Protocol to Ease Acute Cephalalgia in Emergency-department (PEACE)

Grenoble Alpes University Hospital Center (CHU)

Status: Completed

Conditions: Cephalalgia

Treatments: Other: Recommendation to use global headache treatment protocol

Study type: Interventional

Funder types: Other

Identifiers

NCT02236442

2014-A00973-44

Details and patient eligibility

About

The purpose of this study is to determine if the use of a therapeutic and global protocol to relieve cephalalgia is helpful in the emergency department of Grenoble University Hospital.

Full description

Cephalalgia is a very common symptom that justifies daily appointment in emergency department.

Analgesic support, and especially use of oxygen and care of associated symptoms as nausea, photophobia or phonophobia, is very dependent on the physician.

The aim of this study is to evaluate the impact of a global analgesic protocol of cephalalgia in emergency department.

The investigators included 200 patients aged of 18 up to 55 years old coming in emergency department for headache. Pain (Visual analogic scale), nausea, photo or phonophobia are recorded each 15 minutes by the patient by using a self-assessment questionnaire. The final diagnosis is recorded by the physician in charge of patient, using International Headache Society criteria.

First 100 patients(group 1) receive usual care.

For the last 100 patients (group 2), physician in charge of patients are incited to use a formal protocol that include: putting the patient in a quiet spot, laying down on a stretcher, providing sound proof helmet and light blocking google, administering oxygen therapy 15 l/min during 15 min, and administering etiological headache adapted medication following learned society guidelines.

Comparison of the data of this 2 groups shall help us to see if the investigators actual analgesic support of cephalalgia is efficient, and if it can be improved by this global analgesic protocol.

Enrollment: 200 patients

Sex: All

Ages: 18 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Complain about cephalalgia
• Age 28 to 55 years.

Exclusion criteria

• Fever > 38,0 °C
• History of breath disease, long term use of oxygen therapy, chronic obstructive pulmonary disease, dyspnea
• History of cranial traumatism, heart attack, cerebrovascular accident <3 month
• Inability to read or understand french.
• Pregnancy

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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200 participants in 2 patient groups

Usual care

No Intervention group

Description:

First arm : Passive recording head pain, linked symptoms, treatment used and diagnosis.

After protocol recommendation care

Experimental group

Description:

Recording head pain, linked symptoms, treatment used and diagnosis after intervention that is recommendation to use global headache treatment protocol

Treatment:

Other: Recommendation to use global headache treatment protocol