title: Comparison of patient and caregiver perception of pain from commonly performed accident and emergency services procedures.
abstract: OBJECTIVE
  To compare the perception by naive patients, emergency services clinicians and nurses, of healthcare-induced pain for procedures performed frequently by accident and emergency services.
  
  
  METHODS
  A prospective, three-part anonymous survey, given to caregivers and patients at arrival accident and emergency services. The primary endpoint was the a priori estimated pain score for 10 procedures performed frequently by accident and emergency services. The same estimation was performed with the 'willingness to pay' method (amount allocated a priori to avoid this pain).
  
  
  RESULTS
  Fifty surveys were analyzed in each group, with a significant difference for pain perception between caregivers and patients concerning four procedures: local anesthesia, fracture or dislocation reduction, dressing change and abscess incision. Caregivers always overestimated pain scores compared with patients. No difference was noted for the remaining five procedures: intravenous line insertion and removal, urethral catheterization, wound suture and nasogastric intubation.
  
  
  CONCLUSIONS
  Caregivers should be aware of the most feared procedures by patients to establish pre-emptive analgesia when possible, inform patients and achieve reassurance.
authors.affiliation: aSAMU31bDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital of Toulouse, ToulousecDepartment of Anaesthesiology, Clinical Complex of Cedres, Cornebarrieu, France.
authors.forename: Manon
authors.initials: M
authors.lastname: Durand Bechu
authors.forename: Vincent
authors.initials: V
authors.lastname: Mouysset
authors.forename: Vincent
authors.initials: V
authors.lastname: Minville
authors.forename: Vincent
authors.initials: V
authors.lastname: Bounes
authors.forename: Charles H
authors.initials: CH
authors.lastname: Houze-Cerfon
mesh_terms: D000059:Accidents / Q000523:psychology / Q000706:statistics & numerical data; D004635:Emergency Medicine / Q000706:statistics & numerical data; D016529:Emergency Nursing / Q000706:statistics & numerical data; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D058748:Pain Perception; D010820:Physicians / Q000706:statistics & numerical data; D011446:Prospective Studies; D011795:Surveys and Questionnaires