Management of Acute Pain in the Emergency Department

NCT00470652 | Completed

• 1 other identifier: CIU-1
• Study Type: observational
• Target: 631
• Locations: 1 country
• Sites: 1

Brief Summary

Oligoanalgesia1 has been widely recognized as an issue in emergency department.The purpose of our study is to assess the impact of the implementation of a computer-assisted support program to improve pain management in our ED.

Conditions

Pain

Keywords

pain; Pain Measurement; Decision Making, Computer-Assisted; Informatics

Study Arms (3)

1

Pre-intervention patients admitted to our ED in the month prior to the intervention, before the 'computer-assisted decision support' is turned on (the intervention)

2

Short-term post-intervention cohort of patients admitted in the month following the initiation of the 'computer-assisted decision support' for pain management

Device: computer-assisted decision support

3

long-term post-intervention cohort of patients admitted on the 6th month following the initiation of the 'computer-assisted decision support' for pain management

Device: computer-assisted decision support

Interventions

computer-assisted decision support DEVICE

at the end of the pre-intervention period, the patient flow software was modified to open popup windows automatically when pain intensity was not documented or pain was not reevaluated within the recommended interval. The popup window also detailed appropriate pain treatment guidelines based on the documented pain intensity. In addition, the patient's icon in the flow software changed from black to red when pain intensity was \>4/10. After a 10-day test period, the post-intervention data collection started.

Also known as: informatics, information technology

2; 3

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Consecutive patients discharged from our ED who either had pain on admission or suffered of a new pain while in our ED

You may qualify if:

• Any patient admitted to our Emergency Department who is
• age \> 16 years
• pain lasting =\< 1 week or
• no pain on admission but pain during the ED stay

You may not qualify if:

• life-threatening condition requiring immediate admission in the OR or ICU
• no pain or pain lasting \>1 week
• inability to give informed consent (intoxicated, psychiatric disorder, language problem, prisoner)

Sponsors & Collaborators

• Centre Hospitalier Universitaire Vaudois: lead
• Societe Française de Medecine d'urgence: collaborator

Study Sites (1)

Centre Hospitalier Universitaire Vaudois

Lausanne, Canton of Vaud, 1011, Switzerland

Location

Related Publications (1)

• Decosterd I, Hugli O, Tamches E, Blanc C, Mouhsine E, Givel JC, Yersin B, Buclin T. Oligoanalgesia in the emergency department: short-term beneficial effects of an education program on acute pain. Ann Emerg Med. 2007 Oct;50(4):462-71. doi: 10.1016/j.annemergmed.2007.01.019. Epub 2007 Apr 18.

  PMID: 17445949 BACKGROUND

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Olivier W Hugli, MD,MPH

  Centre Hospitalier Universiataire Vaudois

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: May 4, 2007
• First Posted: May 8, 2007
• Study Start: May 1, 2007
• Study Completion: September 1, 2008
• Last Updated: January 27, 2009

Record last verified: 2009-01

Locations

CH (1)