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

作者信息

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

机构信息

Service de médecine d'urgence-SAMU-SMUR et secours en milieu périlleux, CHU La Réunion site Félix Guyon, Allée des Topazes, CS11021, 97400 Saint Denis, La Réunion, France.

Service de médecine d'urgence-SAMU-SMUR et secours en milieu périlleux, CHU La Réunion site Félix Guyon, Allée des Topazes, CS11021, 97400 Saint Denis, La Réunion, France; Université de la Réunion, Unité de recherche Etudes Pharmaco-Immunologie (EPI), Centre Hospitalier Universitaire La Réunion site Félix Guyon, Allée des Topazes, CS11021, 97400 Saint Denis, La Réunion, France; Laboratoire d'immunologie clinique et expérimentale de la zone de l'océan Indien (LICE-OI) CHU la Réunion site Félix Guyon, Allée des Topazes, CS11021, 97400 Saint Denis, La Réunion, France; Université de La Réunion, UFR Santé, Campus Terre-Sainte, 77 Av. Dr Jean Marie Dambreville, Saint-Pierre 97410, La Réunion, France.

出版信息

Anaesth Crit Care Pain Med. 2025 Aug;44(4):101545. doi: 10.1016/j.accpm.2025.101545. Epub 2025 May 21.

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).