Abstract
Pain is the leading reason individuals seek emergency care. Studies have concluded
that acute pain conditions are underevaluated and undertreated in the emergency department
(ED). There is a paucity of information about how the severity of pain influences
the time spent in the ED before being seen by a physician. Therefore, this study focuses
on what role pain plays regarding time to treatment in the ED, i.e., to examine the
effects of patients' perceived level of pain on wait time in the ED. The CDC's National
Hospital Ambulatory Medical Survey 2003 data were used in this study. The sample consisted
of 12,860 caucasians and African Americans with a mean age of 44.52 years. Analysis
of covariance was used to explore differences in length of waiting time in ED based
on race, triage nurses rating of the immediacy of the need to be seen by a physician,
and the level of pain the patient reported. The findings showed that patients' reports
of pain had very little effect on the length of waiting time. Given the sample size,
we feel there is adequate power to detect the effect of pain in determining the length
of waiting time to see a physician if it were present. In addition, African Americans
had a statistically significant longer wait (15.29minutes) than Whites. The effect
of race might be interpreted as another example of health disparities or could be
a hospital-level effect which was not examined within this model.
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Article info
Publication history
Published online: September 22, 2009
Accepted:
June 23,
2009
Received in revised form:
February 23,
2009
Received:
September 19,
2008
Identification
Copyright
© 2010 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
