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Author Göransson, Katarina E. ♦ Heilborn, Umut ♦ Selberg, Josefin ♦ Von Scheele, Susanna ♦ Djärv, Therese
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Elsevier
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Social sciences ♦ Social problems & services; associations ♦ Social welfare problems & services ♦ Natural sciences & mathematics ♦ Life sciences; biology ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Diseases ♦ Management & auxiliary services ♦ General management ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Eukaryota ♦ Organisms ♦ Musculoskeletal Diseases ♦ Nervous System Diseases ♦ Diseases ♦ Diagnosis ♦ Investigative Techniques ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Persons ♦ Persons ♦ Health Care Facilities, Manpower, and Services ♦ Health Services Administration ♦ Health Care ♦ Geographic Locations ♦ Geographic Locations
Subject Keyword Discipline Emergency ♦ Discipline Medicine ♦ Abdominal Pain ♦ Diagnosis ♦ Chest Pain ♦ Musculoskeletal Pain ♦ Pain Measurement ♦ Instrumentation ♦ Adult ♦ Aged ♦ Cohort Studies ♦ Cross-sectional Studies ♦ Emergency Service, Hospital ♦ Female ♦ Humans ♦ Male ♦ Middle Aged ♦ Patient Preference ♦ Prospective Studies ♦ Sweden ♦ Comparative Study ♦ Journal Article ♦ Research Support, Non-u.s. Gov't
Abstract BACKGROUND: Pain is common at an emergency department (ED). Two common scales used to rate intensity are the visual analog scale (VAS) and the numeric rating scale (NRS), but it remains unknown which is superior to use in the ED. AIM: The aim of the study is to compare correlations between values on the VAS and the NRS in patients visiting the ED as well as to assess the patients' preference of scale. METHODS: Patients who visited the ED due to chest pain, abdominal pain, or an orthopedic condition during autumn 2012 were enrolled onto a cross-sectional study with a consecutive sample. Patients rated their pain using the VAS and NRS scales. They answered an open-ended oral questionnaire regarding their preference and their estimation of the sufficiency of the scales. Data were analyzed with significance test. RESULTS: In all, 217 patients (70% of eligible, 94% of invited) participated. The pain scores generated from the NRS and the VAS were found to strongly correlate (mean difference, 0.41; 95% confidence interval, 0.29-0.53). Most patients found the NRS easier to use than the VAS (61% and 22%, respectively; P < .001). Furthermore, a majority reported that the NRS reflected/described their pain better than the VAS (53% and 26%, respectively; P < .01). CONCLUSION: Because values on the NRS correspond well to values on the VAS, values rated with different scales over time might be comparable. Because a majority of the patients found the NRS scale simpler to use and preferred it over the VAS, it might be more appropriate to use in the ED.
Spatial Coverage Sweden
Description Country affiliation: Sweden
Author Affiliation: Göransson KE ( Department of Emergency Medicine, Karolinska University Hospital Solna, Stockholm, Sweden); Heilborn U ( Department of Emergency Medicine, Karolinska University Hospital Solna, Stockholm, Sweden.); Selberg J ( Department of Medicine in Solna, Karolinska Institutet, Stockholm, Sweden.); von Scheele S ( Department of Medicine in Solna, Karolinska Institutet, Stockholm, Sweden.); Djärv T ( Department of Emergency Medicine, Karolinska University Hospital Solna, Stockholm, Sweden)
ISSN 07356757
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2015-03-01
Publisher Place United States
e-ISSN 15328171
Journal The American Journal of Emergency Medicine
Volume Number 33
Issue Number 3


Source: WHO-Global Index Medicus