{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T03:02:17Z","timestamp":1784257337518,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,10,13]],"date-time":"2016-10-13T00:00:00Z","timestamp":1476316800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Evaluation of acute pain is often difficult in older patients admitted to the Emergency Department (<jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>), and self\u2010evaluation of pain is not always possible. This observational study evaluates how the systematic use of Algoplus<jats:sup>\u00ae<\/jats:sup>, a validated behavioral scale, could improve pain management of older persons admitted to the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The intervention study (<jats:styled-content style=\"fixed-case\">NCT<\/jats:styled-content> 02258503) took place in 4 steps in the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>, University Hospital Clermont\u2010Ferrand, France. Pain assessment and analgesics prescription were collected from medical files for 3 months. For 6 months, the whole staff of the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> were trained on pain assessment and to use Algoplus<jats:sup>\u00ae<\/jats:sup> scale (3\u2014same as step 1). To evaluate the intervention, pain assessment and analgesics prescription were compared before and after implementation by 2\u2010sided tests with a type I error set at \u03b1 = 0.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The intervention led to systematic pain evaluation with Algoplus<jats:sup>\u00ae<\/jats:sup> in 100% of patients (\u2265 75 years old, <jats:italic>n<\/jats:italic> = 434) and was completed by numeric rating scale (<jats:styled-content style=\"fixed-case\">NRS<\/jats:styled-content>) and other evaluations. Pearson's correlation between <jats:styled-content style=\"fixed-case\">NRS<\/jats:styled-content> \u2265 3 and Algoplus<jats:sup>\u00ae<\/jats:sup> &lt; 2 was 0.61. Prescription of analgesics (+6%) especially opioids increased nonsignificantly but was similar for all patients whatever the evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The systematic introduction of Algoplus<jats:sup>\u00ae<\/jats:sup> scale in the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> allowed a change in practice by improving evaluation and management of pain in patients \u2265 75 years old, especially when difficult to be evaluated. Algoplus<jats:sup>\u00ae<\/jats:sup> allowed an objective levelling of analgesics prescription in all admitted patients. It also promoted field action to improve pain management in <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.12498","type":"journal-article","created":{"date-parts":[[2016,10,13]],"date-time":"2016-10-13T23:50:36Z","timestamp":1476402636000},"page":"655-662","source":"Crossref","is-referenced-by-count":12,"title":["Intervention Study with Algoplus<sup>\u00ae<\/sup>: A Pain Behavioral Scale for Older Patients in the Emergency Department"],"prefix":"10.1111","volume":"17","author":[{"given":"Fares","family":"Moustafa","sequence":"first","affiliation":[{"name":"Emergency Department CHU Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Macian","sequence":"additional","affiliation":[{"name":"CHU Clermont\u2010Ferrand Clinical Pharmacology Department Clermont\u2010Ferrand 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