Pain, Acute Clinical Trial
— PAINFREEOfficial title:
Improving PAIN Control Following FRactures; Towards an Elder-friendly Emergency Department
Verified date | March 2019 |
Source | McGill University Health Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The PAINFREE (Improving PAIN control following FRactures; towards an Elder-friendly Emergency
department) Initiative is a patient-centered multifaceted intervention which aims to improve
pain management in patients 75 years and older presenting with a fracture at 7 Emergency
Department of participating Montreal hospitals:
1. Montreal General Hospital
2. Royal Victoria Hospital
3. Ste Mary's Hospital
4. Hôpital de Verdun
5. Hôpital du Sacré-Coeur de Montréal
6. Jewish General Hospital
7. Lakeshore General Hospital
Status | Completed |
Enrollment | 1375 |
Est. completion date | October 1, 2018 |
Est. primary completion date | February 1, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 75 Years and older |
Eligibility |
Inclusion Criteria: - Age 75 years old or older - Visiting Emergency Departments for a fracture Exclusion Criteria: - Having a skull fracture - Having only fingers or toes fractures |
Country | Name | City | State |
---|---|---|---|
Canada | Department of Internal Medicine, Montreal General Hospital | Montreal | Quebec |
Lead Sponsor | Collaborator |
---|---|
McGill University Health Center | Canadian Institutes of Health Research (CIHR), Research Institute of the McGill University Health Center |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Predictors of successful implementation | Qualitative Analysis: Nurses and physicians perceptions and behaviors toward pain management in older adults with fracture at Emergency Department | at 6 to 8 months after the implementation (post-implementation) | |
Other | Change from immediate post-implementation time to analgesia administration at 2 months (end of post-implementation period) | 2 months (end of post-implementation period) | ||
Primary | Time to achieve pain score documentation, and/or administration of an analgesic, within 2 hours of triage, in at least 80% of patients. | Pre-implementation (baseline) and at 6 to 8 months (post-implementation) | ||
Secondary | Documentation of pain score | Pre-implementation (baseline) and at 6 to 8 months (post-implementation) | ||
Secondary | Time to first pain score documentation | Pre-implementation (baseline) and at 6 to 8 months (post-implementation) | ||
Secondary | Effectiveness of analgesia | Patients with pain score =7 who have pain score reduced by = 3 points within 1 hour | Pre-implementation (baseline) and at 6 to 8 months (post-implementation) | |
Secondary | Type of analgesia used | Pre-implementation (baseline) and at 6 to 8 months (post-implementation) | ||
Secondary | Mean length of stay in Emergency Department | Pre-implementation (baseline) and at 6 to 8 months (post-implementation) | ||
Secondary | Return to the Emergency Department within 7 days after the first Visit with an uncontrolled pain due to the fracture | Pre-implementation (baseline) and at 6 to 8 months (post-implementation) | ||
Secondary | Evidence of worsening of Patients mental status while in Emergency Department | Pre-implementation (baseline) and at 6 to 8 months (post-implementation) |
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