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Prevalence of Pain in Inpatient at the Hospital Italiano de Buenos Aires

The recruitment status of this study is unknown because the information has not been verified recently.
Verified May 2011 by Hospital Italiano de Buenos Aires.
Recruitment status was  Recruiting
Sponsor:
Information provided by:
Hospital Italiano de Buenos Aires
ClinicalTrials.gov Identifier:
NCT01386307
First received: May 27, 2011
Last updated: June 30, 2011
Last verified: May 2011
  Purpose

The purpose of this study is to determine the prevalence of patients with acute and chronic pain in the area of inpatient at the Hospital Italiano de Buenos Aires.


Condition
Pain

Study Type: Observational
Study Design: Time Perspective: Cross-Sectional
Official Title: ¿Cuál es la Prevalencia de Dolor en internación en el Hospital Italiano?

Resource links provided by NLM:


Further study details as provided by Hospital Italiano de Buenos Aires:

Primary Outcome Measures:
  • Prevalence of pain [ Time Frame: within 48 to 72 hours after admission to hospital ] [ Designated as safety issue: No ]
    Presence of pain in the last 24 hours of hospitalization


Secondary Outcome Measures:
  • Response to analgesic treatment [ Time Frame: within 48 to 72 hours after admission to hospital ] [ Designated as safety issue: No ]
  • The cause of pain during hospitalization [ Time Frame: within 48 to 72 hours after admission to hospital ] [ Designated as safety issue: No ]
  • Number of patients reporting pain to heath care personnel [ Time Frame: within 48 to 72 hours after admission to hospital ] [ Designated as safety issue: No ]
  • Proportion of physicians who know the patient is in pain according to the evolution in medical chart [ Time Frame: within 48 to 72 hours after admission to hospital ] [ Designated as safety issue: No ]
  • Number of nurses who know that the patient has pain according to medical chart [ Time Frame: within 48 to 72 hours after admission to hospital ] [ Designated as safety issue: No ]
  • Proportion of hospitalized patients treated for pain [ Time Frame: within 48 to 72 hours after admission to hospital ] [ Designated as safety issue: No ]
  • Type of analgesic treatment received [ Time Frame: within 48 to 72 hours after admission to hospital ] [ Designated as safety issue: No ]
  • Number of patients with pain evaluated by a pain specialist [ Time Frame: within 48 to 72 hours after admission to hospital ] [ Designated as safety issue: No ]

Estimated Enrollment: 800
Study Start Date: March 2011
Detailed Description:

The diagnosis and treatment of pain during hospitalization are becoming increasingly important. In recent decades there have been articles that explain that pain is underdiagnosed, that there are patients who do not receive treatment or that it fails to decrease pain intensity. It has now been shown that pain is a common problem during hospitalization, showing a prevalence of 38 to 91% depending on the population studied.

Published studies show that there are three types of pain during hospitalization: acute or chronic pain that motivates the admission and continues during hospitalization, pain that appears during hospitalization but was not the cause of the admission or associated with health care, and,pain that appears during the hospitalization associated with health care. To complete the description of patients with pain during hospitalization it has been suggested the existence of a fourth group of patients presenting with chronic pain that does not motivate the admission but persists and does not interfere during hospitalization. In a study evaluating the Italian population shows that the prevalence of pain is modified by marital status and age, and the intensity of pain increases with time evolution of pain and days of hospital stay. Some studies, mainly in Europe, show that the use of analgesics is high but the adherence to guideline recommendations for treatment of pain is low, or that the presence of pain is not recorded in the medical chart compared to the indication of analgesic treatment.

These results demonstrate the need to determine the prevalence of pain in hospitalization at each institution, distinguishing the case of pain prior to admission or appearing during the same (or motivation), evaluating the indication of pain at each hospital, in order to learn about the current situation and design and implement actions to improve pain management in this institution.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population

Patients older than 18 years, hospitalized at the Hospital Italiano de Buenos Aires and admitted 24 to 72 hours before the evaluation.

Criteria

Inclusion Criteria:

  • Adult patients over 18 years.
  • Evaluated at 48 hours after hospital admission in areas general hospitalization, coronary care unit, adult intensive care, intermediate care and day hospital of the Hospital Italiano Central

Exclusion Criteria:

  • Refusal to participate in the study or the informed consent process.
  • Inability to understand or express pain (aphasia, dementia).
  • Alteration ef the sensory.
  • Language other than Spanish.
  • Inpatient at the emergency room.
  • Presence of acute confusion or delirium.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01386307

Contacts
Contact: Diego Giunta, MD (5411) 4959-0200 ext 4419 diego.giunta@hospitalitaliano.org.ar

Locations
Argentina
Hospital Italiano de Buenos Aires Recruiting
Ciudad de Buenos Aires, Buenos Aires, Argentina, 1181
Contact: Diego Giunta, MD    (5411) 4959-0200 ext 4419    diego.giunta@hospitalitaliano.org.ar   
Sub-Investigator: Daniel Weissbrod, MD         
Sub-Investigator: Luis A Camera, MD         
Sub-Investigator: Eduardo Stonski, MD         
Sub-Investigator: Rodrigo Agejas, MD         
Sponsors and Collaborators
Hospital Italiano de Buenos Aires
Investigators
Study Director: Diego Giunta, MD Hospital Italiano de Buenos Aires
Principal Investigator: Maria L Bechelli, MD Hospital Italiano de Buenos Aires
Study Chair: Jimena Vicens, MD Hospital Italiano de Buenos Aires
  More Information

No publications provided

Responsible Party: María Luján Bechelli, Hospital Italiano de Buenos Aires
ClinicalTrials.gov Identifier: NCT01386307     History of Changes
Other Study ID Numbers: 1670
Study First Received: May 27, 2011
Last Updated: June 30, 2011
Health Authority: Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica

Keywords provided by Hospital Italiano de Buenos Aires:
Pain
Hospitalization

ClinicalTrials.gov processed this record on November 20, 2014