Incidence of Pain After Craniotomy in Children

NCT ID: NCT01142830

Last Updated: 2013-02-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

218 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-03-31

Study Completion Date

2012-12-31

Brief Summary

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The primary objective is to assess the incidence and severity of pain after major craniotomy in paediatric patients (from 1 month to 10 years of age).

The secondary objective is to determine factors associated with significant pain following paediatric neurosurgery .

Detailed Description

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Research in the adult population has evaluated incidence and severity of post-neurosurgical pain, and effectiveness of different post-neurosurgical analgesic regimens. Several small studies report the prevalence of some period of moderate to severe pain in the first 24 postoperative hours to be from 41 to 84 % of patients. In a prospective single academic medical institution study, adult patients treated with only acetaminophen and modest amounts of opioids on an as needed basis reported moderate to severe pain for the first 2 days after surgery. These findings have supported a growing consensus that perioperative pain associated with intracranial surgery may be more significant than initially appreciated. Factors that have been associated with increased pain after intracranial surgery include sex, younger age, surgical site, and surgical approach to the site. Pain may also be a significant factor in the quality of recovery from intracranial surgery. In contrast there are few studies describing the incidence or management of pain after neurosurgery in children.

Conditions

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Disruption or Dehiscence of Closure of Skull or Craniotomy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Male and Female children from 1 month to 10 years Of age
* American Society of Anaesthesiologists Classification (ASA) I-III
* Scheduled for supratentorial or infratentorial craniotomy
* Admission to an Intensive Care Unit, Neurosurgery ward or paediatric ward of one of the hospitals included
* Children whose parents (or legal tutors) have given their informed written consent

Exclusion Criteria

* Emergency surgery for multiple trauma.
* Children requiring muscular relaxants during the postoperative period
* Children whose parents (or legal tutors) denied their own consensus
Minimum Eligible Age

1 Month

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Milano Bicocca

OTHER

Sponsor Role collaborator

Royal Children's Hospital

OTHER

Sponsor Role collaborator

Policlinico Universitario, Catania

OTHER

Sponsor Role collaborator

Istituto Giannina Gaslini

OTHER

Sponsor Role collaborator

Azienda Ospedaliera Ospedale Infantile Regina Margherita Sant'Anna

OTHER

Sponsor Role collaborator

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

OTHER

Sponsor Role collaborator

Ospedale Meyer

OTHER

Sponsor Role collaborator

Ospedale Civile, Padova. Italy

UNKNOWN

Sponsor Role collaborator

A.O. Ospedale Papa Giovanni XXIII

OTHER

Sponsor Role collaborator

San Gerardo Hospital

OTHER

Sponsor Role lead

Responsible Party

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Pablo Mauricio Ingelmo M.D.

Paediatric Anesthesia Coordinator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Pablo M. Ingelmo, MD

Role: PRINCIPAL_INVESTIGATOR

San Gerardo Hospital

Marta Somaini, MD

Role: STUDY_CHAIR

San Gerardo Hospital

Locations

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Ospedale Riuniti

Bergamo, , Italy

Site Status

Policlinico Universitario

Catania, , Italy

Site Status

Meyer Hospital

Florence, , Italy

Site Status

Ospedale pediatrico Gaslini

Genova, , Italy

Site Status

Istituto Nazionale Neurologico "Carlo Besta"

Milan, , Italy

Site Status

Azienda Ospedaliera di Padova

Padua, , Italy

Site Status

Policlinico Universitario Agostino Gemelli

Rome, , Italy

Site Status

Ospedale Infantile Regina Margherita

Torino, , Italy

Site Status

Countries

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Italy

References

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de Gray LC, Matta BF. Acute and chronic pain following craniotomy: a review. Anaesthesia. 2005 Jul;60(7):693-704. doi: 10.1111/j.1365-2044.2005.03997.x.

Reference Type BACKGROUND
PMID: 15960721 (View on PubMed)

Quiney N, Cooper R, Stoneham M, Walters F. Pain after craniotomy. A time for reappraisal? Br J Neurosurg. 1996 Jun;10(3):295-9. doi: 10.1080/02688699650040179.

Reference Type BACKGROUND
PMID: 8799542 (View on PubMed)

Irefin SA, Schubert A, Bloomfield EL, DeBoer GE, Mascha EJ, Ebrahim ZY. The effect of craniotomy location on postoperative pain and nausea. J Anesth. 2003;17(4):227-31. doi: 10.1007/s00540-003-0182-8.

Reference Type BACKGROUND
PMID: 14625709 (View on PubMed)

De Benedittis G, Lorenzetti A, Migliore M, Spagnoli D, Tiberio F, Villani RM. Postoperative pain in neurosurgery: a pilot study in brain surgery. Neurosurgery. 1996 Mar;38(3):466-9; discussion 469-70. doi: 10.1097/00006123-199603000-00008.

Reference Type BACKGROUND
PMID: 8837797 (View on PubMed)

Klimek M, Ubben JF, Ammann J, Borner U, Klein J, Verbrugge SJ. Pain in neurosurgically treated patients: a prospective observational study. J Neurosurg. 2006 Mar;104(3):350-9. doi: 10.3171/jns.2006.104.3.350.

Reference Type BACKGROUND
PMID: 16572646 (View on PubMed)

Gottschalk A, Berkow LC, Stevens RD, Mirski M, Thompson RE, White ED, Weingart JD, Long DM, Yaster M. Prospective evaluation of pain and analgesic use following major elective intracranial surgery. J Neurosurg. 2007 Feb;106(2):210-6. doi: 10.3171/jns.2007.106.2.210.

Reference Type BACKGROUND
PMID: 17410701 (View on PubMed)

Jensen MP, Smith DG, Ehde DM, Robinsin LR. Pain site and the effects of amputation pain: further clarification of the meaning of mild, moderate, and severe pain. Pain. 2001 Apr;91(3):317-322. doi: 10.1016/S0304-3959(00)00459-0.

Reference Type BACKGROUND
PMID: 11275389 (View on PubMed)

Koperer H, Deinsberger W, Jodicke A, Boker DK. Postoperative headache after the lateral suboccipital approach: craniotomy versus craniectomy. Minim Invasive Neurosurg. 1999 Dec;42(4):175-8. doi: 10.1055/s-2008-1053393.

Reference Type BACKGROUND
PMID: 10667820 (View on PubMed)

Leslie K, Troedel S, Irwin K, Pearce F, Ugoni A, Gillies R, Pemberton E, Dharmage S. Quality of recovery from anesthesia in neurosurgical patients. Anesthesiology. 2003 Nov;99(5):1158-65. doi: 10.1097/00000542-200311000-00024.

Reference Type BACKGROUND
PMID: 14576554 (View on PubMed)

Bronco A, Pietrini D, Lamperti M, Somaini M, Tosi F, del Lungo LM, Zeimantz E, Tumolo M, Lampugnani E, Astuto M, Perna F, Zadra N, Meneghini L, Benucci V, Bussolin L, Scolari A, Savioli A, Locatelli BG, Prussiani V, Cazzaniga M, Mazzoleni F, Giussani C, Rota M, Ferland CE, Ingelmo PM. Incidence of pain after craniotomy in children. Paediatr Anaesth. 2014 Jul;24(7):781-7. doi: 10.1111/pan.12351. Epub 2014 Jan 28.

Reference Type DERIVED
PMID: 24467608 (View on PubMed)

Other Identifiers

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AR-HSG 01-2009

Identifier Type: -

Identifier Source: org_study_id

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