Adequacy of Pain Management for Upper Extremity Fracture After Discharge From a Pediatric Emergency Depart
试验速览
- 阶段
- 不适用
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Pain Score
研究概览
简要总结
Pain is a common cause for children seeking care in the Emergency Department (ED). Children with orthopedic injuries often require pain control when seeking emergency care. Despite the high prevalence of ED visits requiring pain control, pain is often poorly assessed and treated in ED settings. Currently, no standard of care exists for the management of this fracture-related pain in children discharged from the ED. Furthermore, discrepancies in analgesia administration to patients of various racial groups seeking emergency care have been documented but are poorly understood. No research currently exists comparing pain severity between upper extremity fractures requiring simple splinting to those treated with sedated reduction and splinting. Furthermore, there is no research regarding the prevalence of significant post-discharge pain nor the differences among ethnic and age groups treated in the ED.
Research Questions:
What is the prevalence of significant post-discharge pain in children treated for upper extremity fractures?
Is there a difference in severity between those children requiring reduction versus simple splinting?
Is there a difference in pain severity noted among different ethnic or age groups?
Design This is a prospective, un-blinded, observational study that will include patients seeking treatment for an upper extremity fracture.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- — 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Parents/guardians of patients presenting to the ED will be included if:
- •The patient is younger than 18 years old
- •The patient has an isolated upper extremity fracture (including clavicle, humerus, forearm, wrist) undergoing ED splinting with or without reduction
- •The parent/guardian is English, Spanish, Somali, or Hmong-speaking
- •The parent/guardian lives with the child
- •He/she has a working telephone number
排除标准
- •Potential subjects presenting to the ED will be excluded from study participation if:
- •There is suspicion of child abuse or neglect
- •The parent/guardian is not English, Spanish, Somali, or Hmong-speaking
- •The patient is critically ill
- •The fracture requires operative reduction/treatment
- •The patient is medically complex
- •The patient has a pre-existing bone disease or chronic pain syndrome
结局指标
主要结局
Pain Score
时间窗: day 2 - 3
Numeric pain scale from 0 - 10. 10 indicating the worst pain
次要结局
- Second pain score assessment(7-8 days after ED discharge)