Cognitive impairment is a risk factor for delayed analgesia in older people with long bone fracture: A multicenter exploratory study

M.M. Fry; Glenn Arendts; L. Chenoweth; C. Macgregor

doi:10.1017/S1041610214001732

Cognitive impairment is a risk factor for delayed analgesia in older people with long bone fracture: A multicenter exploratory study

M.M. Fry, Glenn Arendts, L. Chenoweth, C. Macgregor

Research output: Contribution to journal › Article › peer-review

22 Citations (Scopus)

Abstract

Copyright © International Psychogeriatric Association 2014. Background: Older people who present to the emergency department (ED) often experience a significant delay to analgesia. This study compares the time to analgesia for cognitively impaired and cognitively intact older people diagnosed with a long bone fracture. Methods: The aim of the study was to determine if cognitive impairment is associated with a delayed analgesic response. A 12-month exploratory study, using patient data, was conducted across four EDs. Medical records of 264 patients with long bone fractures were randomly selected. Results: The majority of patients waited longer than 60 minutes for analgesia. The median time to analgesia was longer for the cognitively impaired (149 minutes) compared with cognitively intact (72 minutes; Mann-Whitney U test: p <0.001). Conclusions: This study suggests that cognitive impairment is a significant risk factor for delayed analgesia response in the ED.

Original language	English
Pages (from-to)	323-328
Journal	International Psychogeriatrics
Volume	27
Issue number	2
DOIs	https://doi.org/10.1017/S1041610214001732
Publication status	Published - 2015

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Cognitive impairment is a risk factor for delayed analgesia in older people with long bone fracture: A multicenter exploratory study

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