Acupuncture in the Emergency Department

NCT02888340 | Completed

• 1 other identifier: S01022016
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators will study acupuncture in a pilot, randomized controlled trial (RCT) in the emergency department (ED) of a large, tertiary care hospital, Abbott Northwestern Hospital (ANW). The investigators suggest that the proposed intervention - provision of acupuncture in the ED as an alternative to usual ED care - will reduce pain and interrupt the trajectory (and potential cycle) of medication misuse by providing an alternative at a critical point of contact within the healthcare system, potentially disrupting the pathway from ED visit to opioid usage after discharge.

Conditions

Pain

Keywords

Acupuncture; Emergency Department; Pain

Outcome Measures

Primary Outcomes (1)

• Feasibility of delivering acupuncture via a Randomized Controlled Trial in the Emergency Department

  Assess feasibility of triaging and treating patients presenting to the emergency department with protocol defining criteria and then having that patient participate in a randomized controlled trial comparing acupuncture to usual care. This will be assessed by the number of patients approached compared to the number of patients consented and by the number of patients able to receive acupuncture while in the Emergency Department.

  At study completion, one year

Secondary Outcomes (2)

• Pain Reduction

  During day 1 of study participation

• Opioid use

  At study completion, one year

Study Arms (2)

Acupuncture

EXPERIMENTAL

One session of acupuncture prior to receiving pain medications after arriving to the emergency department with pain as a symptom.

Other: Acupuncture

Usual Care

NO INTERVENTION

Usual care for pain, without intervention, after arriving to the emergency department with pain as a symptom.

Interventions

Acupuncture OTHER

Acupuncture involves inserting thin, sterile needles into the skin. The needles do not go into the skin very far. Number of acupuncture sessions: one.

Acupuncture

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• ≥ 18 years of age
• Ability to communicate in English
• Non-critical status as determined at triage and / or by a clinic provider
• Presentation to the emergency department with acute musculoskeletal, back, pelvic, non-cardiac chest, abdominal, and headache pain (≥ 4 on the numerical rating scale), due to non-penetrating injury. Acute pain is defined by pain occurring within 72 hours of ED presentation (this can be an acute flare-up of a chronic pain condition).

You may not qualify if:

• Current pregnancy
• Need for emergent treatment as determined at triage and / or by a clinic provider (Level 1 or 2 on triage rating scale)
• Bone fracture
• Joint dislocation
• Fever exceeding 100° F
• Opioid medication taken orally within 4 hours (determined per patient report)
• Current use of a pharmaceutical analgesic patch
• Presenting with a chief complaint of a psychological / psychiatric concern
• Presenting with a migraine
• Having a unique treatment plan (UTP) on file with Abbott Northwestern Hospital
• Patient arriving via ambulance due to skipping triage
• Currently participating in this study due to previous ED admission
• Medical provider decision / clinical judgement

Sponsors & Collaborators

• Allina Health System: lead

Study Sites (1)

Abbott Northwestern Hospital

Minneapolis, Minnesota, 55407, United States

Location

Related Publications (1)

• Reinstein AS, Erickson LO, Griffin KH, Rivard RL, Kapsner CE, Finch MD, Dusek JA. Acceptability, Adaptation, and Clinical Outcomes of Acupuncture Provided in the Emergency Department: A Retrospective Pilot Study. Pain Med. 2017 Jan 30;18(1):169-178. doi: 10.1093/pm/pnv114.

  PMID: 26917627 BACKGROUND

MeSH Terms

Conditions

Pain; Emergencies

Interventions

Acupuncture Therapy

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Disease Attributes; Pathologic Processes

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 25, 2016
• First Posted: September 5, 2016
• Study Start: April 1, 2016
• Primary Completion: July 6, 2017
• Study Completion: July 6, 2017
• Last Updated: May 8, 2018

Record last verified: 2018-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)