Adequacy of Pain Management for Upper Extremity Fracture After Discharge From a Pediatric Emergency Depart
| Status: | Recruiting |
|---|---|
| Conditions: | Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | Any - 17 |
| Updated: | 4/21/2016 |
| Start Date: | February 2012 |
| End Date: | January 2016 |
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.
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.
Inclusion Criteria:
- 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
Exclusion Criteria:
- 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
We found this trial at
1
site
Twin Cities, Minnesota
Principal Investigator: Henry Ortega, MD
Phone: 612-813-7892
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