J Korean Soc Emerg Med.  2007 Oct;18(5):423-428.

The Relationship of Self-reported Pain Scores with Vital Signs in Ureter Stone Patients

Affiliations
  • 1Department of Emergency Medicine, College of Medicine, Kyung Hee University, Seoul, Korea. ygKo@khu.ac.kr
  • 2Department of Emergency Medicine, Dongsuwon General Hospital, Suwon, Korea.

Abstract

PURPOSE: Some studies indicate that vital signs such as blood pressure, heart rate, respiration rate, body temperature correlate with each other. However, no study has rigorously confirmed the correlations between vital signs due to study limitations. The aim of this study is to determine the relationship of pain to vital sings and to assess its clinical utility in ureter stone patients.
METHODS
All 371 patients with ureter stone admitted to the Emergency Department (ED) at Kyung Hee University Hospital from September 1, 2005 to August 31, 2006 were prospectively involved in our study. We recorded vital signs of all patients 3 times every 10 minutes before analgesic injection and determined mean values. We analyzed the data by using the SPSS 13.0 statistics program.
RESULTS
The means for systolic and diastolic blood pressure, heart rate and respiration rate were significantly different in pain score (p<0.05), but were not different by body temperature. Correlations of pain grade to vital signs were calculated, and blood pressure, heart rate and respiration rate showed positive correlation with pain grade (p<0.05). In multivariate analysis by general linear analysis, only systolic blood pressure and respiration rate were significantly associated with pain scores (p<0.05).
CONCLUSION
In general, we have a tendency to underestimate the importance of the respiration rate relative to blood pressure, heart rate, and body temperature except in special circumstances, such as COPD or asthma exacerbation. Self-reported pain scores of patients correlate with vital signs, especially blood pressure and respiration rate.

Keyword

Respiration rate; Vital signs; Pain; Urinary calculi

MeSH Terms

Asthma
Blood Pressure
Body Temperature
Emergency Service, Hospital
Heart Rate
Humans
Multivariate Analysis
Prospective Studies
Pulmonary Disease, Chronic Obstructive
Respiratory Rate
Ureter*
Urinary Calculi
Vital Signs*
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