Primary Headache Disorder
Conditions
Brief summary
Primary headache can be triggered by light or noise. Getting rest in a quiet and dark environment for the treatment of acute headache is recommended for relief of pain during an attack. It is hard to provide this kind of environment in a busy emergency department. We aimed to determine if eye masks and noise reduction head sets are effective in reducing pain scores, fastening pain relief when used together with standard care. We also aimed to see if these methods were preferred over standard care.
Interventions
OTHERmask
investigators will add eye mask to standard treatment
OTHERheadset
investigators will add headset to standard treatment
OTHERstandard drug
investigators will use 10 mg metoclopramide in 150 ml saline given IV over 10 minutes
Sponsors
Ankara City Hospital Bilkent
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients with current headache as a chief complaint presenting to Emergency Department * triage category 3,4,5. * preliminary clinical diagnosis of primary headache is made after brief history and physical exam by the attending emergency physician according to International Classification of Headache disorders version 3 * the attending physician ordered IV treatment
Exclusion criteria
* pregnant * known or suspected diagnosis of a secondary etiology of headache at presentation or at any point during the Emergency Department visit * head trauma within 14 days * inability comply with the study due to insufficient knowledge of Turkish language * known allergy to standard treatment or rescue treatment * history of GI bleeding in the last year * taking any analgesic drug in the last four hours or taking the maximum dose of standard treatment before coming to Emergency Department * hepatic or renal failure * patients with hearing or vision loss
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in pain | 30 min | Change in pain measured by visual analogue scale from baseline measurement achieved at min 0. Investigators will use a 100mm visual analogue scale in which 0 represents no pain and 100 mm represents worse pain ever |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| need for rescue analgesic drug | 60 min | Patients will be asked in one question if they need any additional analgesic or if they are comfortable enough. If a patients wants additional analgesics, regardless of their pain score measured by Visual analogue scale he/she will be given dexketoprofen |
| preference of method over standard treatment | 60 min | Patients will be asked in one question if they will prefer the method of treatment that they received in the study in case they have headache in the future |
Countries
Turkey (Türkiye)
Outcome results
None listed