Cephalalgia Clinical Trial
— PEACEOfficial title:
Therapeutic Management of Acute Cephalalgia Before and After Use of a Therapeutic Protocol in Emergency Department
The purpose of this study is to determine if the use of a therapeutic and global protocol to relieve cephalalgia is helpful in the emergency department of Grenoble University Hospital.
Status | Completed |
Enrollment | 200 |
Est. completion date | September 2015 |
Est. primary completion date | May 2015 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 55 Years |
Eligibility |
Inclusion Criteria: - Complain about cephalalgia - Age 28 to 55 years. Exclusion Criteria: - Fever > 38,0 °C - History of breath disease, long term use of oxygen therapy, chronic obstructive pulmonary disease, dyspnea - History of cranial traumatism, heart attack, cerebrovascular accident <3 month - Inability to read or understand french. - Pregnancy |
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
France | University Hospital | Grenoble | Isere |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Grenoble |
France,
B. D VEYSMAN, et al. Oxygen Therapy for the tratment of undifferentiated headache in the emergency department. ClinicalTrials.gov, NCT00856232
Cohen AS, Burns B, Goadsby PJ. High-flow oxygen for treatment of cluster headache: a randomized trial. JAMA. 2009 Dec 9;302(22):2451-7. doi: 10.1001/jama.2009.1855. — View Citation
Friedman BW, Grosberg BM. Diagnosis and management of the primary headache disorders in the emergency department setting. Emerg Med Clin North Am. 2009 Feb;27(1):71-87, viii. doi: 10.1016/j.emc.2008.09.005. Review. — View Citation
Haque B, Rahman KM, Hoque A, Hasan AT, Chowdhury RN, Khan SU, Alam MB, Habib M, Mohammad QD. Precipitating and relieving factors of migraine versus tension type headache. BMC Neurol. 2012 Aug 25;12:82. doi: 10.1186/1471-2377-12-82. — View Citation
Matharu M. Cluster headache. BMJ Clin Evid. 2010 Feb 9;2010. pii: 1212. Review. — View Citation
Ozkurt B, Cinar O, Cevik E, Acar AY, Arslan D, Eyi EY, Jay L, Yamanel L, Madsen T. Efficacy of high-flow oxygen therapy in all types of headache: a prospective, randomized, placebo-controlled trial. Am J Emerg Med. 2012 Nov;30(9):1760-4. doi: 10.1016/j.ajem.2012.02.010. Epub 2012 May 3. — View Citation
Rasmussen BK, Jensen R, Schroll M, Olesen J. Epidemiology of headache in a general population--a prevalence study. J Clin Epidemiol. 1991;44(11):1147-57. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Clinical improvement | "Clinical improvement" is defined as "Reduction of at least 50% of quantified pain 1 hour after treatment Comparison of proportion of "clinical improvement" between the 2 groups. | 1 hour after treatment | No |
Secondary | Pain score on the visual analog scale | Measure of amount of pain by recording quantified pain evaluation each 15 minutes. Analysis by ANOVA (Analysis of Variance). Comparison between the 2 groups. |
1 hour after treatment | No |
Secondary | Pain depending on the kind of cephalalgia | Research of interaction between the occurrence of the "clinical improvement" and the cephalalgia diagnosis (Migraine, tensive headache, cluster headache, secondary headache...). | 1 hour after treatment | No |
Secondary | Impact of different kind of analgesic therapeutic | Research of interaction between the occurrence of "clinical improvement" and the use of specific therapeutic strategy ( Restful position, calm environment, wearing opaque glasses, soundproof headset, oxygen therapy, other medication, ...) | 1 hour after treatment | No |
Secondary | Length of the hospitalization in emergency department | Evaluation of the length of the hospitalization in emergency department. Comparison between the 2 groups | Duration of hospitalisation in emergency department stay, an expected average of 6 hours | No |
Secondary | Time required before medication | Evaluation of the length of time before first administration of analgesic treatment. Comparison between the 2 groups |
Time of administration of first medication, an expected average of 30 minutes | No |
Secondary | Hospitalisation requirement | Evaluation of hospitalisation requirement at the exit of emergency department. Comparison between the 2 groups |
Exit of emergency department, an expected average of 6 hours | No |