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CompletedNCT03499301CHRODOLURGUpdated Jun 25, 2020

Description of Chronic Pain in Emergencies Room and Medical Care Modalities

An observational study in Chronic Pain and Emergency Department, sponsored by University Hospital, Bordeaux. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-06-25.

Sponsored by University Hospital, Bordeaux · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
292
Ages
18 Years and older
Sex
All
01

Study summary

The rate of patients with chronic pain (CP) is 40% in patients with acute pain in emergency department (ED). Patients with CP come more frequently to ED than patients without CP. Reasons for their visit to ED are often in relation with this CP. Few studies have been interested to management modalities of these patients in ED. The investigators are going to realize a prospective observational study in one center. The hypothesis is that patients with chronic pain are less satisfied of ED management that patients without CP.

Read the detailed description

Chronic pain is defined by a daily pain since more than 3 months. CP is different of acute pain because of their mechanisms, treatments and therapeutic objectives. CP is associated with an alteration of quality of life with psychological, social and economic consequences. The prevalence of CP in France is 15%. In ED, the rate of CP in patients with acute pain was around 40%. Patients with CP come more frequently to ED than patients without CP. Their use of care structures, particularly ED, is all the more frequent that their disability is important. The satisfaction of these patients in ED is associated with age, nature of pain, wait duration, realisation of imaging, and administration of painkillers and relieving of pain. The reasons why these patients go to ED were pain exacerbation, inadequate strategy of coping, severity of disease and sometime despair associated with stress or anxiety. Currently the investigators do not know if these managements in ED are adequate or not. And finally the investigators do not know whether the satisfaction about their ED management is different from patients without CP. The investigators are going to collect data about all patients admitted in ED with the objective to compare the satisfaction between patients with CP and patients without CP. The follow up will be restricted to the area of ED. The last data will be collected just before the exit from ED.

02

Conditions studied

  • Chronic Pain
  • Emergency Department

Keywords

  • Chronic pain
  • Emergency
  • Satisfaction
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study concerns emergency department population.

Inclusion criteria

  • 18 years old or more admitted in ED
  • between 8 am and 5pm
  • from Monday to Friday.

Exclusion criteria

Exclusion Criteria:

  • Patients admitted directly in emergency intensive care for vital distress defined by hemodynamic, respiratory, or neurological failure distress,
  • multitrauma patients;
  • patient without possibility to communicate because of neurologic disease or mental status disease;
  • linguistic barrier.
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
292 participants (actual)
Patient registry
No

Groups and cohorts

  • Chronic pain

    Patients with chronic pain when arrived to emergency room.

  • No chronic pain

    Patients without chronic pain when arrived to emergency room.

05

What researchers measure

Primary outcomes

  1. Medical care modalities satisfaction

    Proportion of patients satisfied or very satisfied with the management at the emergency department (ED)

    Time frame: Day 1

Secondary outcomes

  1. Rate of patients with chronic pain.

    History of a chronic pain or daily pain since 3 months.

    Time frame: Day 1

  2. Duration of management between first medical contact and delivery from ED.

    Time on arrival at the ED and time on discharge from ED.

    Time frame: Day 1

  3. Pain intensity

    Measurement with numerical pain scale, from 0 (without pain) to 10 (the worst pain intensity imaginable).

    Time frame: Day 1

  4. Anxiety intensity

    Measurement with numerical anxiety scale, from 0 (without anxiety) to 10 (the worst anxiety intensity imaginable).

    Time frame: Day 1

06

Study locations

1 site
  • Hôpital Pellegrin - Service des urgences adultes
    Bordeaux, 33000, France
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03499301
Lead sponsor
University Hospital, Bordeaux
Responsible party
Sponsor
First posted
Apr 17, 2018
Start date
Jan 3, 2018
Primary completion
Feb 3, 2018
Completion
Feb 3, 2018
Last update
Jun 25, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.

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