Evaluation of Acute Pain in Maltreated Children

Study Overview
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Brief Summary
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The hypothesis of this study is nonrecognition by the medical team of pain in maltreated children. These children would have a particular painful behaviour, quiet. The management of their pain would be then unsuited, which could explain their complex relation with the pain in the adulthood. A pilot study realized in the CHU of Nantes on 11 files of maltreated children showed that they had very low scores of evaluation of the pain, in spite of severe traumatisms. There is, at the moment, no data in the literature on the acute pain of the maltreated children.

Official Title
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Evaluation of Acute Pain in Maltreated Children : a Prospective, Multicentric and Controlled Study

Conditions
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Pain

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age between 0 and 6 years Consultation in the emergency cares for traumatism with type of fracture and/or burn Time of the traumatism lower than 24 hours Information of the two parents or the parental authority and collection of the non-opposition. Exclusion Criteria: Old superior at 6 years Any type of traumatism other than a fracture and/or a burn Traumatism without possible dating or with a time of consultation higher than 24 hours Opposition of the parents formulated after their information by the medical team Child who can not have an evaluation of the pain with the chosen scales

Ages Eligible for Study
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Maximum Age: 6 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Case<br>The CASE group will be composed of children for whom the medical team will have chosen to carry out a sign of alert of ill-treatment during his hospitalization and with no plausible cause of traumatism | |
| control<br>The Control group will be composed of children, consulting with the emergency care for traumatism, not having a sign of alarm and having a plausible cause of traumatism. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The principal judgement criterion is the proportion of children without recognized pain, measured with the rating scales validated in paediatrics, in T0, in the two populations of children (maltreated and others). |  | 3 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparison of the quantitative scores of evaluation of the pain enters the two populations of children (maltreated and others) |  | 3 years | 
| Agreement between the evaluations of the pain made by the nursery nurses and those done by the doctors |  | 3 years | 
| Study of the correlation enters the managed painful treatments and the recommendations of painful treatment for each pathology. |  | 3 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pediatry, Ill-treatment, Pain, maltreated children