Acute locomotoric pain in the geriatric patient.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - = 70 years - Acute locomotoric pain (inclusion within 72 hours after onset of pain), treated conservatively: o Fractures: hip, shoulder, wrist, vertebra o Exacerbation osteoarthrosis o Exacerbation degenerative low back pain - Acute severe pain: o NRS = 5 o Possibility to NRS and informed consent o Acute pain o Hospitalised on geriatric ward - Chronic pain treatment in advance: maximum step 1 (paracetamol/NSAIDs) Are the trial subjects under 18? no Number of subjects for this age range: 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) yes F.1.3.1 Number of subjects for this age range 200
Exclusion criteria
Exclusion criteria: - < 70 years - Surgical treatment for musculoskeletal pain - Inflammatory pain(gout, chondrocalcinosis), tumoral pain, organ pain, pain caused by ischemia - Chronic pain (without exacerbation), terminal situation - Impossibility to oral intake of medication - Severe liver insufficiency (TA 2X normal values) or severe renal insufficiency (clearance < 30ml/min) - Longterm opioid-use = longer than 2 weeks step 2 or 3 in the last 6 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate whether there is a difference in effectiveness and safety between two commonly used therapeutic strategies: step 2 versus step 3 of the WHO pain ladder.;Secondary Objective: Not applicable;Primary end point(s): pain-relief due to medication efficacy;Timepoint(s) of evaluation of this end point: 3 times a day during 7 days | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): safety (adverse events);Timepoint(s) of evaluation of this end point: during 7 days | — |
Countries
Belgium
Contacts
Ghent University Hospital