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Master Thesis

Évaluation d'une procédure de prise en charge des céphalées aux urgences : le résultat de l'étude PEACE

Abstract : Cephalalgia is a very common symptom that justifies daily appointment in emergency department. Their analgesic support is heterogeneous. The aim of this study is to evaluate the impact of recommendations on a global analgesic protocol of céphalalgia in emergency department. Between October 2014 and September 2015, 58 patients from 18 to 55 years old has been included, 49 during a phase 1 "usual treatment" where the practitioner received no special requirement and 9 during a phase 2 "formalised treatment" with recommended to follow this protocol: put the patient in quiet place, lying, with oxygen therapy 15L/min for 15min, give him a soundproof headphones and blackout goggles, and use the treatments recommended by the higher health authorities. Clinical improvement was defined as a decrease of Visual Analogic Scale (VAS) by at least 50% at 1 hour post treatment. This clinical improvement was compared between the 2 groups. For all patients, a significant decrease of VAS was noted over time. During Phase 1, 28.6% of patients improved clinically versus 33.3% in Phase 2, which does not allow one to conclude that a significant difference exist. The duration of the emergency care was 429 minutes in group 1 versus 329 minutes in group 2 (p = 0.21). This study did not have recruited enough patients to determine the efficiency of this treatment protocol. Levers have been identified to overcome the difficulties encountered and allow sufficient patient enrollment.
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Master Thesis
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Submitted on : Wednesday, October 21, 2015 - 9:55:29 AM
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  • HAL Id : dumas-01218387, version 1


Gabriel Mirebeau. Évaluation d'une procédure de prise en charge des céphalées aux urgences : le résultat de l'étude PEACE. Médecine humaine et pathologie. 2015. ⟨dumas-01218387⟩



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