Effect of Tourniquet Abstention on Pain Reduction in Venous Sampling in the Elderly People

NCT ID: NCT05226364

Last Updated: 2024-12-31

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

Clinical Phase

NA

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-18

Study Completion Date

2024-07-11

Brief Summary

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This prospective study evaluates the effect of abstaining from tourniquets on pain reduction during the venous puncture of the elderly people.

Detailed Description

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Almost 3 million people aged 70 and over are hospitalized once or more each year. The implementation of multiple treatments in these fragile patients, often poly-pathological requires a regular biological monitoring. For these patients, samples must be taken on average every two days.

This population often has a fragile venous capital due to reduced skin elasticity, undernutrition more or less associated with dehydration, the use of certain venous-toxic treatments and / or repetition of the gesture taking into account the monitoring biological closely related to long-term therapies.

With the aim of well-treatment and well-being, the reduction of patient pain is one of the major concerns of caregivers and in particular pain induced by treatment.

In children, the practice of harvesting without tourniquet is already frequent (18) and our preliminary study has confirmed us on the tourniquet as one of the acts responsible for the pain that the caregiver can possibly abstain.

No study had been conducted on this subject in the adult population and more particularly the elderly population. This prospective study evaluates the effect of abstaining from tourniquets on pain reduction during the venous puncture of the elderly people.

Conditions

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Venous Puncture

Keywords

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Venous Puncture Tourniquet Pain Elderly people

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Rubber tourniquet

The blood sample is taken with a rubber tourniquet,

Group Type EXPERIMENTAL

Rubber tourniquet

Intervention Type PROCEDURE

The blood sample is taken with a rubber tourniquet

Fabric tourniquet

The blood sample is taken with a a fabric tourniquet

Group Type EXPERIMENTAL

Fabric tourniquet

Intervention Type PROCEDURE

The blood sample is taken with a fabric tourniquet

No tourniquet

The blood sample is taken without tourniquet

Group Type EXPERIMENTAL

Without tourniquet

Intervention Type PROCEDURE

The blood sample is taken without tourniquet

Interventions

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Rubber tourniquet

The blood sample is taken with a rubber tourniquet

Intervention Type PROCEDURE

Fabric tourniquet

The blood sample is taken with a fabric tourniquet

Intervention Type PROCEDURE

Without tourniquet

The blood sample is taken without tourniquet

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* ≥ 75 years and over,
* Hospitalized in internal medicine or geriatric department,
* For which the 2 upper limbs are accessible to venous puncture (due to the multiple attempts that may be necessary to take a sample during the hospitalization),
* For which at least one vein is visible or palpable on an upper limb,
* Without venous puncture since admission in the department,
* Patient who did not receive a topical anesthetic before the venous puncture (Emla type)
* Communicating patient, able to assess their pain on a digital scale,
* Patients with affiliation to a social security system or beneficiary ,
* Written informed consent (IC) obtained.

Exclusion Criteria

* Patient already included,
* Previous pain localized to the upper limbs,
* Hematoma at the planned site of skin-vascular breakage,
* Hemiplegic or quadriplegic patient,
* Patient with lymphedema in the upper limbs,
* Patient with behavioral disorders that may interfere with the proper functioning of the sampling,
* Patient with cognitive impairment preventing understanding of the study and adequate assessment pain (CODEX cognitive score of category C or D),
* Patient placed under legal protection (guardianship).
Minimum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hôpital NOVO

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vella QUILLIEN

Role: PRINCIPAL_INVESTIGATOR

Hospital René Dubos - Pontoise

Locations

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Geriatric Department - CHRU Brest

Brest, , France

Site Status

Geriatric Department - CH Cholet

Cholet, , France

Site Status

Geriatric Department - Hospital Louis Mourier - Colombes

Colombes, , France

Site Status

Geriatric Department - Intercommunal hospital center - Créteil

Créteil, , France

Site Status

Geriatric Department - Hospital René Dubos - Pontoise

Pontoise, , France

Site Status

Countries

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France

Other Identifiers

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2021-A02936-35

Identifier Type: OTHER

Identifier Source: secondary_id

CHRD0319

Identifier Type: -

Identifier Source: org_study_id