Effect of Early Pain Management at Triage on Opioid Consumption

University of Monastir1,500 enrolled

Overview

introduction: Pain remains one of the most common reasons of emergency department admission. Opioids are overprescribed in emergency departments to treat severe pain. objective: assessing the impact of ealy pain pain management on the use of intravenous morphine and on patient satisfaction.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

1,500

Conditions

Acute Pain

Interventions

ParacetamolDRUG

2 tablets of 500mg of paracetamol

Tramadol/Paracetamol combinationDRUG

2 tablets of tramadol/paracetamol combination (32.5mg/325mg)

Placebo Oral TabletDRUG

2 tablets of placebo

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * over 18 years of age * a visual analog scale (VAS) equal to or higher than 30/100 , * having given consent to participation * No contraindications to products used in the course of the study. Exclusion Criteria: * having a vital distress that does not allow an adequate assessment of the intensity of the pain * an inability to assess pain intensity according to the VAS, * swallowing disorders or inability , or a contraindication or an allergy to the treatments used.

Outcomes

Primary Outcomes

use of rescue opioids

decreased consumption of intravenous morphine

Time frame: DURING emergency department stay

Secondary Outcomes

patient satisfaction

patient satisfaction regarding the overall management in the emergency department measured by likert scale

Time frame: When quitting emergency department

Length of emergency department stay

Time frame: Until emergency department discharge

Pain intensity at emergency department discharge

Percentage of patients with visual analog scale \<30

Time frame: At emergency department discharge

Data from ClinicalTrials.gov

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