Informations générales (source: ClinicalTrials.gov)
Impact of the Use of the Scale ALGOPLUS® on the Prescriptions of Analgesics in Emergency Department on Patients of 75 Years Old or More (DOLEVA75)
Observational
University Hospital, Clermont-Ferrand (Voir sur ClinicalTrials)
janvier 2013
octobre 2014
29 juin 2024
The pain of the elderly is even often unrecognized or trivialized and ignored in spite of
its big 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.
So in the elderly, the noxious character of the pain is more pregnant than at the young
adult. The echo on the acts of the everyday life is fast, the activities decrease, coming
to deteriorate the isolation and the dependence: the echo on the psychic state is
frequent and the pain is a part of the cause of a confusional state. Finally, the
presence of a pain distorts considerably the quality of life and can modify the state
general as the desire of life.
The evaluation of the 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
with the real age. For that purpose, the investigators have first of all scale of
self-assessment as the numerical scale which is adapted to estimate the acute and chronic
pains but this scale presents a bias because, certain patients do not express
spontaneously their pain and this one must be attentively looked for in case of
modification of behavior.
So scales of hetero-evaluation were elaborated to solve the difficulties of detection and
to care the pain of the elderly. One of these is the scale Algoplus® (5 items which allow
within one minute a good quality evaluation whatever is the place of care) whose
objective is the observation of the behavioral changes caused by the acute pain in
elderly having communication disorders.
Due to the demographic evolution, emergency departments are more and more frequently a
place of consultation of the elderly. Indeed, the elderly represent approximately 10 to
20 % of all the passages in emergency department and 50 % of the patients hospitalized
during the passage in the reception of Emergency department are elderly. Elderly care is
difficult for a certain number of reasons (vulnerability, accumulation of pathologies and
treatments). So, in this context, the evaluation of the presence of pain and its care are
difficult in particular at the elderly with communication disorders.
In a preliminary study in the emergency department of the Hospital of Clermont-Ferrand,
on 700 patients of more than 75 years old admitted in April 2012, 32 % had a prescription
of analgesic while 13 % only had a real quotation of the pain.
The aim of the investigators study is to analyze if the systematic introduction of the
scale Algoplus® in the evaluation of elderly during its entrance to emergency department
could modify the prescription of analgesic.
Etablissements
| Les établissements hors Île-de-France dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| CHU de Clermont-Ferrand - 63003 - Clermont-Ferrand - France | Patrick LACARIN | Contact (sur clinicalTrials) | |||
Critères
Tous
Inclusion Criteria:
- Patients admitted in emergency department for any pathologies,
- Patients of 75 or more years old
- Patients admitted in emergency department for any pathologies,
- Patients of 75 or more years old
- Patients of less than 75 years.