Pain Evaluation and Treatment in the Emergency Department

NCT ID: NCT02980172

Last Updated: 2017-07-27

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 31942 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2016-11-30
• Study Completion Date: 2017-06-30

Brief Summary

All patients admitted in Geneva University Hospitals (GUH) emergency department (ED) are triaged using the Swiss Emergency Triage Scale (SETS), a 4-level symptom-based triage scale. At the end of the triage process the triage nurse has to choose an emergency level and a main presenting complaint among a listing of 98 presenting complaints. The SETS recommends a pain evaluation for 44 out of the SETS 98 presenting complaint.

The primary objective of the study is to determine whether pain is correctly evaluated when required by the SETS criteria. The secondary objectives are (1) to evaluate whether an appropriate treatment is delivered when pain is present, and (2) to identify predictors of pain evaluation and treatment.

Detailed Description

All patients admitted in Geneva University Hospitals (GUH) emergency department (ED) are triaged using the Swiss Emergency Triage Scale (SETS), a 4-level symptom-based triage scale. At the end of the triage process the triage nurse has to choose an emergency level and a main presenting complaint among a listing of 98 presenting complaints. The SETS recommends a pain evaluation for 44 out of the SETS 98 presenting complaint.

After this evaluation, a protocol standardize administration of analgesia for patients presenting pain.

The primary objective of the study is to determine whether pain is correctly evaluated when required by the SETS criteria for the 44 presenting complaints.

The secondary objectives are (1) to evaluate whether an appropriate treatment is delivered when pain is present, and (2) to identify predictors of pain evaluation and treatment.

Conditions

Pain, Acute; Emergencies

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: RETROSPECTIVE

Study Groups

Pain triage complaint

Patients admitted at GUH ED triaged with a main complaint requiring a pain evaluation.

Pain evaluation

Intervention Type: OTHER

Evaluation of pain using a numerical scale (1 to 10)

Interventions

Pain evaluation

Evaluation of pain using a numerical scale (1 to 10)

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• adult (>= 16y) patients admitted at GUH ED during one year
• presenting complaint requiring pain evaluation accordingly to the SETS criteria

Exclusion Criteria

• < 16 y
• presenting complaint that does not require a pain evaluation accordingly to the SETS criteria

• Minimum Eligible Age: 16 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University Hospital, Geneva

OTHER

Sponsor Role: lead

Responsible Party

Olivier T. Rutschmann

Professor, Deputy Chief

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Olivier T Rutschmann, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Geneva

Locations

Geneva University Hospitals, ED

Geneva, , Switzerland

Countries

Switzerland

Other Identifiers

CCER 2016-00205

Identifier Type: -

Identifier Source: org_study_id