Title : Patient factors and outpatient pain control in patients discharged from a regional burn center with minor-to-medium-sized burns
Background: The idea for this study began in our outpatient burn clinic, where practitioners noticed the burn clinic was receiving numerous phone calls regarding uncontrolled pain after discharge. This prompted the question, why? Why are patients having uncontrolled pain and why is the medication not helping them?
Objectives: Goals for this study is to explore the efficacy of pain control in patients with thermal burns post discharge from the hospital and to identify non-injury patient factors associated with reported pain.
Design: Retrospective Cohort Study
Methods: Institutional Review Board (IRB) approval was granted to perform this project using a HIPAA waiver. A systematic review of all adult patients seen in the burn clinic between October 1st, 2016 – April 30th, 2017 was performed. Inclusion criteria included adult patients with thermal injuries involving less than 15% of total body surface area (TBSA) presenting to the clinic for initial follow up after treatment at the burn center. Data regarding patient demographics, social history and mental health diagnoses were collected from patient’s electronic medical record (EPIC) and analyzed for results. Averages were determined as arithmetic mean +/- standard deviation. Differences in reported pain scores between groups were assessed for significance using unpaired two-tailed-test.
Results: A total of 409 patients were admitted to the Burn Center during the study period, with n=104 patients meeting criteria for this study. On univariate analysis, the presence of mental health disorder prior to burn injury was found to have a higher statistically significant association with higher reported pain scores on initial follow-up clinic visit ( p=0.02).
Conclusions: Patients with a history of mental health disorder report significantly more pain, than those without such diagnosis. Further exploration of this finding is to identify ways in which uncontrolled pain after discharge can be prevented.
Audience Take Away:
- To explore the efficacy of pain control in patients with thermal burns admitted to an American Burn Association (ABA) verified burn center post discharge.
- Document the subjective pain control for burn patients discharged from an American Burn Association (ABA) verified burn center.
- To identify non-injury patient factors associated with reported pain.