Informations générales (source: ClinicalTrials.gov)
Concordance of Pain Detection in Patients by Doloplus® and Algoplus® Behavioural Scales. (CALDOL)
Observational
University Hospital, Clermont-Ferrand (Voir sur ClinicalTrials)
janvier 2014
septembre 2014
29 juin 2024
The pain of the elderly is often trivialized and ignored in spite of its high frequency:
the chronic pain affects 50 % of the elderly living at home, 49 to 83 % of those living
in institution and 80 % of this population at the end of life.
The evaluation of pain appeals to the same strategy as to the younger subject but with
some specificities, related more to the pathologies associated with the ageing than to
the real age. For that purpose, the investigators have self-assessment scales as the
Numeric Pain Rating Scale which is adapted to estimate acute and chronic pains, but this
scale presents a bias because, some patients do not express spontaneously their pain.
So behavioural scales were elaborated to solve the difficulties of detection and to care
the pain of the elderly. The Algoplus® scale (5 items which takes less than one minute to
be completed) whose objective is the observation of behavioural changes caused by the
acute pain in elderly having communication disorders. The Doloplus® scale (30 items which
allow in few minutes a good evaluation of pain) whose objective is the observation of
behavioural changes caused by the chronic pain in elderly having communication
impairments.
In practice, because of its popularity, the Algoplus® scale is widely used out of the
specificity in which it has been validated. Practitioners, worried about this misuse,
suggested to Doloplus® group, to test the concordance between the two behavioural scales
in order to develop recommendations more targeted. The risk is that the use of the
Algoplus® scale may underestimate pain that would have been detected by Doloplus® scale,
and lead to under-treatment or non-treatment of pain in elderly having communication
disorders.
This study aims to establish the concordance between these two scales to generate advices
and recommendations to assess efficiently the pain in this vulnerable population.
The main objective of this study is to assess whether the use of Algoplus® scale is in
good concordance with Doloplus® scale.
The secondary objective of this study is to assess the concordance with different levels
of Algoplus® pain scale: (0-1), (2-3), (4-5).
Etablissements
| Les établissements hors Île-de-France dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| CHU Clermont-Ferrand - 63003 - Clermont-Ferrand - France | Patrick LACARIN | Contact (sur clinicalTrials) | |||
Critères
Tous
Inclusion Criteria:
- Patients of 65 or more years old
- Patients having communication disorders
- Hospitalization for at least 48 hours
- Patients of 65 or more years old
- Patients having communication disorders
- Hospitalization for at least 48 hours
- Patients of less than 65 years