Pain Evaluation and Treatment in the Emergency Department

Pain, Acute Clinical Trial

Official title:

Pain Evaluation and Treatment in the Emergency Department

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02980172
• Other study ID #: CCER 2016-00205
• Status: Completed
• Phase: N/A
• First received: November 24, 2016
• Last updated: July 26, 2017
• Start date: November 2016
• Est. completion date: June 2017

Study information

• Verified date: July 2017
• Source: University Hospital, Geneva
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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.

Description:

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.

After this evaluation, a protocol standardize administration of analgesia for patients presenting pain.

The primary objective of the study is to determine whether pain is correctly evaluated when required by the SETS criteria for the 44 presenting complaints.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 31942
• Est. completion date: June 2017
• Est. primary completion date: June 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 16 Years and older

Eligibility

Inclusion Criteria:

• adult (>= 16y) patients admitted at GUH ED during one year

• presenting complaint requiring pain evaluation accordingly to the SETS criteria

Exclusion Criteria:

• < 16 y

• presenting complaint that does not require a pain evaluation accordingly to the SETS criteria

Related Conditions & MeSH terms

• Acute Pain
• Emergencies
• Pain, Acute

Intervention

Other:
• Pain evaluation
Evaluation of pain using a numerical scale (1 to 10)

Locations

Country	Name	City	State
Switzerland	Geneva University Hospitals, ED	Geneva

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Geneva

Country where clinical trial is conducted

Switzerland, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	Proportion of patients with appropriate pain treatment	Percentage of patients who received an appropriate treatment accordingly to the ED recommendations.	Within 24 hours after ED admission