Pain Management of Intensive Care Unit (ICU) Patients. An Intervention Study to Evaluate the Effect of Systematic Pain Management of Various Groups of ICU Patients.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 650
- 试验地点
- 2
- 主要终点
- Duration of mechanical ventilation, ICU and hospital length of stay
研究概览
简要总结
The purpose of this study is to evaluate the effect of an algorithm, where ICU patients pain are assessed systematically with valid pain assessment tools and where pain is treated after pain intensity score.
详细描述
As a pre-test, before the intervention is introduced, data from ICU patients from four intensive care units (ICU) will be collected from medical records to evaluate current pain management practices. An algorithm, which is developed by a group of resource persons, is educated to the staff in three of the ICUs. The staff will also receive training and guiding in the use of the algorithm and the different pain assessment tools. Then the algorithm will be implemented and used in all the consecutive ICU patients. Post-test data is then collected in the three ICUs. In the fourth ICU, which will be used as a comparison unit, the same post-test data will be collected at the same time as data in intervention ICUs were collected. The algorithm will not be introduced here.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
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
- •All consecutive patients admitted into these four ICUs
排除标准
- •Patients will be excluded if they are not able to express pain behaviors (i.e. quadriplegic, are receiving neuromuscular blockade or muscle paralyzing drugs or are being investigated for brain death.
研究组 & 干预措施
Intervention units
A time period before the clinicians will be educated, trained and guided in the pain management algorithm, pre-test data will be collected in four ICU units.
The clinicians in three of the ICU units will be educated, trained and guided in the pain management algorithm. The algorithm will then be used to assess and treat pain in all consecutive ICU patients. Post-test data will be collected a time period after the intervention is implemented.
干预措施: Pain management algorithm (Other)
Control unit
The clinicians in the fourth ICU (control unit) will not be educated, trained and guided in the pain management algorithm. They will continue to assess and treat pain in all consecutive ICU patients as before. The unit, which will be used as a comparison unit, will collect the same post-test data at the same time as data in intervention ICUs were collected.
结局指标
主要结局
Duration of mechanical ventilation, ICU and hospital length of stay
时间窗: The participants will be followed for the duration of hospital stay, an expected average of two weeks
Duration of mechanical ventilation, ICU and hospital length of stay will be measured in a group of ICU patients before (pre-test) and after (post-test) the intervention.
次要结局
- Proportion of ICU patients express having pain or are estimated to have pain. How severe their pain is.(The participants will be followed for the duration of ICU stay, an expected average of one week)
- Documentation of ICU patients' pain and pain management in four ICU's.(The participants will be followed for the duration of ICU stay, an expected average of one week)
- The clinician's adherence to the pain management algorithm in ICU patients.(The adherence will be followed for the duration of ICU stay, an expected average of one week (post-test))
- Sedation level and Use of psychoactive drugs(The participants will be followed for the duration of ICU stay, an expected average of one week)
- Use of Analgesics(The participants will be followed for the duration of ICU stay, an expected average of one week)