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ASH 2025 | Emergency department versus pain infusion clinic management for acute pain in adults with SCD

In this video, Daniel Sop, PhD, Virginia Commonwealth University, Richmond, VA, briefly discusses the comparative effectiveness of emergency department versus pain infusion clinic management for acute pain in adults with sickle cell disease (SCD), highlighting that patients who receive care in a pain infusion center get their first dose of analgesia much more promptly. This interview took place at the 67th ASH Annual Meeting and Exposition, held in Orlando, FL.

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Transcript

This presentation is a work that is looking to see the difference between how the emergency department delivers care for patients that have sickle cell disease compared to the pain infusion center. And it’s very important because the key drivers for patients that have sickle cell disease is acute pain. And that is what gets them to the hospital. But that acute pain requires that they receive a certain amount of medicine in a timely manner...

This presentation is a work that is looking to see the difference between how the emergency department delivers care for patients that have sickle cell disease compared to the pain infusion center. And it’s very important because the key drivers for patients that have sickle cell disease is acute pain. And that is what gets them to the hospital. But that acute pain requires that they receive a certain amount of medicine in a timely manner. In the emergency room, it takes a long time. Our study shows that it takes about 120 to 130 minutes before the patient gets the first dose of analgesia, the medicine that relieves pain for them, whereas in the pain infusion center, it only takes about 31 minutes. And that difference can make a huge change for the patient’s health, for the patient’s experience in the emergency, because the longer you wait before you get analgesia, the more your disease is likely to just cascade into complications and complications that may result in boarding and hospital admission.

 

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