A survey of acute pain services in the UK
A survey of acute pain services in the UK
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DOI：
10.1111/anae.14007
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发表时间：
2017-10-01
期刊：
影响因子：
10.7
通讯作者：
Waeland, D.
中科院分区：
文献类型：
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作者：
Rockett, M.;Vanstone, R.;Waeland, D.
英国医院住院疼痛管理的组织状况很难确定。我们向英国各地的 209 名急性疼痛服务负责人发送了一份电子调查问卷。问题涉及人员配置和服务提供。我们收到 141 份回复 (67%)；占英国所有医院的 47%。每项服务负责的床位中位数（IQR [范围]）为 566 (400-839 [120-2800]) 个床位。每个急性疼痛专科护士负责 299 个（238-534 [70-1923]）张床位。每周咨询小时数的平均 (SD) 为 5.54 (4.62)，由中位数为 1.0 (1.0-2.5 [0.2-7.0]) 的顾问提供。 20 家 (15%) 急性疼痛服务机构提供过夜承保，39 家 (29%) 家提供周末承保。除了急性疼痛管理之外，急性疼痛服务通常（在 50 家 (35%) 医院中）还发挥着作用。大多数团队（105 个（77%））审查了内科患者和慢性疼痛患者（131 个团队（96%））。一半的服务机构 (56, (49%)) 报告称，它们是急性和慢性疼痛综合服务的一部分，但是，83 (59%) 的机构没有任何成员在慢性疼痛诊所工作。大多数人（79 人，（70%））能够向指定的慢性疼痛顾问寻求建议。英国各地提供的急性疼痛服务差异很大。大多数不符合英国核心标准。
The organisational state of inpatient pain management in UK hospitals is difficult to determine. We sent an electronic questionnaire to 209 acute pain service leads throughout the UK. Questions were about staffing and service provision. We received 141 responses (67%); 47% of all UK hospitals. Each service was responsible for a median (IQR [range]) of 566 (400-839 [120-2800]) beds. Each acute pain specialist nurse was responsible for 299 (238-534 [70-1923]) beds. The mean (SD) number of consultant hours per week was 5.54 (4.62), delivered by a median of 1.0 (1.0-2.5 [0.2-7.0]) consultant. Overnight cover was provided by 20 (15%) acute pain services, and weekend cover by 39 (29%). Acute pain services commonly (in 50 (35%) hospitals) had roles in addition to acute pain management. Most teams (105, (77%)) reviewed medical patients and patients with chronic pain (in 131, (96%) teams). Half of the services (56, (49%)), reported that they were part of an integrated acute and chronic pain service, however, 83 (59%) did not have any members who work in chronic pain clinics. The majority (79, (70%)) were able to access a nominated chronic pain consultant for advice. Provision of acute pain services throughout the UK is highly variable. The majority do not meet core UK standards.