Prevalence of Chronic Pain After an Emergency Department Visit for Severe Acute Pain

NCT04625374 | Completed

• 2 other identifiers: 38RC20.2932020-A02317-32
• Study Type: observational
• Target: 495
• Locations: 1 country
• Sites: 2

Brief Summary

The main objective for investigators is to determine the prevalence of moderate to severe chronic pain in the adult population 6 months after consultation in the emergency department for acute pain (less than 7 days old) and severe pain assessed at admission and defined as greater than or equal to 6/10 by the numerical pain scale.

Conditions

EMERGENCY MEDICINE

Keywords

prevalence chronic pain; emergency department; severe acute pain; initial analgesia

Outcome Measures

Primary Outcomes (1)

• Determine prevalence of moderate to severe chronic pain in adult population 6 months after consultation in the emergency department for acute pain (less than 7 days old) and severe pain assessed at admission (defined ≥6/10 by the numerical pain scale)

  The main judgment criteria is the presence of chronic pain, related to the pain that motivated the emergency department visit 6 months earlier, moderate to severe defined as pain evolving since the emergency department visit (6 months), experienced at least 2 times per week, and of intensity ≥ 4 on a numerical pain scale during the patient's last painful experience.

  6 month

Secondary Outcomes (10)

• To compare the prevalence of chronic pain in patients who initially consulted for pain of traumatic or non-traumatic origin.

  6 month

• Evaluate whether there is an association between the prevalence of chronic pain at 6 months and pain management in use of analgesic, which molecule when the patient goes to the emergency department ;

  6 month

• Evaluate whether there is an association between the prevalence of chronic pain at 6 months and pain management in use of analgesic at which dose when the patient goes to the emergency department ;

  6 month

• Evaluate whether there is an association between the prevalence of chronic pain at 6 months and pain management at the performance of a locoregional anaesthesia when the patient goes to the emergency department ;

  6 month

• Evaluate whether there is an association between the prevalence of chronic pain at 6 months and pain management at the performance of sedation when the patient goes to the emergency department ;

  6 month

Eligibility Criteria

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

Study Population

Patient who have consulted in the emergency department between 4 to 5 months before reading the files to be contacted 6 months after the consultation in the emergency department

You may qualify if:

• To have consulted in the emergency department between 4 to 5 months before reading the files to be contacted 6 months after the consultation in the emergency department;
• Initial pain ≥6 on the Numerical Pain Scale ;
• Acute pain that has been evolving for less than 7 days.
• No oral opposition of the subject required during the phone call

You may not qualify if:

• Patient who has undergone surgery in the direct course or within one month of the emergency department visit;
• Patient with suspected or confirmed coronary chest pain at the time of discharge from the emergency department;
• Patient with a mental disability;
• Patient dead;
• Patient who is deaf or hard of hearing;
• Patient who does not speak French or does not live in France
• Patient whose medical history was noted in the file as being impossible due to communication problems;
• Patient who left the emergency department before the end of medical care;
• Patient consulting for acutization of chronic pain;
• Patient during pregnancy;
• Patient consulting for a recent complication of care (within the month), surgical or other;
• Patient taking daily analgesic treatments in the last 2 months;
• Patient known to be dependent on opioids or treated with substitution therapy;
• Homeless patient;
• Patient who has been injured in the course of an assault or violence.

Sponsors & Collaborators

• University Hospital, Grenoble: lead

Study Sites (2)

CHU Pellegrin

Bordeaux, 33000, France

Location

Grenoble Alpes University Hospital

Grenoble, 38000, France

Location

MeSH Terms

Conditions

Emergencies; Acute Pain

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 5, 2020
• First Posted: November 12, 2020
• Study Start: December 5, 2020
• Primary Completion: September 1, 2021
• Study Completion: March 1, 2022
• Last Updated: May 24, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

FR (2)