CAUSE DI OLIGOANALGESIA IN AREA D’EMERGENZA AL TEMPO DELLE GRANDI IMMIGRAZIONI

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Abstract

[automatically translated] Target. The AOU Policlinico di Palermo has a dedicated center cate the health needs of legal and illegal immigrants, so the emergency area (PS) is the landmark of this foreign population. The pain, the main cause of access to the PS, is undertreated. The assumptions of the differences in the quality of the relief are varied, and include ethnicity, race, gender and age. Even the way in which patients, of different cultures, expressing their grief and interactions between doctors and patients of different ethnic origin may influenced King evaluation. We sought to determine if the sollie- vo from PS pain is negatively associated with the perception of the doctor, or the interaction between patient and doctor, and if demographic characteristics can influence these factors ri. Materials and methods. We enrolled all patients who went at the Policlinico di Palermo PS in the first half of 2012 with any pain syndrome. Before the treatment the patients completed a numeric scale (NRS) from 0 to 100 and was asked her age, level of education, and ethnicity. At discharge they completed a second NRS, and the doctor was asked to fill out a VAS to pick up a question '' How likely is it that this patient has exaggerated his symptoms? "With '' unlikely 'on one end and '' probable "on the other. Results. They enrolled 612 patients. 286 excluded for incomplete data, 326 were analyzed. The average NRS of all patients, the admission was 81.1 (95% CI = 72.9 to 85.7), and 45.4 (95% CI = 32.9 to 52.7) at discharge . 231 (70, 8%) patients received a treatment for pain and 110 patients (47.6%) had at least a 50% reduction in their NRS. 146 (44.7%) were European, 108 (33.1%) African, 48 (14.7%) Indian / Filipino, and 24 (7.3%) Asian. No difference in the number of treaties or in NRS change with respect to ethnicity. Europeans have got less than a 50% reduction of their pain than patients of other ethnic groups (p = 0.027). Patients with physician VAS ≥ 51, were more among non-Europeans, vs Europeans (p = 0.0001). 66 (20.2%) graduates patients, 112 (34.3%) graduates, 97 (29.7%) with compulsory education and 51 (15.6) with no qualification at all. No difference between the treated and untreated, nor in NRS values. More graduates patients had a reduction of the NRS increased by 50% vs the other patients (p = 0.0012), fewer patients have exaggerated their symptoms among graduates versus non-graduates (p = 0.014). Discussion and conclusions. There is a disparity in the treat- ment of pain in PS between the various groups of patients. Any disagreements ze demographic, linguistic and cultural ties between doctors and patients may make it difficult for the expression and understanding of patients by doctors.
Original languageItalian
Pages473-474
Number of pages2
Publication statusPublished - 2013

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