Pain Evaluation and Treatment in the Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 31,942
- 试验地点
- 1
- 主要终点
- Proportion of patients with appropriate pain evaluation
研究概览
简要总结
All patients admitted in Geneva University Hospitals (GUH) emergency department (ED) are triaged using the Swiss Emergency Triage Scale (SETS), a 4-level symptom-based triage scale. At the end of the triage process the triage nurse has to choose an emergency level and a main presenting complaint among a listing of 98 presenting complaints. The SETS recommends a pain evaluation for 44 out of the SETS 98 presenting complaint.
The primary objective of the study is to determine whether pain is correctly evaluated when required by the SETS criteria. The secondary objectives are (1) to evaluate whether an appropriate treatment is delivered when pain is present, and (2) to identify predictors of pain evaluation and treatment.
详细描述
All patients admitted in Geneva University Hospitals (GUH) emergency department (ED) are triaged using the Swiss Emergency Triage Scale (SETS), a 4-level symptom-based triage scale. At the end of the triage process the triage nurse has to choose an emergency level and a main presenting complaint among a listing of 98 presenting complaints. The SETS recommends a pain evaluation for 44 out of the SETS 98 presenting complaint.
After this evaluation, a protocol standardize administration of analgesia for patients presenting pain.
The primary objective of the study is to determine whether pain is correctly evaluated when required by the SETS criteria for the 44 presenting complaints.
The secondary objectives are (1) to evaluate whether an appropriate treatment is delivered when pain is present, and (2) to identify predictors of pain evaluation and treatment.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •adult (>= 16y) patients admitted at GUH ED during one year
- •presenting complaint requiring pain evaluation accordingly to the SETS criteria
排除标准
- •presenting complaint that does not require a pain evaluation accordingly to the SETS criteria
结局指标
主要结局
Proportion of patients with appropriate pain evaluation
时间窗: Within 24 hours after ED admission
Percentage of patients with a documented assessement of pain using a numerical scale (0 to 10)
次要结局
- Proportion of patients with appropriate pain treatment(Within 24 hours after ED admission)
研究者
Olivier T. Rutschmann
Professor, Deputy Chief
University Hospital, Geneva