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J Korean Soc Emerg Med > Volume 24(6); 2013 > Article
Journal of The Korean Society of Emergency Medicine 2013;24(6): 702-708.
The Usefulness of the Hot Pack as a Complementary Technique for the Treatment of Non-specific Abdominal Pain or Acute Gastroenteritis in an Emergency Department
Ji Hyung Moon, Gyu Chong Cho, Choong Hyun Cho, Ji Yeong Ryu, Jung Hwan Ahn
1Department of Emergency Medicine, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University Medical Center, Seoul, Republic of Korea. erdrajh@naver.com
2Department of Emergency Medicine, School of Medicine, Kangwon National University Hospital, Kangwon National University, Chuncheon, Republic of Korea.
The aim of this study was to determine the effectiveness of the hot pack as a complementary technique for the treatment of nonspecific abdominal pain or acute gastroenteritis in a hospital emergency department.
This study was conducted as a prospective case-controlled trial of patients with nonspecific abdominal pain or acute gastroenteritis who visited an emergency department. A total of 166 participants, from 18 to 75 years old, were divided into two groups: patients treated with antispasmodics and hot pack (WH) group (n=83) and patients treated with antispasmodics without a hot pack (WOH) group (n=83). Patients rated their pain using the 10 cm numerical rating scale (NRS). Pain NRS was assessed four times: first on arrival and then at 1, 2, and 3 hours after treatment. The frequency of tramadol use and residence time was also assessed.
The two groups did not significantly differ in age or gender distribution. The mean NRS score also did not significantly differ between the groups upon arrival (p=0.847). The NRS scores at 1 hour and 2 hours after treatment in the WH group were significantly lower than NRS scores in the WOH group (p<0.001). There was no significant difference, however in NRS scores after 3 hours for both groups (p=0.091). There was a significant difference in NRS scores between admission and after 1 hour (p=0.005) and a significant difference in NRS scores between 2 hours and 3 hours (p<0.001). The frequency of tramadol use significantly differed between groups (p<0.01) but there was no significant difference in residence time in each group.
The hot pack is an effective complementary technique for reducing abdominal pain in the hospital emergency department.
Key words: Abdominal pain, Heating, Method, Pain management
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