Opioid Use and Predicting Factors at the Emergency Department
- Conditions
- Pain, AcutePain
- Interventions
- Other: Usual care
- Registration Number
- NCT06072950
- Lead Sponsor
- Radboud University Medical Center
- Brief Summary
Background: Increasing opioid misuse is a worldwide problem. About 10% of opioid misusers are primarily exposed to opioids at the Emergency Department (ED). This study was conducted to determine the feasibility for a clinical trial investigating the effect of Virtual Reality therapy on opioid consumption at the ED.
Methods: Adult patients were included when primarily seen by the Emergency Physician and presenting with a NRS pain score ≥4. Main objective was to identify the target population and evaluate outcome measures to sustain a trial incorporating the Oral Morphine Equivalent (OME) at the ED as the primary endpoint. Primary outcome was mean OME administered at the ED. Secondary outcomes included NRS pain scores, main symptoms and type of analgesics administered at the ED.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 149
- Patient ≥16 years admitted to ED and identified by an Emergency Physician (EP)
- NRS pain score ≥4
- Patient is willing and able to comply with the study protocol
- Patients initially treated by another physician than the EP.
- EMV < 14
- History of dementia, seizures
- Severe hearing/visual impairment not corrected
- Headwounds or damaged skin with which comfortable and hygienic use is not possible.
- Presentation to ED because of chronic pain (≥3 months) exacerbation
- Chronic opioids use (≥3 months)
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Patient with NRS pain at rest being 4 or higher Usual care Patient with NRS pain at rest being 4 or higher, primarily treated by emergency physician, internist, or surgeon. All patients receive usual care, no interventions are administered.
- Primary Outcome Measures
Name Time Method Opioid use throughout study participation, up to 8 hours Opioids use of patients during their stay at Emergency Department (yes/no)
- Secondary Outcome Measures
Name Time Method Administered analgesics throughout study participation, up to 8 hours Type and dose of all administered analgesics at Emergency Department.
Numaric rating score anxiety scores Every 30 minutes until discharge of patient NRS anxiety scores
Duration of ED visit throughout study participation, up to 8 hours Duration of ED visit
Analgesics prescriptions throughout study participation, up to 8 hours When patient is discharged home prescribed analgesics are registered.
Oral morphine equivalent throughout study participation, up to 8 hours Doses of opioids received by a patient during their stay at the ED converted to Oral morphine equivalent (OME)
Pain acceptability Asked at moment of admittance and at discharge, up to 6 hours after inclusion Patient opinion on acceptability of their pain at rest upon admittance and discharge
Patients openness to VR Assessed upon admittance yes/no question to explore patients willingeness to use VR in their situation
Reason why patients finds pain acceptable Assessed upon admittance Open question
Patients desire for analgesics Asked at moment of admittance and at discharge, up to 6 hours after inclusion yes/no question whether patient desires analgesics
Satisfaction with pain management Asked at moment of discharge, up to 6 hours after inclusion On a numaric rating scale
Nurse opinion on patient adequacy of pain reporting Assessed upon admittance Categorical question: understating - adequate - exaggerating
Numaric rating score pain scores at rest Every 30 minutes until discharge of patient Including whether this is pre/post analgesics
Trial Locations
- Locations (1)
Radboud university medical center
🇳🇱Nijmegen, Gelderland, Netherlands