Evaluation of a web app-based music intervention on pain during wound closure in the emergency department: The EMERGENCE randomized controlled trial

IF 4.7 3区医学 Q1 ANESTHESIOLOGY

Anaesthesia Critical Care & Pain Medicine Pub Date : 2025-05-21 DOI:10.1016/j.accpm.2025.101545

Marie Charron , Matthieu Daniel , Bertrand Guihard , Erick Gokalsing , Lucie Fauré , Léa Bruneau , Kim Dinh

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引用次数: 0

Abstract

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).

查看原文本刊更多论文

基于web应用程序的音乐干预对急诊科伤口愈合疼痛的评估：EMERGENCE随机对照试验

背景：急诊科的伤口缝合对患者来说是一种潜在的压力和痛苦的经历。基于Web应用程序的音乐干预在各个医学领域被认为是一种有效的辅助治疗方法，用于管理身体疼痛和焦虑。只有两项研究评估了音乐对伤口缝合期间疼痛和焦虑的有效性。然而，他们发现了相互矛盾的结果，并没有评估医疗保健专业人员的观点。本文详细介绍了一项前瞻性、随机、开放标签、多中心研究，以评估基于web应用程序的音乐干预对急诊室缝线期间疼痛和焦虑的影响。方法：这是一项介入、前瞻性、随机、开放标签、多中心试验。主要结果是比较伤口愈合期间有或没有基于web应用程序的音乐干预（应用music Care®）的最大疼痛视觉模拟量表（VAS）。结果：在2022年6月至2023年2月期间，纳入170例患者。在这一人群中，两组在缝合疼痛方面没有显著差异。音乐组疼痛VAS平均评分为2.1±2.7 cm，对照组为2.6±2.6 cm，差异有统计学意义（p= 0.197）。而音乐组呼吸频率（p = 0.002）和焦虑评分（p = 0.042）明显低于音乐组。最后，音乐组患者满意度得分显著提高（p= 0.0002），医师满意度得分显著提高（p= 0.0002）。结论：在平均轻度最大疼痛强度的人群中，我们发现伤口缝合时的疼痛强度没有显著差异。然而，它确实表明基于网络应用程序的音乐干预可以减少程序周围的焦虑，但这一发现的稳健性尚未得到证实。然而，它强调需要对这一主题进行额外的研究，以确定其在程序疼痛的最佳管理中的作用，并改善患者和医生的经验。试验注册：ClinicalTrials.gov NCT05388591 （https://clinicaltrials.gov/study/NCT05388591?term=NCT05388591&rank=1）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anaesthesia Critical Care & Pain Medicine ANESTHESIOLOGY-

CiteScore

6.70

自引率

5.50%

发文量

150

审稿时长

18 days

期刊介绍： Anaesthesia, Critical Care & Pain Medicine (formerly Annales Françaises d''Anesthésie et de Réanimation) publishes in English the highest quality original material, both scientific and clinical, on all aspects of anaesthesia, critical care & pain medicine.