Category: Pain Management

EP239-2 - Chart Audit of High Frequency Emergency Department Users: Health Demographics, Chronic Pain, AND Opioid Provision

Friday, Nov 24
1:35 PM – 1:50 PM

Background: Chronic pain (CP) affects 1 in 5 Canadians and challenges primary care providers (PCP). Lack of community care and limited expertise access can lead to frequent, costly emergency department (ED) visits and hospital admissions.
Summary: A 2012 chart review by The Ottawa Hospital (TOH) demonstrated 12.9% of high frequency users (HFU) (>12 ED visits/year) ED visits were for CP. This study replicates TOH protocol within Thunder Bay Regional Health Sciences Centre (TBRHSC) ED, an urban-rural setting, with one of Canada’s busiest with over 100,000 visits annually. The goals of this study are: provide demographic characteristics of HFU at TBRHSC ED; identify percentage of CP- HFU presenting; identify percentage of CP-HFU with a PCP; CP-HFU length of ED stay; and expense of CP-HFU for TBRHSC.

Results: Data collection to begin April 2017. These remote urban setting results will be compared to TOH findings.
Discussion/
Conclusion: CP is a personal and systems burden. Clarification of reality in Canada’s busiest ED will assist in RTC phase of research Fall 2017: implementing an interprofessional care pathway.

Bryan Macleod

Physician Lead, Chronic Pain management Program
St. Joseph's Health Centre, Chronic Pain Management Program

Bryan is a Pain Medicine Consultant and the physician lead for the Chronic Pain Management Program at St. Joseph's Care Group in Thunder Bay, ON. This team is one of the largest interdisciplinary pain management teams in Ontario. Bryan also teaches at the Northern Ontario School of Medicine as an Associate Professor. In his waning spare time Bryan does improv theater.

Bryan Macleod

Physician Lead, Chronic Pain management Program
St. Joseph's Health Centre, Chronic Pain Management Program

Bryan is a Pain Medicine Consultant and the physician lead for the Chronic Pain Management Program at St. Joseph's Care Group in Thunder Bay, ON. This team is one of the largest interdisciplinary pain management teams in Ontario. Bryan also teaches at the Northern Ontario School of Medicine as an Associate Professor. In his waning spare time Bryan does improv theater.

Bryan Macleod

Physician Lead, Chronic Pain management Program
St. Joseph's Health Centre, Chronic Pain Management Program

Bryan is a Pain Medicine Consultant and the physician lead for the Chronic Pain Management Program at St. Joseph's Care Group in Thunder Bay, ON. This team is one of the largest interdisciplinary pain management teams in Ontario. Bryan also teaches at the Northern Ontario School of Medicine as an Associate Professor. In his waning spare time Bryan does improv theater.