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  1. Article ; Online: Influence of Medical Interpreters on the Healthcare Experiences of Hospitalized Spanish-Speaking Patients.

    Arce Guzman, Christian / Morocho, Catherin D / Lentsch, Kristen / Meagher, Ashley D

    Hispanic health care international : the official journal of the National Association of Hispanic Nurses

    2024  , Page(s) 15404153241246803

    Abstract: Introduction: ...

    Abstract Introduction:
    Language English
    Publishing date 2024-04-13
    Publishing country United States
    Document type Journal Article
    ISSN 1938-8993
    ISSN (online) 1938-8993
    DOI 10.1177/15404153241246803
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Implementation of Multimodal Pain Protocol Associated With Opioid Use Reduction in Trauma Patients.

    Sparks Joplin, Tasha / Bhatia, Manisha B / Robbins, Christopher B / Morocho, Catherin D / Chiang, Jessica C / Murphy, Patrick B / Miller, Emily M / Meagher, Ashley D / Padilla-Jones, Brandy B

    The Journal of surgical research

    2022  Volume 284, Page(s) 114–123

    Abstract: Introduction: Many trauma centers have adopted multimodal pain protocols (MMPPs) to provide safe and effective pain control. The objective was to evaluate the association of a protocol on opioid use in trauma patients and patient-reported pain scores.!## ...

    Abstract Introduction: Many trauma centers have adopted multimodal pain protocols (MMPPs) to provide safe and effective pain control. The objective was to evaluate the association of a protocol on opioid use in trauma patients and patient-reported pain scores.
    Methods: This was a retrospective review of adult trauma patients admitted from 7/1-9/30/2018 to 7/1-9/30/2019 at an urban academic level 1 trauma center. The MMPP consisted of scheduled nonopioid medications implemented on July 1, 2019. Patients were stratified by level of care upon admission, intensive care unit (ICU) or floor, and by injury severity score (ISS) (ISS < 16 or ISS ≥ 16). Pain scores, opioid, and nonopioid analgesic medication use were compared for the hospital stay or first 30 d.
    Results: Seven hundred ninety eight patients were included with a mean age of 54 ± 22 y and 511 (64.0%) were men. Demographic and clinical characteristics between those in the pre-MMP (n = 404) and post-MMPP (n = 394) groups were not different. The average pain scores were not different between the two groups (3.7 versus 3.8, P = 0.44), but patients in the post-MMPP group received 36% less morphine milliequivalents (109.6 versus 70; P < 0.0001). The MMPP had the largest effect on patients admitted to the ICU regardless of injury severity. ICU patients with ISS ≥ 16 had the greatest reduction in morphine milliequivalents (174.6 versus 84.4; P < 0.0001). The use of nonopioid analgesics was significantly increased in all groups.
    Conclusions: A MMPP is associated with a reduction of opioids and increase in nonopioid analgesics with no difference in patient-reported pain scores.
    MeSH term(s) Male ; Adult ; Humans ; Middle Aged ; Aged ; Female ; Analgesics, Opioid/therapeutic use ; Analgesics, Non-Narcotic/therapeutic use ; Opioid-Related Disorders ; Retrospective Studies ; Morphine Derivatives/therapeutic use ; Pain ; Pain, Postoperative/drug therapy
    Chemical Substances magnesium monoperoxyphthalate (YN884S965H) ; Analgesics, Opioid ; Analgesics, Non-Narcotic ; Morphine Derivatives
    Language English
    Publishing date 2022-12-21
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2022.10.052
    Database MEDical Literature Analysis and Retrieval System OnLINE

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