The Management of Postoperative Craniotomy Pain in Pediatric Patients: A Prospective Cohort Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Post Craniotomy Surgery
- Sponsor
- Johns Hopkins University
- Enrollment
- 81
- Locations
- 3
- Primary Endpoint
- pain assessment
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The purpose of this prospective, clinical observational trial is to assess the incidence of pain (and analgesia), methods of pain assessment (and by whom), prescribed analgesics, methods of analgesic delivery, and patient/parent satisfaction in patients undergoing craniotomy surgery at three major children's hospitals (Boston Children's Hospital, Children's Hospital of Philadelphia, The Children's Center Johns Hopkins Hospital) in the United States.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Pediatric patients 0-18 years, who are scheduled to undergo craniotomy surgery for any reason (e.g., brain tumor, epilepsy surgery, craniofacial reconstruction) at either the Boston Children's Hospital, the Children's Hospital of Philadelphia, or the Children's Center of the Johns Hopkins Hospital will be eligible for enrollment.
Exclusion Criteria
- •Patients who remain intubated after surgery. Additionally, we will exclude patients who are allergic to opioids or who have a history of substance abuse
Outcomes
Primary Outcomes
pain assessment
Time Frame: 2 years
To determine the severity of pain and the compliance of physicians and nurses in implementation of institutionally mandated pain assessment tools by chart review. We will also assess which pain assessment tools are in use by health care providers in the 3 participating institutions along with compliance with frequency of pain assessment based on institutional policy.
Secondary Outcomes
- patient/parent satisfaction(2 years)