STUDY OBJECTIVES: We analyze records of all @entity341 ( @entity341 ) @entity1 with extremity or @entity174 to describe analgesic use, compare @entity1337 between adults and @entity1 , and compare @entity1337 between the subset of these adults and @entity1 with documented moderate or severe @entity158 . Among @entity1 , we compare treatment between pediatric and nonpediatric facilities. METHODS: Analysis of the @entity341 component of the National Center for Health Statistics National Hospital Ambulatory Medical Care Survey for 1997 through 2000 was conducted. The proportion of @entity1 with closed extremity and @entity174 that received any analgesic and narcotic analgesic medications was determined for each age category. Survey-adjusted regression analyses compared @entity158 and narcotic medications by age and @entity341 type (pediatric versus other). Analyses were repeated for the subset of @entity1 with moderate or severe @entity158 severity scores. RESULTS: Of 2,828 @entity1 with isolated closed @entity174 of the extremities or clavicle, 64% received any analgesic and 42% received a narcotic analgesic. @entity158 severity scores were recorded for 59% of visits overall, 47% of @entity1 younger than 4 years, and 34% of @entity1 younger than 1 year. Among @entity1 with documented moderate or severe @entity158 , 73% received an analgesic and 54% received a narcotic analgesic. Compared with adults, a lower proportion of @entity1 (< or = 15 years) received either any analgesic or a narcotic analgesic (P <.001). After adjustment for confounders and survey design, the proportion of @entity1 aged 0 to 3, 4 to 8, 9 to 15, 16 to 29, 30 to 69, and 70 years and older who received any analgesic was 54% (95% confidence interval [CI] 41% to 67%), 63% (95% CI 57% to 68%), 60% (95% CI 57% to 64%), 67% (95% CI 62% to 73%), 68% (95% CI 64% to 72%), and 58% (95% CI 52% to 65%), respectively; the proportion who received a narcotic analgesic was 21% (95% CI 11% to 31%), 30% (95% CI 22% to 37%), 27% (95% CI 23% to 32%), 47% (95% CI 40% to 54%), 51% (95% CI 46% to 56%), and 41% (95% CI 35% to 48%), respectively. Compared with @entity1 treated in other EDs, @entity1 treated in pediatric EDs were about as likely to receive any @entity1337 (adjusted relative risk [RR] 1.1; 95% CI 0.9 to 1.3) or narcotic @entity1337 (adjusted RR 0.9; 95% CI 0.6 to 1.2). CONCLUSION: In pediatric and adult @entity1 , @entity158 medications were frequently not part of @entity341 treatment for @entity174 , even for visits with documented moderate or severe @entity158 . @entity158 severity scores were often not recorded. Pediatric @entity1 were least likely to receive analgesics, especially narcotics.

Emergency department XXXX for @entity158 .

@entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'clavicular fractures', 'clavicular fracture'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency department', 'ED'] @entity1337 :: ('MESH:D000699', 'Disease') :: ['analgesia'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain']
@entity1337 :: (MESH:D000699,Disease) :: ['analgesia']
