TY  - JOUR
PY  - 2012//
TI  - Pain after earthquake
JO  - Scandinavian journal of trauma, resuscitation and emergency medicine
A1  - Angeletti, Chiara
A1  - Guetti, Cristiana
A1  - Papola, Roberta
A1  - Petrucci, Emiliano
A1  - Ursini, Maria Laura
A1  - Ciccozzi, Alessandra
A1  - Masi, Francesca
A1  - Russo, Maria Rosaria
A1  - Squarcione, Salvatore
A1  - Paladini, Antonella
A1  - Pergolizzi, Joseph
A1  - Taylor, Robert
A1  - Varrassi, Giustino
A1  - Marinangeli, Franco
SP  - 43
EP  - 43
VL  - 20
IS  - 1
N2  - INTRODUCTION: On 6 April 2009, at 03:32 local time, an Mw 6.3 earthquake hit the Abruzzi region of central Italy causing widespread damage in the City of L Aquila and its nearby villages. The earthquake caused 308 casualties and over 1,500 injuries, displaced more than 25,000 peopleand induced significant damage to more than 10,000 buildings in the L'Aquila region. Objectives This observational retrospective study evaluated the prevalence and drug treatment of pain in the five weeks following the L'Aquila earthquake (April 6, 2009). METHODS: 958 triage documents were analysed for patients pain severity, pain type, and treatment efficacy. RESULTS: A third of pain patients reported pain with a prevalence of 34.6%. More than half of pain patients reported severe pain (58.8%). Analgesic agents were limited to available drugs: antiinflammatory agents, paracetamol, and weak opioids. Reduction in verbal numerical pain scores within the first 24 hours after treatment was achieved with the medications at hand.Pain prevalence and characterization exhibited a biphasic pattern with acute pain syndromes owing to trauma occurring in the first 15 days after the earthquake; traumatic pain thendecreased and re-surged at around week five, owing to rebuilding efforts. In the secondthrough fourth week, reports of pain occurred mainly owing to relapses of chronic conditions. CONCLUSIONS: This study indicates that pain is prevalent during natural disasters, may exhibit a discernible pattern over the weeks following the event, and current drug treatments in this region may be adequate for emergency situations.<p />  <p>Language: en</p>
LA  - en
SN  - 1757-7241
UR  - http://dx.doi.org/10.1186/1757-7241-20-43
ID  - ref1
ER  -