Randomized double-blind placebo-controlled trial of two intravenous morphine dosages (0.10 mg/kg and 0.15 mg/kg) in emergency department patients with moderate to severe acute pain
被引:44
作者:
Birnbaum, Adrienne
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机构:
Albert Einstein Coll Med, Dept Emergency Med, Bronx, NY 10467 USAAlbert Einstein Coll Med, Dept Emergency Med, Bronx, NY 10467 USA
Birnbaum, Adrienne
[1
]
Esses, David
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机构:
Albert Einstein Coll Med, Dept Emergency Med, Bronx, NY 10467 USAAlbert Einstein Coll Med, Dept Emergency Med, Bronx, NY 10467 USA
Esses, David
[1
]
Bijur, Polly E.
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机构:
Albert Einstein Coll Med, Dept Emergency Med, Bronx, NY 10467 USAAlbert Einstein Coll Med, Dept Emergency Med, Bronx, NY 10467 USA
Bijur, Polly E.
[1
]
Holden, Lynne
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Albert Einstein Coll Med, Dept Emergency Med, Bronx, NY 10467 USAAlbert Einstein Coll Med, Dept Emergency Med, Bronx, NY 10467 USA
Holden, Lynne
[1
]
Gallagher, E. John
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Albert Einstein Coll Med, Dept Emergency Med, Bronx, NY 10467 USAAlbert Einstein Coll Med, Dept Emergency Med, Bronx, NY 10467 USA
Gallagher, E. John
[1
]
机构:
[1] Albert Einstein Coll Med, Dept Emergency Med, Bronx, NY 10467 USA
Study objective: We compare pain relief and safety of morphine 0.10 mg/kg with 0.15 mg/kg in adult emergency department (ED) patients with acute pain. Methods: This was a randomized double-blind placebo-controlled trial of intravenous morphine 0.10 mg/kg versus 0.15 mg/kg, (delivered in 2 divided doses) in adult ED patients with acute pain requiring opioid analgesia. Assessment was made at baseline, 30 minutes, and 60 minutes with a validated verbal numeric rating scale. Pain reduction and satisfaction scores were measured at 30 and 60 minutes. The primary outcome measure was the between-group difference in mean before-after change in numeric rating scale from baseline to 60 minutes. Results: Two hundred eighty patients were enrolled. Between-group difference in numeric rating scale improvement from baseline to 60 minutes was 0.8 (95% confidence interval 0.1 to 1.5), favoring the 0.15 mg/kg group. Pain relief scores and adverse events were similar in the 2 groups. Conclusion: Although 0.15 mg/kg of morphine is safe and provides statistically superior analgesia compared with a dose of morphine at 0.10 mg/kg, this difference in pain reduction did not reach the threshold of greater than 1.3 numeric rating scale units required to declare the higher dose of morphine clinically superior.
机构:
Albert Einstein Coll Med, Rose F Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USAAlbert Einstein Coll Med, Rose F Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USA
Bijur, PE
;
Kenny, MK
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Albert Einstein Coll Med, Rose F Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USAAlbert Einstein Coll Med, Rose F Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USA
Kenny, MK
;
Gallagher, EJ
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机构:
Albert Einstein Coll Med, Rose F Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USAAlbert Einstein Coll Med, Rose F Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USA
机构:
Yeshiva Univ Albert Einstein Coll Med, Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USAYeshiva Univ Albert Einstein Coll Med, Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USA
Bijur, PE
;
Latimer, CT
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机构:
Yeshiva Univ Albert Einstein Coll Med, Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USAYeshiva Univ Albert Einstein Coll Med, Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USA
Latimer, CT
;
Gallagher, EJ
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h-index: 0
机构:
Yeshiva Univ Albert Einstein Coll Med, Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USAYeshiva Univ Albert Einstein Coll Med, Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USA
机构:
Albert Einstein Coll Med, Rose F Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USAAlbert Einstein Coll Med, Rose F Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USA
Bijur, PE
;
Kenny, MK
论文数: 0引用数: 0
h-index: 0
机构:
Albert Einstein Coll Med, Rose F Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USAAlbert Einstein Coll Med, Rose F Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USA
Kenny, MK
;
Gallagher, EJ
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h-index: 0
机构:
Albert Einstein Coll Med, Rose F Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USAAlbert Einstein Coll Med, Rose F Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USA
机构:
Yeshiva Univ Albert Einstein Coll Med, Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USAYeshiva Univ Albert Einstein Coll Med, Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USA
Bijur, PE
;
Latimer, CT
论文数: 0引用数: 0
h-index: 0
机构:
Yeshiva Univ Albert Einstein Coll Med, Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USAYeshiva Univ Albert Einstein Coll Med, Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USA
Latimer, CT
;
Gallagher, EJ
论文数: 0引用数: 0
h-index: 0
机构:
Yeshiva Univ Albert Einstein Coll Med, Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USAYeshiva Univ Albert Einstein Coll Med, Kennedy Ctr, Dept Emergency Med, Bronx, NY 10461 USA