Abstract : Pain is the leading reason individuals seek emergency care. Studies have concluded that acute pain
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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 CDCs National Hospital Ambulatory Medical Survey 2003 data were used in this study. The sample consisted of 12860 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 (15.29 minutes) 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.(c) 2010 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.PMID 20510841 PubMed - indexed for MEDLINEMeSH TermsMeSH TermsAdultAfrican Americans/ethnologyAfrican Americans/statistics amp numerical dataAge FactorsAnalysis of VarianceAttitude to Health*Emergency Nursing/organization amp administrationEmergency Service Hospital*/organization amp administrationEuropean Continental Ancestry Group/ethnologyEuropean Continental Ancestry Group/statistics amp numerical dataFactor Analysis StatisticalFemaleHealth Care SurveysHealthcare Disparities/statistics amp numerical dataHumansMaleNursing Assessment/organization amp administrationPain/diagnosisPain/epidemiologyPain/psychology*Pain/therapyPain MeasurementSeverity of Illness Index*Time FactorsTriage/organization amp administrationUnited States/epidemiologyWaiting Lists*LinkOut - more resourcesFull Text SourcesElsevier ScienceEBSCONursing ConsultOhioLINK Electronic Journal CenterOvid Technologies Inc.Swets Information ServicesOther Literature SourcesCOS Scholar UniverseEducationNew England Research Institutes Inc.MedicalPain - MedlinePlus Health Information Supplemental Content Related citations Disparities in emergency department wait times for acute gastrointestinal illnesses results from the National Hospital Ambulatory Medical Care Survey 1997-2006. 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