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Completed

NCT Number: NCT03499301

Description of Chronic Pain in Emergencies Room and Medical Care Modalities

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.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Hôpital Pellegrin - Service des urgences adultes

Bordeaux, 33000, France

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

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.

Treatment and study plan

Primary outcomes

  1. Medical care modalities satisfaction

    Time frame: Day 1

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

Secondary outcomes

  1. Rate of patients with chronic pain.

    Time frame: Day 1

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

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

    Time frame: Day 1

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

  3. Pain intensity

    Time frame: Day 1

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

  4. Anxiety intensity

    Time frame: Day 1

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

Sponsors and collaborators

Lead sponsor

University Hospital, Bordeaux

Other

Registry information

Acronym: CHRODOLURG

Important dates

Study start
2018
Primary completion
2018
Study completion
2018
First posted
Apr 17, 2018
Registry last updated
Jun 25, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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