Gender, age and ethnicity influence on pain levels and analgesic use in the acute whiplash injury
- 11 June 2014
- journal article
- Published by Springer Science and Business Media LLC in European Journal of Trauma and Emergency Surgery
- Vol. 41 (3), 287-291
- https://doi.org/10.1007/s00068-014-0419-2
Abstract
Initial pain level in the acute whiplash injury is the most consistent predictor of transformation to a chronic pain syndrome. The risk factors for those early pain levels were, to our knowledge, scarcely evaluate to this date. We set to evaluate whether gender, age or ethnicity comprise a risk factor for those initial pain levels. Further, gender, age and ethnicity have been shown to be bias factors in pain management. We investigated if gender, age or ethnicity are bias factor in pain management in the face of a standardized pain treatment protocol in the acute whiplash injury. We reviewed 2,538 patients with acute whiplash injury that were treated at our emergency department (ED). Gender, age and ethnicity were investigated as risk factors for elevated visual analog scale (VAS) scores. Those factors were also investigated as bias in pain medication administration in the face of a standardized analgesic protocol. Women had significantly higher VAS scores (p = 0.009). Age and ethnicity did not influence pain levels. There was no influence of gender or age on pain medication administration. The Jewish patients (the majority in Israel) were administered fewer pain medication (p Women have higher initial pain levels in the acute whiplash injury. Age and ethnicity have less impact on those pain levels. A pain management protocol might reduce bias in pain management in the acute whiplash injury in the ED. The Jewish population tends to be less receptive to pain medication administration.Keywords
This publication has 26 references indexed in Scilit:
- Pain among Older Hispanics in the United States: Is Acculturation Associated with Pain?Pain Medicine, 2013
- A national survey of clinical practice for the management of whiplash-associated disorders in UK emergency departmentsEmergency Medicine Journal, 2009
- Sex, Gender, and Pain: A Review of Recent Clinical and Experimental FindingsThe Journal of Pain, 2009
- A systematic review on barriers hindering adequate cancer pain management and interventions to reduce them: A critical appraisalEuropean Journal Of Cancer, 2009
- Race, Ethnicity, and Management of Pain from Long‐bone Fractures: A Prospective Study of Two Academic Urban Emergency DepartmentsAcademic Emergency Medicine, 2008
- Gender Disparity in Analgesic Treatment of Emergency Department Patients with Acute Abdominal PainAcademic Emergency Medicine, 2008
- The influence of prognostic factors on neck pain intensity, disability, anxiety and depression over a 2-year period in subjects with acute whiplash injuryPain, 2006
- Factors Influencing Neck Pain Intensity in Whiplash-Associated DisordersSpine, 2006
- The Unequal Burden of Pain: Confronting Racial and Ethnic Disparities in PainPain Medicine, 2003
- Association between CMD signs and symptoms, oral parafunctions, race and sex, in 4–6‐year‐old African‐American and Caucasian childrenJournal of Oral Rehabilitation, 1995