Pain Measurement and Pain Management in the Intensive Care Unit(ICU) (PIJNICU2)

Pain Measurement and Pain Management in the ICU

The purpose of this study is to evaluate the effect of a pain training program and systematic measurement of pain scores on actual pain levels and the use of analgesics in critically ill patients.

Study Overview

• Status: Completed
• Conditions: Critically Ill Patients
• Intervention / Treatment: Other: A Pain training program and pain measurement

Detailed Description

Systematic evaluation of pain, though still not common practice in all ICUs, is recommended in clinical practice guidelines for optimal pain management. Pain is a frequently experienced problem in patients in the Intensive Care Unit(ICU). In search of literature to support the need for introduction of a pain management system and to train the entire health staff in our department little information was found concerning the effects of pain training and pain management systems in the ICU. The small number of available studies may be explained by the difficulty of systematic pain measurement in ICU patients, mainly due to the inability to communicate effectively with these patients.

• Study Type: Observational
• Enrollment (Actual): 190

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Critically ill patients, 18 years and older

Description

Inclusion Criteria:

• All patients admitted to the ICU of the St. Antonius hospital, >18 years old.

Exclusion Criteria:

• Patients who are suspected to be brain-dead

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
pain training program; ICU Patients treated with or without pain management protocol	Other: A Pain training program and pain measurement; Comparing patients treated with and without analgesia and sedation protocol; Other Names: pain measurement; pain management

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Pain scores using the numerical rating scale, rated by the attending nurse and by the patient if possible.	3 times a day

Secondary Outcome Measures

Outcome Measure	Time Frame
Dose of all pain medication (morphine, paracetamol) per patient	24 hr
Length of stay in the ICU	ICU stay
Pneumonia	ICU stay
30 day Mortality	within 30 days

Collaborators and Investigators

• Sponsor: St. Antonius Hospital
• Investigators: Principal Investigator: Peter Bruins, MD, PhD, Department of Anaesthesiology, Intensive Care and Pain Management, St Antonius Hospital, Nieuwegein

Study record dates

Study Major Dates

• Study Start: April 1, 2006
• Primary Completion (Actual): August 1, 2006
• Study Completion (Actual): October 1, 2007

Study Registration Dates

• First Submitted: October 15, 2008
• First Submitted That Met QC Criteria: October 15, 2008
• First Posted (Estimate): October 16, 2008

Study Record Updates

• Last Update Posted (Estimate): October 16, 2008
• Last Update Submitted That Met QC Criteria: October 15, 2008
• Last Verified: October 1, 2008

More Information

Terms related to this study

• Keywords: ICU; critically ill patients; pain measurement; pain management; pain scores
• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Critical Illness
• Other Study ID Numbers: PIJNICU2/Z06.11