Pain Evaluation and Treatment in the Emergency Department

Overview

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.

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Retrospective
  • Study Primary Completion Date: June 2017

Detailed Description

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.

Interventions

  • Other: Pain evaluation
    • Evaluation of pain using a numerical scale (1 to 10)

Arms, Groups and Cohorts

  • Pain triage complaint
    • Patients admitted at GUH ED triaged with a main complaint requiring a pain evaluation.

Clinical Trial Outcome Measures

Primary Measures

  • Proportion of patients with appropriate pain evaluation
    • Time Frame: Within 24 hours after ED admission
    • Percentage of patients with a documented assessement of pain using a numerical scale (0 to 10)

Secondary Measures

  • Proportion of patients with appropriate pain treatment
    • Time Frame: Within 24 hours after ED admission
    • Percentage of patients who received an appropriate treatment accordingly to the ED recommendations.

Participating in This Clinical Trial

Inclusion Criteria

  • adult (>= 16y) patients admitted at GUH ED during one year
  • presenting complaint requiring pain evaluation accordingly to the SETS criteria

Exclusion Criteria

  • < 16 y
  • presenting complaint that does not require a pain evaluation accordingly to the SETS criteria

Gender Eligibility: All

Minimum Age: 16 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • University Hospital, Geneva
  • Provider of Information About this Clinical Study
    • Principal Investigator: Olivier T. Rutschmann, Professor, Deputy Chief – University Hospital, Geneva
  • Overall Official(s)
    • Olivier T Rutschmann, MD, MPH, Principal Investigator, University Hospital, Geneva

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