Chronic PainPIPNCT07180407
The Post-ICU Pain Study
An observational study of Chronic Pain and Post Intensive Care Unit Syndrome, run by Zealand University Hospital at 4 sites in Denmark.
Trial summary
BACKGROUND: ICU survivors may experience serious psychological, physical and cognitive impairments following ICU admission, collectively termed Post Intensive Care Syndrome (PICS). Persistent pain is an underrecognized component of PICS. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Pain, Post Intensive Care Unit Syndrome, Quality of Life
- How many people
- 800 participants
- Where
- 4 sitesDenmark
- Study dates
- 23 Sep 2025to Jun 2027
- How long will I take part?
- 12 Months
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patients admitted to the ICU
Who may be able to join
- Adult ICU patients ≥18 years of age
- Acute admission to the ICU
- ICU length of stay of at least 48 hours
Who cannot join
- Patients transferred from a non-participating ICU
- Patients with pre-planned admission to the ICU e.g., following elective surgery
- Patients unable to complete questionnaires, including those who are unable to understand or speak Danish, or patients with severe cognitive deficits.
Trial locations and contacts
4 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Denmark4 sites, 4 recruiting
- Not yet recruiting
Aalborg University Hospital
Aalborg, 9000
Bodil S Rasmussen, Professor, MD, PhD, 0045, Bodil.steen.Rasmussen@rn.dk
- Recruiting
Zealand University Hospital
Køge, 4600
Bennedikte Madsen, MD, 0045, bkom@regionsjaelland.dk
bkom@regionsjaelland.dk
- Recruiting
Zealand University Hospital
Nykøbing Falster, 4800
Kim Rokamp, MD, 0045, kizr@regionsjaelland.dk
- Recruiting
Zealand University Hospital
Roskilde, 4000
Lone M Poulsen, MD, 0045, lmp@regionsjaelland.dk
About this study
Official title: The Post-ICU Pain Study: a Multicenter, Prospective, Inception Cohort Study
BACKGROUND: ICU survivors may experience serious psychological, physical and cognitive impairments following ICU admission, collectively termed Post Intensive Care Syndrome (PICS). Persistent pain is an underrecognized component of PICS. Previous research has shown that persistent pain is a profound clinical challenge in ICU survivors, however, research demonstrates conflicting results. Furthermore, no studies have examined the prevalence of persistent pain in ICU survivors in a contemporary Danish ICU setting.
OBJECTIVES: We aim to examine the clinical trajectory, risk factors, and pathophysiology of persistent pain in ICU survivors in Denmark.
Read more
DESIGN AND SAMPLE SIZE: The study is designed as a multicenter, prospective, inception cohort study with clinical follow-up. Based on the pre-study sample size calculation, 800 patients will be included. Patients will be contacted by telephone 90 days and 180 days after ICU discharge, and a series of questionnaires regarding pain, sleep quality, affective state and quality of life will be completed. A subgroup of patients will undergo a detailed clinical examination including quantitative sensory testing between 180-365 days after ICU discharge.
POPULATION: Patients will be recruited from 4 Danish ICU departments. Inclusion criteria include adult patients (18 years of age), acute admission to the ICU, and an ICU admission of a minimum of 48 hours.
OUTCOMES: The primary outcome is the prevalence of pain assessed by the Brief Pain Inventory (BPI) at 90 and 180 days after ICU discharge. Secondary outcomes include additional detailed descriptions of pain and daily activity, sleep quality, affective state, quality of life, treatment- and patient-related risk factors, and biomarkers associated with development of persistent pain.
Substudies:
- QST substudy: 80 participants (40 with pain and 40 without pain) recruited from the main cohort will undergo Quantative Somatosensory Testing (QST). The objectives are first, to delineate somatosensory profiles of ICU survivors with and without pain, and second, to examine the presence of neuropathic pain in ICU survivors.
- Keywords
- intensive care units, chronic pain, sleep disorder, anxiety and depression, icu survivors
- Medical subject headings
- Chronic Pain, Somatoform Disorders, Sleep Wake Disorders, Anxiety Disorders, Depression
What is being measured
The primary outcome is the main question the study is designed to answer.
Prevalence of pain
Patients are defined as having pain if they answer "yes" to question number 1 in the Brief Pain Inventory - Short Form
Measured: 180 day follow-up
Secondary outcomes (9)
Brief Pain Inventory - Short Form (BPI-SF)
Additional components of the Brief Pain Invenstory Short Form
Measured: At follow-up at 90 and 180 days
Incidence of new-onset persistent pain after ICU discharge
Definition of new-onset persistent pain: Individuals presenting with pain according to Brief Pain Inventory Short Form at 90 AND 180 days follow-up AND not suffering from persistent pain/using pain medication regularly before ICU admission, as reported by the individual.
