Pain Evaluation and Treatment in the Emergency Department

NCT02980172 | Completed

• 1 other identifier: CCER 2016-00205
• Study Type: observational
• Target: 31,942
• Locations: 1 country
• Sites: 1

Brief Summary

All patients admitted in Geneva University Hospitals (GUH) emergency department (ED) are triaged using the Swiss Emergency Triage Scale (SETS), a 4-level symptom-based triage scale. At the end of the triage process the triage nurse has to choose an emergency level and a main presenting complaint among a listing of 98 presenting complaints. The SETS recommends a pain evaluation for 44 out of the SETS 98 presenting complaint. The primary objective of the study is to determine whether pain is correctly evaluated when required by the SETS criteria. The secondary objectives are (1) to evaluate whether an appropriate treatment is delivered when pain is present, and (2) to identify predictors of pain evaluation and treatment.

Conditions

Pain, Acute; Emergencies

Keywords

triage

Outcome Measures

Primary Outcomes (1)

• Proportion of patients with appropriate pain evaluation

  Percentage of patients with a documented assessement of pain using a numerical scale (0 to 10)

  Within 24 hours after ED admission

Secondary Outcomes (1)

• Proportion of patients with appropriate pain treatment

  Within 24 hours after ED admission

Study Arms (1)

Pain triage complaint

Patients admitted at GUH ED triaged with a main complaint requiring a pain evaluation.

Other: Pain evaluation

Interventions

Pain evaluation OTHER

Evaluation of pain using a numerical scale (1 to 10)

Pain triage complaint

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

All patients admitted during one year at GUH ED.

You may qualify if:

• adult (\>= 16y) patients admitted at GUH ED during one year
• presenting complaint requiring pain evaluation accordingly to the SETS criteria

You may not qualify if:

• \< 16 y
• presenting complaint that does not require a pain evaluation accordingly to the SETS criteria

Sponsors & Collaborators

• University Hospital, Geneva: lead

Study Sites (1)

Geneva University Hospitals, ED

Geneva, 1211, Switzerland

Location

MeSH Terms

Conditions

Acute Pain; Emergencies

Condition Hierarchy (Ancestors)

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

Study Officials

• Olivier T Rutschmann, MD, MPH

  University Hospital, Geneva

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, Deputy Chief

Study Record Dates

• First Submitted: November 24, 2016
• First Posted: December 2, 2016
• Study Start: November 1, 2016
• Primary Completion: June 1, 2017
• Study Completion: June 1, 2017
• Last Updated: July 27, 2017

Record last verified: 2017-07

Data Sharing

• IPD Sharing: Will not share

Locations

CH (1)