Adequacy of Pain Management for Upper Extremity Fracture After Discharge From a Pediatric Emergency Depart
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.
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.
|Study Design:||Observational Model: Case-Only
Time Perspective: Prospective
- Pain Score [ Time Frame: day 2 - 3 ] [ Designated as safety issue: No ]Numeric pain scale from 0 - 10. 10 indicating the worst pain
- Second pain score assessment [ Time Frame: 7-8 days after ED discharge ] [ Designated as safety issue: No ]Numeric pain scale from 0 - 10. 10 indicating the worst pain
|Study Start Date:||February 2012|
|Estimated Study Completion Date:||January 2014|
|Estimated Primary Completion Date:||January 2014 (Final data collection date for primary outcome measure)|
|United States, Minnesota|
|Children's Hospitals and Clinics of Minnesota||Recruiting|
|Twin Cities, Minnesota, United States|
|Contact: Heidi Vander Velden, MS 612-813-7892|
|Principal Investigator: Henry Ortega, MD|
|Sub-Investigator: Sam Reid, MD|