Acute Management of Pain From the Emergency Department: A National, Emergency Department-Based Prospective Post-Intervention Registry of Non-Opioid and Opioid Management of Acute Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 843
- 试验地点
- 10
- 主要终点
- Clinical Outcomes of pain control measures
研究概览
简要总结
Study aims to assess patient-recorded outcomes of pain control medications prescribed in the ER after visits for specific painful injuries/illnesses.
详细描述
Multicenter, observational, prospective, out-of-hospital registry collecting clinical, satisfaction, quality of life, and healthcare resource utilization from subjects discharged after ED care for a specific acute pain syndrome with a clinician-determined analgesic regimen. Subjects are stratified by diagnosis and by regimen based on the treating clinician's judgment. The registry study is independent of ED care and clinician's decision-making.
研究设计
- 研究类型
- Observational
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Eligible subjects will meet the following criteria:
- •Eligible diagnoses:
- •musculoskeletal etiologies: acute extremity fractures sprains/strains acute gouty arthritis visceral etiologies: renal colic dysmenorrhea
- •Age GTE 18 years;
- •Decision to discharge from ED to community already made;
- •Decision to give SPRIX, opioid, OR SPRIX + opioid rescue already made;
- •Treating clinician deems patient appropriate for continued analgesic management as an outpatient for the next 3-5 days;
- •Patient has ready touch-tone (mobile or land line) telephone access, provides number (and back-up number, if possible) and agrees (verbal or written consent as mandated by site) to answer and comply with brief IVR questionnaires daily for next 4 days.
排除标准
- •Eligible subjects will meet none of the following criteria:
- •Patient admitted or placed on observation status from ED;
- •Patient unwilling or unable to comply with telephonic follow-up;
- •Fracture that requires surgical repair (even if at a later date);
- •Patient has diagnosis of any chronic pain syndrome;
- •Patient already routinely takes NSAID or opioid agent;
- •Treating clinician has reasonable suspicion of drug-seeking behavior or noncompliance;
- •Nasal abnormality or illness that could affect the absorption of intranasal medication (such as: nasal discharge, rhinitis, acute upper respiratory infection, acute epistaxis, nasal polyp, nasal tumor).
结局指标
主要结局
Clinical Outcomes of pain control measures
时间窗: 5 days
1. Change in pain score over follow-up interval; 2. Healthcare resource utilization during follow-up interval; 3. Patient satisfaction with therapy; 4. Return to work in employed cohort.
次要结局
- Satisfaction and Economic Outcomes(5 days)