Status:
TERMINATED
Opioid Analgesics for Acute Fracture Pain in Adults Discharged From the ED
Lead Sponsor:
Mount Sinai Hospital, Canada
Conditions:
Acute Pain
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Background: Emergency department (ED) providers are frequently challenged with how best to treat acute pain, specifically when non-opioid analgesics are insufficient or contraindicated. Studies have d...
Detailed Description
Introduction :Pain is a major symptom of many patients presenting to the emergency department (ED), with up to 42% of ED visits being related to painful conditions. ED providers are challenged with ho...
Eligibility Criteria
Inclusion
- \>=18 Years
- live independently
- acute pain secondary to an upper extremity, lower extremity, rib, pelvic or vertebral compression fracture occurring within 7 days prior to their visit
- ED physician intends to prescribe opioid analgesic upon ED discharge
Exclusion
- an allergy to any of the study drug (acetaminophen, polyethylene glycol 3350, codeine, oxycodone, hydromorphone)
- non-English speaking without an adequate interpreter
- already on prescribed chronic opioid pain medication
- ongoing use of sedating medications (e.g., benzodiazepines, antipsychotics)
- current substance use disorder excluding tobacco
- on opioid substitution therapy
- comorbidity representing an absolute or relative contraindication to acute opioid prescribing (ie. any medical condition requiring home oxygen, Addison's disease, dialysis dependence, obstructive sleep apnea on non-invasive positive pressure ventilation, body mass index \> 45, Cushing's Disease)
- moderate to severe dementia
- inability to follow-up
- reside in a nursing home or location where a professional dispenses medications
Key Trial Info
Start Date :
February 5 2018
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
September 17 2019
Estimated Enrollment :
5 Patients enrolled
Trial Details
Trial ID
NCT03478423
Start Date
February 5 2018
End Date
September 17 2019
Last Update
October 2 2019
Active Locations (1)
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1
Mount Sinai Hospital
Toronto, Ontario, Canada, M5G 1X5