An interventional study of Pain management algorithm in Pain, sponsored by Ostfold Hospital Trust. Completed at 1 site in Norway. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-04-29.
Sponsored by Ostfold Hospital Trust · Not applicable, Interventional, and Supportive care
The purpose of this study is to evaluate the effect of an algorithm, where ICU patients pain are assessed systematically with valid pain assessment tools and where pain is treated after pain intensity score.
As a pre-test, before the intervention is introduced, data from ICU patients from four intensive care units (ICU) will be collected from medical records to evaluate current pain management practices. An algorithm, which is developed by a group of resource persons, is educated to the staff in three of the ICUs. The staff will also receive training and guiding in the use of the algorithm and the different pain assessment tools. Then the algorithm will be implemented and used in all the consecutive ICU patients. Post-test data is then collected in the three ICUs. In the fourth ICU, which will be used as a comparison unit, the same post-test data will be collected at the same time as data in intervention ICUs were collected. The algorithm will not be introduced here.
Ostfold Hospital Trust is the lead sponsor of 48 studies on the registry; 10 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
A time period before the clinicians will be educated, trained and guided in the pain management algorithm, pre-test data will be collected in four ICU units. The clinicians in three of the ICU units will be educated, trained and guided in the pain management algorithm. The algorithm will then be used to assess and treat pain in all consecutive ICU patients. Post-test data will be collected a time period after the intervention is implemented.
Other: Pain management algorithm
The clinicians in the fourth ICU (control unit) will not be educated, trained and guided in the pain management algorithm. They will continue to assess and treat pain in all consecutive ICU patients as before. The unit, which will be used as a comparison unit, will collect the same post-test data at the same time as data in intervention ICUs were collected.
The algorithm guide the clinicians to score ICU patients pain systematically with different pain assessment tools. The tools are the Numeric Rating Scale, Behavioral Pain Scale and Behavioral Pain Scale Non Intubated. The algorithm guide the clinicians to choose between the different pain assessment tools depending on the ICU patient's condition and ability to rate his own pain. Thereafter the algorithm guide the clinicians to treat pain depending on the pain intensity score.
Duration of mechanical ventilation, ICU and hospital length of stay
Duration of mechanical ventilation, ICU and hospital length of stay will be measured in a group of ICU patients before (pre-test) and after (post-test) the intervention.
Time frame: The participants will be followed for the duration of hospital stay, an expected average of two weeks
Documentation of ICU patients' pain and pain management in four ICU's.
The data is collected to evaluate current pain and pain management practices in a period before the intervention is implemented (pre-test). The data is collected from both intervention units and control unit.
Time frame: The participants will be followed for the duration of ICU stay, an expected average of one week
Proportion of ICU patients express having pain or are estimated to have pain. How severe their pain is.
In the pre-test, the medical records are searched for use of different pain assessment tools or other notations about pain assessment of these patients. In the post-test the medical records are searched for systematically pain intensity scores from the different pain assessment tools.
Time frame: The participants will be followed for the duration of ICU stay, an expected average of one week
The clinician's adherence to the pain management algorithm in ICU patients.
The medical records will be searched for documentation of how the algorithm is used. I.e. is it used to the right patients, Is it used as often as described, is it used to the right patients.
Time frame: The adherence will be followed for the duration of ICU stay, an expected average of one week (post-test)
Sedation level and Use of psychoactive drugs
Sedation level and use of psychoactive drugs will be measured before (pre-test) and after (post-test) the intervention.
Time frame: The participants will be followed for the duration of ICU stay, an expected average of one week
Use of Analgesics
Use of analgesics will be measured before (pre-test) and after (post-test) the intervention.
Time frame: The participants will be followed for the duration of ICU stay, an expected average of one week
Plan to share: No
No publications or documents are linked to this record.
This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.
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Ostfold Hospital Trust