Measured: at 90 and 180 days follow-up
Quality of life measured by EuroQol-5-domain 5-level (EQ-5D-5L)
The EQ-5D-5L comprises 5 components (mobility, self-care, usual activity, pain/discomfort, and anxiety/depression) which can be rated at 5 levels. Furthermore, a Visual Analog Scale (VAS) documents self-rated health
Measured: at 90 and 180 days
The Single Item Sleep Quality Scale (SQS)
The respondent is asked to rate the overall quality of sleep over a 7-day recall period on a VAS. Respondents are instructed to consider the following components before answering the questionnaire: hours of sleep, night wakings, how easily they fall asleep, how often they wake earlier then needed, and how refreshed they feel when waking. Sleep quality is scored as follows: 0 = terrible, 1-3 = poor, 4-6 = fair, 7-9 = good, and 10 = excellent
Measured: at 90 and 180 days
Hospital Anxiety and Depression Scale (HADS)
It comprises seven questions regarding anxiety and seven questions regarding depressive symptoms. Anxiety and depression are scored separately with recommended cut-off values of 8-10 for possible presence of a mood disorder and >11 for probable presence of a mood disorder
Measured: at 90 and 180 days
Self-Reported Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS)
Only patients answering "yes" to the Brief Pain Inventory Short Form, question number 1, will be asked to fill out the S-LANSS. The tool was created as a clinical tool to identify pain primarily of neuropathic origin, allowing for the differentiation between neuropathic pain and nociceptive pain. It contains 7 items assessing pain quality, sensory changes and specific symptoms commonly associated with neuropathic pain. A score above 12 suggests neuropathic pain
Measured: 90 and 180 days
30-day mortality
Measured: 30 days
90-day mortality
Measured: 90 days
180 days mortality
Measured: 180 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Sep 2025
- Study start23 Sep 2025
- Primary completionJan 2027 (estimated)
- Study completionJun 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic PainStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 800 participants (estimated)
- Target duration
- 12 Months
Sponsor and investigators
- Lead sponsor
- Zealand University Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Aalborg University Hospital
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07180407
- Sponsor's protocol ID
- PIP-study
- Acronym
- PIP
- Status last verified
- Sep 2025
- First submitted
- 15 Jul 2025
- Last updated
- 2 Dec 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Post-ICU Pain Study: a Multicenter, Prospective, Inception Cohort Study
- ClinicalTrials.gov ID
- NCT07180407
- Acronym / sponsor ID
- PIP / PIP-study
- Keywords
- intensive care units, chronic pain, sleep disorder, anxiety and depression, icu survivors
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 800 participants (estimated)
- Lead sponsor
- Zealand University HospitalUniversity, hospital or other
- Collaborators
- Aalborg University Hospital
- Study start
- 23 Sep 2025 (actual)
- Primary completion
- Jan 2027 (estimated)
- Study completion
- Jun 2027 (estimated)
- First posted
- 18 Sep 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
BACKGROUND: ICU survivors may experience serious psychological, physical and cognitive impairments following ICU admission, collectively termed Post Intensive Care Syndrome (PICS). Persistent pain is an underrecognized component of PICS. Previous research has shown that persistent pain is a profound clinical challenge in ICU survivors, however, research demonstrates conflicting results. Furthermore, no studies have examined the prevalence of persistent pain in ICU survivors in a contemporary Danish ICU setting.
OBJECTIVES: We aim to examine the clinical trajectory, risk factors, and pathophysiology of persistent pain in ICU survivors in Denmark.
DESIGN AND SAMPLE SIZE: The study is designed as a multicenter, prospective, inception cohort study with clinical follow-up. Based on the pre-study sample size calculation, 800 patients will be included. Patients will be contacted by telephone 90 days and 180 days after ICU discharge, and a series of questionnaires regarding pain, sleep quality, affective state and quality of life will be completed. A subgroup of patients will undergo a detailed clinical examination including quantitative sensory testing between 180-365 days after ICU discharge.
POPULATION: Patients will be recruited from 4 Danish ICU departments. Inclusion criteria include adult patients (18 years of age), acute admission to the ICU, and an ICU admission of a minimum of 48 hours.
OUTCOMES: The primary outcome is the prevalence of pain assessed by the Brief Pain Inventory (BPI) at 90 and 180 days after ICU discharge. Secondary outcomes include additional detailed descriptions of pain and daily activity, sleep quality, affective state, quality of life, treatment- and patient-related risk factors, and biomarkers associated with development of persistent pain.
Substudies:
- QST substudy: 80 participants (40 with pain and 40 without pain) recruited from the main cohort will undergo Quantative Somatosensory Testing (QST). The objectives are first, to delineate somatosensory profiles of ICU survivors with and without pain, and second, to examine the presence of neuropathic pain in ICU survivors.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 12 Months
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients admitted to the ICU
Key inclusion criteria (3 listed)
- Adult ICU patients ≥18 years of age
- Acute admission to the ICU
- ICU length of stay of at least 48 hours
Key exclusion criteria (3 listed)
- Patients transferred from a non-participating ICU
- Patients with pre-planned admission to the ICU e.g., following elective surgery
- Patients unable to complete questionnaires, including those who are unable to understand or speak Danish, or patients with severe cognitive deficits.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Prevalence of pain
Time frame: 180 day follow-up
Patients are defined as having pain if they answer "yes" to question number 1 in the Brief Pain Inventory - Short Form
9 secondary outcomes
Brief Pain Inventory - Short Form (BPI-SF)
Time frame: At follow-up at 90 and 180 days
Incidence of new-onset persistent pain after ICU discharge
Time frame: at 90 and 180 days follow-up
Quality of life measured by EuroQol-5-domain 5-level (EQ-5D-5L)
Time frame: at 90 and 180 days
The Single Item Sleep Quality Scale (SQS)
Time frame: at 90 and 180 days
Hospital Anxiety and Depression Scale (HADS)
Time frame: at 90 and 180 days
Self-Reported Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS)
Time frame: 90 and 180 days
30-day mortality
Time frame: 30 days
90-day mortality
Time frame: 90 days
180 days mortality
Time frame: 180 days
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Dec 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Chronic Pain and Post Intensive Care Unit Syndrome, run by Zealand University Hospital at 4 sites in Denmark.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 2 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Bennedikte K Madsen, MD (0045, bkom@regionsjaelland.dk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Prevalence of pain (time frame: 180 day follow-up). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Dec 2025.