Research Article
Patient Controlled Analgesia for Adults with Sickle Cell Disease Awaiting Admission from the Emergency Department
Table 2
Visit characteristics by PCA initiation location.
| | PCA-ED | PCA-hospital | value | | | |
| Pain scores | | | | Initial ED pain score, mean (SD) | 9.3 (1.1) | 9.1 (1.1) | 0.44 | Final ED pain score, mean (SD) | 7.0 (2.0) | 7.0 (2.5) | 0.68 | Change in pain score in ED, mean (SD) | 2.3 (1.9) | 2.1 (2.5) | 0.90 | Bolus opioids given after decision to admit | | | | % yes | 45% | 72% | 0.0001 | Total number received before PCA, mean (SD) | 0.6 (0.8) | 2.7 (1.3) | 0.003 | Number received on hospital floor before PCA, mean (SD) | — | 1.8 (5.9) | — | Treatment time, hours | | | | Absolute time to PCA initiation | 4.5 [3.4, 5.6] | 8.6 [6.1, 18.1] | <0.001 | Last opioid bolus (either in ED or in hospital) to PCA initiation | 1.5 [0.9, 2.2] | 3.5 [2.3, 5.5] | 0.0001 | Time to starting PCA after hospital floor arrival | — | 1.4 [0.7, 10.1] | — | Time between last opioid in ED and first opioid on hospital floor | — | 3.6 [2.4, 5.4] | — | Inpatient length of stay, days, mean (SD) | 6.9 (7.7) | 6.8 (5.7) | 0.87 |
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Difference in mean pain intensity between initial and final ED pain scores. Median [interquartile range].
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