Evaluation of Acute Pain in Maltreated Children (ANTALPED)

Nantes University Hospital (NUH)

Status: Completed

Conditions: Pain

Study type: Observational

Funder types: Other

Identifiers

NCT00721682

BRD 08/6-K

Details and patient eligibility

About

The hypothesis of this study is nonrecognition by the medical team of pain in maltreated children. These children would have a particular painful behaviour, "quiet". The management of their pain would be then unsuited, which could explain their complex relation with the pain in the adulthood. A pilot study realized in the CHU of Nantes on 11 files of maltreated children showed that they had very low scores of evaluation of the pain, in spite of severe traumatisms. There is, at the moment, no data in the literature on the acute pain of the maltreated children.

Enrollment: 78 patients

Sex: All

Ages: Under 6 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age between 0 and 6 years
• Consultation in the emergency cares for traumatism with type of fracture and/or burn
• Time of the traumatism lower than 24 hours
• Information of the two parents or the parental authority and collection of the non-opposition.

Exclusion criteria

• Old superior at 6 years
• Any type of traumatism other than a fracture and/or a burn
• Traumatism without possible dating or with a time of consultation higher than 24 hours
• Opposition of the parents formulated after their information by the medical team
• Child who can not have an evaluation of the pain with the chosen scales

Trial design

78 participants in 2 patient groups

Case

Description:

The CASE group will be composed of children for whom the medical team will have chosen to carry out a sign of alert of ill-treatment during his hospitalization and with no plausible cause of traumatism

control

Description:

The Control group will be composed of children, consulting with the emergency care for traumatism, not having a sign of alarm and having a plausible cause of traumatism.