Evaluation of a web app-based music intervention on pain during wound closure in the emergency department: The EMERGENCE randomized controlled trial
Charron M, Daniel M, Guihard B, Gokalsing E, Fauré L, Bruneau L, Dinh K
Anaesthesia, critical care & pain medicine · 2 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2025-05-21 · Anaesth Crit Care Pain Med · vol. 44 · número 4 · pág. 101545
- Editorial
- Elsevier BV
- Citado
- 2 citas · más que el 87% de estudios similares · 2.2× el promedio de su campo
- Referencias
- 26 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Pediatric Pain Management Techniques · Anesthesia and Pain Management
- Palabras clave
- music intervention, wound suturing, procedural pain, web application, emergency department, patient satisfaction, physician satisfaction, respiratory rate
- MeSH
- humans, pain measurement, music therapy, suture techniques, prospective studies, anxiety, adult, aged, middle aged, emergency service, hospital, female, male, wound closure techniques, pain management, mobile applications, procedural pain
7 autores
- M. A. Charron🇷🇪 · autor de correspondenciaCentre Hospitalier Universitaire de La Réunion
- Matthieu Daniel🇷🇪University of Reunion Island; Centre Hospitalier Universitaire de La Réunion
- Bertrand Guihard🇷🇪🇫🇷University of Reunion Island; Hôpital Purpan
- Erick Gokalsing🇷🇪University of Reunion Island
- Lucie Fauré🇫🇷🇷🇪Inserm; Centre Hospitalier Universitaire de La Réunion
- Léa Bruneau🇫🇷🇷🇪Inserm; Centre Hospitalier Universitaire de La Réunion
- Kim Dinh🇷🇪Centre Hospitalier Universitaire de La Réunion
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Wound suturing in emergency departments is a potentially stressful and painful experience for patients. Web app-based music intervention is known as an effective adjuvant treatment for the management of physical pain and anxiety in various medical fields. Only two studies have assessed the effectiveness of music listening on pain and anxiety during wound suturing. However, they found conflicting results and did not evaluate the point of view of healthcare professionals. This article details a prospective, randomized, open-label, multicenter study to evaluate the effect of a web app-based music intervention on pain and anxiety during sutures in the emergency room.
Methods
This was an interventional prospective, randomized, open-label, multi-center trial. The primary outcome is the comparison of maximal pain Visual Analogue Scale (VAS) with or without web app-based music intervention (application Music Care®) during the wound closure.
Results
Between June 2022 and February 2023, 170 patients were included. There was no significant difference between the two groups regarding the pain during suturing in this population. The mean pain VAS was 2.1 ± 2.7 cm (cm) in the music group versus 2.6 ± 2.6 cm in the control group (p= 0.197). However, the music group showed significantly lower values of respiratory rate (p = 0.002) and anxiety score (p = 0.042). Finally, satisfaction scores were significantly improved in the music group for the patient (p= 0.0002) and the physician (p < 0.0001).
Conclusion
In this population, which demonstrated an average light maximal pain intensity, we showed no significant difference regarding the pain intensity during wound suturing. However, it does suggest that web app-based music intervention could reduce peri-procedural anxiety, but the robustness of this finding is not demonstrated yet. Nevertheless, it highlights the need for additional studies on this subject to identify its role in the optimal management of procedural pain and the improvement of the patient and practitioner experience.
Trial registration
ClinicalTrials.gov n° NCT05388591 (https://clinicaltrials.gov/study/NCT05388591?term=NCT05388591&rank=1).
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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