{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:53:25Z","timestamp":1777463605051,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,9,19]],"date-time":"2017-09-19T00:00:00Z","timestamp":1505779200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["British Journal of Pain"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pain is a common complaint in patients attending the emergency department (ED), and historically, it is under-assessed and undertreated. Previous research is heterogeneous and does not well describe pain in EDs over time. Our aim was to describe pain in a UK ED using a sample that included every adult attendance over the course of 1 week.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed every adult attendance (N = 1872) over 1 week to the ED of a large English NHS District General Hospital. We noted the initial pain score and, if the initial score was \u22655, the final recorded pain score. We categorised attendances as \u2018illness\u2019 or \u2018injury\u2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In all, 62.1% of patients had a pain score recorded, of whom 50.7% had a pain score of zero. Median pain score was 6\/10 in patients with pain; 58% had a second score recorded. More patients with illness than injury had a second score recorded. Most patients had an improvement in their pain; however, around one-third had no change or worse pain at the end of their ED stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We have defined the incidence, severity and change in pain in an ED over 1 week. This information will underpin the design of future studies aimed at improving patient care in this important area of emergency medicine practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2049463717731898","type":"journal-article","created":{"date-parts":[[2017,9,19]],"date-time":"2017-09-19T10:26:33Z","timestamp":1505816793000},"page":"58-63","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["A week of pain in the emergency department"],"prefix":"10.1177","volume":"12","author":[{"given":"Hilary Sarah","family":"Thornton","sequence":"first","affiliation":[{"name":"Emergency Medicine Academic Group, Department of Cardiovascular Sciences, University of Leicester, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Emergency Medicine Academic Group, Department of Cardiovascular Sciences, University of Leicester, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy J","family":"Coats","sequence":"additional","affiliation":[{"name":"Emergency Medicine Academic Group, Department of Cardiovascular Sciences, University of Leicester, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,9,19]]},"reference":[{"key":"bibr1-2049463717731898","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-4679(98)00012-2"},{"key":"bibr2-2049463717731898","doi-asserted-by":"publisher","DOI":"10.1053\/ajem.2002.32643"},{"key":"bibr3-2049463717731898","doi-asserted-by":"publisher","DOI":"10.1016\/0736-4679(95)80023-9"},{"key":"bibr4-2049463717731898","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2006.12.005"},{"key":"bibr5-2049463717731898","first-page":"5","volume":"2","author":"Motov SM","year":"2009","journal-title":"J Pain Res"},{"key":"bibr6-2049463717731898","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2003.11.019"},{"key":"bibr7-2049463717731898","doi-asserted-by":"publisher","DOI":"10.1016\/S0099-1767(99)70200-X"},{"key":"bibr8-2049463717731898","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0b013e3283418fb0"},{"key":"bibr9-2049463717731898","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(96)70238-X"},{"key":"bibr10-2049463717731898","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1996.tb03402.x"},{"key":"bibr11-2049463717731898","doi-asserted-by":"publisher","DOI":"10.1136\/emj.18.3.205"},{"key":"bibr12-2049463717731898","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1998.tb02667.x"},{"key":"bibr13-2049463717731898","doi-asserted-by":"publisher","DOI":"10.1046\/j.1442-2026.2001.00179.x"},{"key":"bibr14-2049463717731898","unstructured":"College of Emergency Medicine. CEM clinical audits 2012\u20132013: renal colic, 2013, http:\/\/www.rcem.ac.uk\/docs\/Previous%20Audits\/CEM6878-CEM-Renal-Colic-Audit-2012.pdf (accessed 12 September 2017)."},{"key":"bibr15-2049463717731898","unstructured":"College of Emergency Medicine. CEM clinical audits 2012\u20132013: fractured neck of femur, 2013, http:\/\/www.rcem.ac.uk\/docs\/Previous%20Audits\/CEM6880-CEM-FNOF-Audit-2012.pdf (accessed 12 September 2017)."},{"key":"bibr16-2049463717731898","unstructured":"International Association for the Study of Pain. Declaration of Montreal, 2010, https:\/\/www.iasp-pain.org\/files\/Content\/NavigationMenu\/Advocacy\/InternationalPainSummit\/2010Program\/Program_09162010.pdf (accessed 12 September 2017)."},{"key":"bibr17-2049463717731898","unstructured":"Veterans Health Administration. Pain as the 5th vital sign toolkit, 2000, https:\/\/www.va.gov\/PAINMANAGEMENT\/docs\/Pain_As_the_5th_Vital_Sign_Toolkit.pdf (accessed 12 September 2017)."},{"key":"bibr18-2049463717731898","unstructured":"Clinical Standards for Emergency Departments. College of Emergency Medicine, 2014, https:\/\/www.rcem.ac.uk\/docs\/Clinical%20Standards%20and%20Guidance\/Clinical%20Standards%20for%20Emergency%20Departments.pdf (accessed 12 September 2017)."}],"container-title":["British Journal of Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2049463717731898","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2049463717731898","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2049463717731898","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:21:02Z","timestamp":1777382462000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2049463717731898"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,19]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1177\/2049463717731898"],"URL":"https:\/\/doi.org\/10.1177\/2049463717731898","relation":{},"ISSN":["2049-4637","2049-4645"],"issn-type":[{"value":"2049-4637","type":"print"},{"value":"2049-4645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,19]]}}}