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The Usefulness of the Hot Pack as a Complementary Technique for the Treatment of Non-specific Abdominal Pain or Acute Gastroenteritis in an Emergency Department
Journal of the Korean Society of Emergency Medicine ; : 702-708, 2013.
Article in Korean | WPRIM | ID: wpr-73508
ABSTRACT

PURPOSE:

The aim of this study was to determine the effectiveness of the hot pack as a complementary technique for the treatment of nonspecific abdominal pain or acute gastroenteritis in a hospital emergency department.

METHODS:

This study was conducted as a prospective case-controlled trial of patients with nonspecific abdominal pain or acute gastroenteritis who visited an emergency department. A total of 166 participants, from 18 to 75 years old, were divided into two groups patients treated with antispasmodics and hot pack (WH) group (n=83) and patients treated with antispasmodics without a hot pack (WOH) group (n=83). Patients rated their pain using the 10 cm numerical rating scale (NRS). Pain NRS was assessed four times first on arrival and then at 1, 2, and 3 hours after treatment. The frequency of tramadol use and residence time was also assessed.

RESULTS:

The two groups did not significantly differ in age or gender distribution. The mean NRS score also did not significantly differ between the groups upon arrival (p=0.847). The NRS scores at 1 hour and 2 hours after treatment in the WH group were significantly lower than NRS scores in the WOH group (p<0.001). There was no significant difference, however in NRS scores after 3 hours for both groups (p=0.091). There was a significant difference in NRS scores between admission and after 1 hour (p=0.005) and a significant difference in NRS scores between 2 hours and 3 hours (p<0.001). The frequency of tramadol use significantly differed between groups (p<0.01) but there was no significant difference in residence time in each group.

CONCLUSION:

The hot pack is an effective complementary technique for reducing abdominal pain in the hospital emergency department.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Parasympatholytics / Tramadol / Abdominal Pain / Case-Control Studies / Prospective Studies / Emergencies / Pain Management / Gastroenteritis / Heating Type of study: Observational study Limits: Humans Language: Korean Journal: Journal of the Korean Society of Emergency Medicine Year: 2013 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Parasympatholytics / Tramadol / Abdominal Pain / Case-Control Studies / Prospective Studies / Emergencies / Pain Management / Gastroenteritis / Heating Type of study: Observational study Limits: Humans Language: Korean Journal: Journal of the Korean Society of Emergency Medicine Year: 2013 Type: Article