Pediatric Pain Assessment in the Emergency Department

Wake Forest University (WFU)

Status: Terminated

Conditions: Acute Pain; Pain

Study type: Observational

Funder types: Other

Identifiers

NCT03157882

09-16-31E

Details and patient eligibility

About

To examine pediatric pain assessment in the Emergency Department

Full description

Phase 1 is a qualitative assessment of how pain is currently evaluated in the pediatric Emergency Department (ED). Initial triage encounters will be observed and audio recorded. In addition to determining how often the Wong Baker FACES Pain Rating Scale (WBF) is administered with the intended script, the investigators will determine if there are common variations from the recommended script. The investigators will also evaluate how often a caregiver's perception of the child's pain is considered when completing the WBF.

Phase 2 is a quantitative assessment to determine if neurocognitive development impacts the responsivity of the WBF and the Faces Pain Scale - Revised (FPS-R) as well as the cognitive age equivalent required to use these scales accurately. Patients presenting with acute pain will report their level of pain before and after analgesic intervention using both the WBF and the FPS-R. They will also subjectively report their change in pain following analgesic intervention. Once the patient's pain has improved, he/she will complete the BRIGANCE Early Childhood Screens III to determine his/her cognitive age equivalent. He/she will also complete a series of tasks aimed to assess ability to successfully use the WBF and FPS-R (matching, grouping, classification, and seriation skills). The results of the child's self-report of pain will also be compared to the caregiver's estimate of the child's pain.

Enrollment: 46 patients

Sex: All

Ages: 3 to 7 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• verbal patients
• pain score ≥ 6/10
• caregiver speaks English or Spanish

Exclusion criteria

• altered mental status
• history of traumatic brain injury (TBI)
• history of developmental delay
• history of Autism
• history of chronic pain, defined as persistent or recurrent pain in children with chronic health conditions
• non-verbal patients

Trial design

46 participants in 1 patient group

Study Population

Description:

Pediatric patients presenting to the emergency department with acute painful conditions (please see inclusion and exclusion criteria)