OBJECTIVES: The objective of the study was to describe analgesia utilization before and during the @entity341 ( @entity341 ) visit and assess factors associated with analgesia use in pediatric @entity1 with isolated @entity174 . METHODS: This retrospective cohort study of @entity1 aged 0 to 15 years with a diagnosis of an isolated @entity174 was conducted at a single, level I pediatric @entity130 center. @entity1 included were treated in the @entity341 within 12 hours of @entity130 and subsequently admitted to the hospital from January 2005 through August 2007. @entity158 medication received within the first hour after @entity341 arrival was categorized based on prespecified standard doses as follows: adequate, inadequate, and no @entity158 medication received. Cumulative logistic regression analysis assessed factors associated with analgesia use. RESULTS: There were 773 @entity1 with isolated @entity174 included in the analysis. Overall, 10% of @entity1 received adequate @entity158 medicine; 31% received inadequate medicine; and 59% received no @entity158 medicine within 1 hour of @entity341 arrival. In multivariable analysis, @entity1 with younger age, longer time from @entity130 arrival, closed @entity174 , and @entity174 were less likely to receive adequate @entity158 medicine during the @entity341 visit. Of those transported by emergency medical services directly from the scene to the @entity341 , 9 (10%) of 88 were given @entity158 medication during transport. CONCLUSIONS: @entity158 management in pediatric @entity1 following a @entity130 has been recognized as an important component of care. This study suggests that alleviation of @entity158 after @entity130 requires further attention in both the prehospital and @entity341 settings, especially among the youngest @entity1 .

Analgesic administration in the @entity341 for @entity1 requiring hospitalization for XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'upper-extremity fractures', 'long-bone fractures', 'long-bone fracture'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency department', 'ED'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain'] @entity130 :: ('MESH:D014947', 'Disease') :: ['injury to ED', 'traumatic injury', 'trauma', 'injury']
@entity174 :: (MESH:D050723,Disease) :: ['long-bone fracture']
