Analgesia in pediatric acute abdominal pain MedDRA version: 17.0 Level: PT Classification code 10000081 Term: Abdominal pain System Organ Class: 10017947 - Gastrointestinal disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Children aged 4 to 18 years with acute abdominal pain defined as moderate severe (6-10 VAS or NRS scale) Are the trial subjects under 18? yes Number of subjects for this age range: 300 F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Assumption of acetaminophen 6 hours or NSAIDs or tramadol 8 hours before entering in the study - protracted diarrhea with weight loss > 5%, refusal to eat or drink, drop in urine output - known liver disease or kidney disease - chronic neurological or metabolic action, - positive history of bleeding or thrombocytopenia - evidence of constipation and execution of barium evacuative
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The objective of the study is to compare the efficacy and safety of three different treatment regimens based on analgesic drugs administered sublingually most widely used in current clinical practice in Pediatric Emergency Department: paracetamol 20 mg / kg ketorolac 0.5 mg / kg , and tramadol 2 mg / kg.;Secondary Objective: Pain reduction;Primary end point(s): Reduction of pain assessed by VAS or NRS scale at time 0, 30 minutes, 60 minutes and 120 minutes.;Timepoint(s) of evaluation of this end point: From 0 up to 120 minutes | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Number of complications in different groups Definition of complications: - Number of missed or delayed diagnosis of acute appendicitis or other abdominal pathology (eg gallstones or pancreatitis) Side-effects: nausea, vomiting, diarrhea, headache, hyper-or hypotension, shrinking diuresis, bleeding ;Timepoint(s) of evaluation of this end point: From 0 up 120 minutes | — |
Countries
Italy
Contacts
IRCCS Burlo Garofolo