- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01599663
Pain Management of Intensive Care Unit Patients
Pain Management of Intensive Care Unit (ICU) Patients. An Intervention Study to Evaluate the Effect of Systematic Pain Management of Various Groups of ICU Patients.
Study Overview
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Fredrikstad, Norway, 1603
- Ostfold Hospital Trust
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- All consecutive patients admitted into these four ICUs
Exclusion Criteria:
- Patients will be excluded if they are not able to express pain behaviors (i.e. quadriplegic, are receiving neuromuscular blockade or muscle paralyzing drugs or are being investigated for brain death.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention units
A time period before the clinicians will be educated, trained and guided in the pain management algorithm, pre-test data will be collected in four ICU units. The clinicians in three of the ICU units will be educated, trained and guided in the pain management algorithm. The algorithm will then be used to assess and treat pain in all consecutive ICU patients. Post-test data will be collected a time period after the intervention is implemented. |
The algorithm guide the clinicians to score ICU patients pain systematically with different pain assessment tools.
The tools are the Numeric Rating Scale, Behavioral Pain Scale and Behavioral Pain Scale Non Intubated.
The algorithm guide the clinicians to choose between the different pain assessment tools depending on the ICU patient's condition and ability to rate his own pain.
Thereafter the algorithm guide the clinicians to treat pain depending on the pain intensity score.
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No Intervention: Control unit
The clinicians in the fourth ICU (control unit) will not be educated, trained and guided in the pain management algorithm.
They will continue to assess and treat pain in all consecutive ICU patients as before.
The unit, which will be used as a comparison unit, will collect the same post-test data at the same time as data in intervention ICUs were collected.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Duration of mechanical ventilation, ICU and hospital length of stay
Time Frame: The participants will be followed for the duration of hospital stay, an expected average of two weeks
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Duration of mechanical ventilation, ICU and hospital length of stay will be measured in a group of ICU patients before (pre-test) and after (post-test) the intervention.
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The participants will be followed for the duration of hospital stay, an expected average of two weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Documentation of ICU patients' pain and pain management in four ICU's.
Time Frame: The participants will be followed for the duration of ICU stay, an expected average of one week
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The data is collected to evaluate current pain and pain management practices in a period before the intervention is implemented (pre-test).
The data is collected from both intervention units and control unit.
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The participants will be followed for the duration of ICU stay, an expected average of one week
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Proportion of ICU patients express having pain or are estimated to have pain. How severe their pain is.
Time Frame: The participants will be followed for the duration of ICU stay, an expected average of one week
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In the pre-test, the medical records are searched for use of different pain assessment tools or other notations about pain assessment of these patients.
In the post-test the medical records are searched for systematically pain intensity scores from the different pain assessment tools.
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The participants will be followed for the duration of ICU stay, an expected average of one week
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The clinician's adherence to the pain management algorithm in ICU patients.
Time Frame: The adherence will be followed for the duration of ICU stay, an expected average of one week (post-test)
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The medical records will be searched for documentation of how the algorithm is used.
I.e. is it used to the right patients, Is it used as often as described, is it used to the right patients.
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The adherence will be followed for the duration of ICU stay, an expected average of one week (post-test)
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Sedation level and Use of psychoactive drugs
Time Frame: The participants will be followed for the duration of ICU stay, an expected average of one week
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Sedation level and use of psychoactive drugs will be measured before (pre-test) and after (post-test) the intervention.
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The participants will be followed for the duration of ICU stay, an expected average of one week
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Use of Analgesics
Time Frame: The participants will be followed for the duration of ICU stay, an expected average of one week
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Use of analgesics will be measured before (pre-test) and after (post-test) the intervention.
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The participants will be followed for the duration of ICU stay, an expected average of one week
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Brita F Olsen, Msc, Ostfold Hospital Trust
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- Project number 3234
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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