Articles: pain-clinics.
-
J. Am. Coll. Cardiol. · Jun 2001
Randomized Controlled Trial Comparative Study Clinical TrialRandomized comparison of a strategy of predischarge coronary angiography versus exercise testing in low-risk patients in a chest pain unit: in-hospital and long-term outcomes.
This randomized trial compared a strategy of predischarge coronary angiography (CA) with exercise treadmill testing (ETT) in low-risk patients in the chest pain unit (CPU) to reduce repeat emergency department (ED) visits and to identify additional coronary artery disease (CAD). ⋯ In low-risk patients in the CPU, a strategy of CA detects more CAD than ETT, reduces long-term ED and hospital utilization and yields better patient satisfaction and understanding of their condition.
-
Description of the specific physical and psychological problems associated with sexual activity in patients with chronic pain. ⋯ There is a high prevalence of sexual difficulties in patients with chronic pain attending treatment, nearly double that of a general UK survey. These difficulties are not simply related to mood or disability. The range of problems and patients' expressed preferences for help suggest that multidisciplinary intervention is required.
-
To evaluate the cardiorespiratory endurance (CRE) and physical activity level of patients with chronic pain compared with healthy subjects. ⋯ Data on CRE and the physical activity level of patients with chronic pain obtained in this study show that chronic pain may have a greater impact on male than female patients. Sociocultural factors are probably at the origin of this phenomenon.
-
The number of patients handicapped by chronic pain is increasing in Sweden. Many of these patients do not receive adequate care despite guidelines issued in 1994 by the National Board of Health and Welfare recommending councils to establish multidisciplinary pain teams according to the guidelines issued by the International Association for the Study of Pain. A survey of Swedish general hospitals reveals that these recommendations have not yet been implemented. With the exception of university hospitals only one out of five hospitals has set up specialised pain care teams; in remaining hospitals the organisation of pain management leaves much to be desired.
-
Despite unprecedented interest in the understanding of pain mechanisms and pain management, a significant number of patients continue to experience unacceptable pain after surgery. An acute pain service (APS) has to include regular pain assessment and documentation, "make pain visible", and bedside teaching of nurses in order to provide safe and cost-effective analgesia. The acute pain team in Orebro includes anaesthesiologists, surgeons, specialist acute pain nurses as well as ward nurses. A combination of less invasive surgery, effective analgesia and strategies for rehabilitation can reduce post-operative morbidity and shorten hospitalization.