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Metrics (View:168)- Factors Associated With Pain Management For Trauma Patients In Pre-Hospital Emergency Care In Ho Chi Minh City
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Factors Associated With Pain Management For Trauma Patients In Pre-Hospital Emergency Care In Ho Chi Minh City
Published Online: Jul 29, 2025
Abstract
Introduction: Trauma represents a significant proportion of prehospital emergency cases and ranks among the leading contributors to DALYs. Implementing pain relief interventions enhances patient survival rates, reduces disability prevalence, and ultimately improves overall quality of life. This study aims to explore the characteristics of prehospital trauma cases and factors associated with pain management in Ho Chi Minh City from 2022 to 2024.
Methods: All trauma patients managed by prehospital emergency teams in Ho Chi Minh City between 2022 and 2024 were retrospectively enrolled in this descriptive study.
Results: From 2022 to 2024, a total of 10,038 cases were included in the study, accounting for 20% of all emergencies handled by the prehospital emergency system. Males accounted for 61.7% of the cases, with the mean age of all trauma patients being 48 years (SD 22.3). Common injuries included limb lesion (36.3%), head injury (33.3%), and multiple trauma (9.0%). Doctors led 49% of emergency teams, and medical technicians led 20%. After excluding pre-arrival deaths or cardiac arrest cases (187 cases), 9,851 patients were included in the analysis of pain management. Pain relief was provided in 18.3% of cases, primarily NSAIDs (13.8%), paracetamol (5.5%), and opioids (1.2%). Poisson regression analysis, with a significance level of 0.05, showed higher likelihood of analgesic use among doctors as emergency team leader (aPR=1.79; 95% CI: 1.59–2.01); for female patients (aPR=1.17; 95% CI: 1.08–1.26); limb injury presented (aPR=1.98; 95% CI: 1.80–2.17); multiple trauma presented (aPR=1.30; 95% CI: 1.14-1.49); chest injury presented (aPR=1.52; 95% CI: 1.28–1.79); and for occupational accident cases (aPR=1.18; 95% CI: 1.06–1.31), compared to other respective groups. Conversely, the rate of analgesic use was lower among patients with head injuries (aPR=0.64; 95% CI: 0.57–0.71).
Conclusion: Effective pain management in patients is essential and should be promoted through appropriate interventions. Emphasis should be placed on patients with head injuries, ensuring equitable pain management across all patient groups.