Pain, Acute Clinical Trial
Official title:
Patient Input Monitoring of Pain in the Emergency Room: Novel Electronic Log (PIMPERNEL). A Randomised Controlled Trial of an Electronic Pain Score Display in Adults in the Emergency Department
Can a novel electronic display of pain be successfully used in the emergency department and
does it (1) change analgesic prescription and (2) change amount of pain experienced? Pain is
a common symptom in emergency care. As patients are seldom reassessed, staff may not be aware
of pain. Currently, members of nursing or medical staff need to ask patients about their pain
and record it manually using a visual analogue scale from 0-10.
The new electronic display uses buttons to represent a pain scale from 0 (no pain) to 10
(worst pain). Patients will select the number that best corresponds to their pain every 15
minutes. In the experimental group, the score will be displayed on a screen. In the control
group, the score will not be displayed. The investigators will compare the overall amount of
pain in both groups, and will look at their pain management (painkillers prescribed). The
investigators will also ask patients and staff for their opinions on the display.
The study will include adult patients in the emergency department at Leicester Royal
Infirmary with an initial pain score of 5 or more who are able to make a decision about
whether to participate. Participants will also need to be likely to stay in the hospital for
more than 2 hours to allow the investigators to gather enough useful data. The study will
recruit 200 participants. If the study can demonstrate that the monitor is acceptable to
patients and staff and results in improved pain management, it is a low cost intervention
which could be widely implemented within the NHS. It also has the potential for being used in
other areas such as surgical wards. The investigators have previously found that 300-400
patients per week in the department have moderate to severe pain and might therefore benefit
from this monitor.
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