The Impact of Pain Assessment on the Hospital Length of Stay of Patients in a Rehabilitation Unit

NCT02913833 | Completed

• 1 other identifier: CHUB- EVA-REVA
• Study Type: interventional
• Target: 180
• Locations: 1 country
• Sites: 1

Brief Summary

The financing of the Belgian hospitals is based on a system taking into account the length of hospitalization of a given patient according to his/her pathology, his/her age and his/her geriatric characteristics. This system encourages all hospital to lower the hospitalization duration to the national average for these criteria. This results in better efficiency in the management of hospitalizations but also means a swifter transfer to structures exempted from this system such as revalidation units, nursing homes and psychiatric units. An assessment of the differences in the medical practice, in terms of quality and outcomes of care, is essential for any reform willing to reduce medical costs. Pain management is part of the quality indicators within hospitals. Pain is defined by the International Association for the Study of Pain as "an unpleasant sensory and emotional experience, associated to present or potential tissue damage, or described in terms of such a damage". Several studies have showed that pain affects the quality of life and impacts the daily activities. Acute or chronic pain can cause adverse symptoms such as sleep disturbance, appetite loss, decreased concentration, mood changes and the disruption of familial, work and social activities. Pain might also slow down revalidation processes. A study performed by Aprile et al showed that pain negatively influenced the rehabilitation program of a quarter of the patients having had a stroke. The functional recovery was slower and the costs were higher. The aim of this study is to determine if the systematic evaluation of the pain of a patient hospitalized in a revalidation unit has an impact on his/her length of stay.

Conditions

Pain

Keywords

Pain; Hospital length of stay; Revalidation unit

Outcome Measures

Primary Outcomes (7)

• Pain score (EVA)

  Pain assessment on the Visual Analogic Scale (EVA)

  5 minutes, 4 times per day

• Hospitalization duration

  Hospitalization length (average of 48 days)

• HADS score

  Hospital Anxiety Depression Scale (questionnaire)

  Baseline (first day of hospitalisation)

• HADS score

  Hospital Anxiety Depression Scale (questionnaire)

  Day 30 of hospitalisation

• Barthel Index

  Daily life activities assessment

  Baseline (first day of hospitalisation)

• Barthel Index

  Daily life activities assessment

  Day 30 of hospitalisation

• CACS score

  Composite score of analgesics consumption

  Hospitalization length (average of 48 days)

Study Arms (2)

Daily pain evaluation

EXPERIMENTAL

Patients recruited in a sequential order within the chronic revalidation unit of the CHU Brugmann hospital, Queen Astrid site.

Other: Pain evaluation

Control

NO INTERVENTION

Patients recruited in a sequential order within the chronic revalidation unit of the CHU Brugmann hospital, Queen Astrid site.

Interventions

Pain evaluation OTHER

Pain will be assessed four times per day on a visual analogic scale.

Daily pain evaluation

Eligibility Criteria

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

You may not qualify if:

• Pathological cognitive state (MMS\<23/30)

Sponsors & Collaborators

• Brugmann University Hospital: lead

Study Sites (1)

CHU Brugmann

Brussels, 1020, Belgium

Location

Related Publications (3)

• Aprile I, Briani C, Pazzaglia C, Cecchi F, Negrini S, Padua L; Don Carlo Gnocchi Pain-Rehab Group. Pain in stroke patients: characteristics and impact on the rehabilitation treatment. A multicenter cross-sectional study. Eur J Phys Rehabil Med. 2015 Dec;51(6):725-36. Epub 2015 Feb 26.

  PMID: 25739508 BACKGROUND

• Kreling MC, da Cruz DA, Pimenta CA. [Prevalence of chronic pain in adult workers]. Rev Bras Enferm. 2006 Jul-Aug;59(4):509-13. doi: 10.1590/s0034-71672006000400007. Portuguese.

  PMID: 17340726 BACKGROUND

• Schoenthaler M, Miernik A, Offner K, Karcz WK, Hauschke D, Sevcenco S, Kuehhas FE, Bach C, Buchholz N, Wilhelm K. The cumulative analgesic consumption score (CACS): evaluation of a new score to describe postsurgical analgesic consumption as a surrogate parameter for postoperative pain and invasiveness of surgical procedures. Int Braz J Urol. 2014 May-Jun;40(3):330-6. doi: 10.1590/S1677-5538.IBJU.2014.03.06.

  PMID: 25010299 BACKGROUND

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head of clinic

Study Record Dates

• First Submitted: September 15, 2016
• First Posted: September 26, 2016
• Study Start: March 9, 2016
• Primary Completion: December 12, 2017
• Study Completion: December 12, 2017
• Last Updated: January 23, 2018

Record last verified: 2018-01

Data Sharing

• IPD Sharing: Will not share

Locations

BE (1)