RecruitingACTRN12623000400662

Understanding the pattern of pain relief medication being prescribed for patients who are discharged from the emergency department with a long-bone fracture

Analgesic Prescribing Practices for Patients with Long-Bone Fractures Discharged from an Emergency Department


Sponsor

Emergency Department, Royal North Shore Hospital

Enrollment

100 participants

Start Date

Mar 15, 2023

Study Type

Observational

Conditions

Summary

Background: Pain is the leading reason for patients to seek health care, accounting for up to 78% of presentations to the emergency department (ED). Appropriate pain management is the key to quality patient care. Despite effective pain management being a major treatment goal, the underutilisation of pain relief in ED remains prevalent. Aims: This study aims to investigate the impact of pain relief being prescribed in the ED and its effect on the pain scores for patients who have been discharged from the ED with a fracture in a long bone. This study will also investigate whether stronger pain relief are prescribed to patients and used following discharge from the emergency department. Participants: patients of age 17 or older with a long-bone fractures discharged from the hospital. Methods: Follow-up phone survey conducted at one week post-discharge from the ED. The survey will include questions about type of analgesia received and/or prescribed, filling of prescriptions, other pain medications used, adequacy of pain relief within the Emergency Department and following discharge, non-pharmacological pain relief, and interference with activities of daily living and side effects. Expected outcomes: 1) To improve understanding of analgesia prescribing practices of patients discharged from the emergency department within the NSLHD. 2) To improve care of patients with long-bone fractures with improved clinician and nursing awareness of severity of pain and analgesia.


Eligibility

Sex: Both males and femalesMin Age: 17 Yearss

Plain Language Summary

Simplified for easier understanding

Bone fractures — particularly broken arms, legs, and collarbones — are common reasons for visits to the emergency department (ED). Pain is a major part of the patient's experience, and managing it well is one of the most important things an ED can do. Despite this, there is growing evidence that pain medication is underused or incorrectly prescribed, and many patients go home without adequate pain relief. This study is simply trying to understand what is currently happening in one Sydney health district. Patients who were treated in the ED for a broken long bone (such as the humerus, radius, ulna, tibia, fibula, or clavicle) and sent home are contacted by phone about one week after discharge. A short survey asks about the type of pain medication they were given, whether they could get it filled at a pharmacy, whether it was enough, and how much their pain interfered with everyday activities. You may be eligible if you are 17 or older, had a long bone fracture, were discharged from the emergency department (not admitted to hospital), are available for a phone follow-up one week later, and can provide consent. Non-English speakers and patients who are planned for surgery are excluded.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

Patients who present to the Emergency Department (ED) with isolated long bone fracture (humerus, clavicle, tibia, fibula, radius, ulna) will be approached for consent to participant in a follow-up tel

Patients who present to the Emergency Department (ED) with isolated long bone fracture (humerus, clavicle, tibia, fibula, radius, ulna) will be approached for consent to participant in a follow-up telephone interview seven days following their discharge. All interviews will be conducted by a trained member of the ED research team. The survey will take approximately 10minutes and include information regarding the type of analgesia received and/or prescribed, filling of prescriptions, other pain medications used, adequacy of pain relief within the Emergency Department and following discharge, non-pharmacological pain relief, and interference with activities of daily living and side effects.


Locations(1)

Royal North Shore Hospital - St Leonards

NSW, Australia

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ACTRN12623000400662