients got a pain-therapeutic consultation (7.8 %).

In these patients, pain score could not be significantly reduced (VAS: 2.6 down to 1.6; p=0.238). Initial analyses revealed that these patients belong to a subgroup of patients (length of stay: 14.2 days versus the whole group: 7.2 days; percentage of cancer patients, 76.2 % – in total: 35.3%).

Schlussfolgerung

The number of consulation is low, however, it is better than in psychiatric patients (consultation rate, 2.5 to 3.0 %). Obviously, the patients who achieved a pain consultation were not be treated sufficiently. This is in contrast to the previous results on the effect of pain-therapeutic consultations at our outpatient clinic (n=386). It could be, therefore, a numerical problem, which needs to be taken into account. In addition, the criteria for requesting a consultation are still unclear. Clearly, the consultation procedure has to be optimized.