Therapeutic Management of Acute Cephalalgia Before and After Use of a Therapeutic Protocol in Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Clinical improvement
研究概览
简要总结
The purpose of this study is to determine if the use of a therapeutic and global protocol to relieve cephalalgia is helpful in the emergency department of Grenoble University Hospital.
详细描述
Cephalalgia is a very common symptom that justifies daily appointment in emergency department.
Analgesic support, and especially use of oxygen and care of associated symptoms as nausea, photophobia or phonophobia, is very dependent on the physician.
The aim of this study is to evaluate the impact of a global analgesic protocol of cephalalgia in emergency department.
The investigators included 200 patients aged of 18 up to 55 years old coming in emergency department for headache. Pain (Visual analogic scale), nausea, photo or phonophobia are recorded each 15 minutes by the patient by using a self-assessment questionnaire. The final diagnosis is recorded by the physician in charge of patient, using International Headache Society criteria.
First 100 patients(group 1) receive usual care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Complain about cephalalgia
- •Age 28 to 55 years.
排除标准
- •Fever > 38,0 °C
- •History of breath disease, long term use of oxygen therapy, chronic obstructive pulmonary disease, dyspnea
- •History of cranial traumatism, heart attack, cerebrovascular accident <3 month
- •Inability to read or understand french.
- •Pregnancy
研究组 & 干预措施
Usual care
First arm : Passive recording head pain, linked symptoms, treatment used and diagnosis.
After protocol recommendation care
Recording head pain, linked symptoms, treatment used and diagnosis after intervention that is recommendation to use global headache treatment protocol
干预措施: Recommendation to use global headache treatment protocol (Other)
结局指标
主要结局
Clinical improvement
时间窗: 1 hour after treatment
"Clinical improvement" is defined as "Reduction of at least 50% of quantified pain 1 hour after treatment Comparison of proportion of "clinical improvement" between the 2 groups.
次要结局
- Length of the hospitalization in emergency department(Duration of hospitalisation in emergency department stay, an expected average of 6 hours)
- Pain score on the visual analog scale(1 hour after treatment)
- Time required before medication(Time of administration of first medication, an expected average of 30 minutes)
- Pain depending on the kind of cephalalgia(1 hour after treatment)
- Impact of different kind of analgesic therapeutic(1 hour after treatment)
- Hospitalisation requirement(Exit of emergency department, an expected average of 6 hours)