Prevalence, Characteristics, and Pain Management among Hospitalized Older Patients

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Prevalence, Characteristics, and Pain Management among Hospitalized Older Patients

According to the latest research conducted by Lisa X. Deng and colleagues, 20% of older adults admitted to a general medicine service experience moderate to severe pain.

Pain management is challenging in older patients due to their inability to define the pain intensity. The present medical record aggregate review was designed to estimate prevalence, pain-related characteristics and management among hospitalized older patients of a tertiary care hospital.

The patients of age 65 or older (Numeric Pain Rating Scale≥4) who admitted to hospital between 20 November 2014 to 20 May 2015 were selected for the study. The patients were assessed for pain and demographic characteristics, comorbidity burden, and painkillers during the index hospitalization.

Only 248 patients out of 1,267 exhibited moderate to severe pain on hospital admission. Most of the patients obtained acetaminophen and opioids whereas fewer patients obtained NSAIDs. The patients with chronic pain presented less recovery from pain (p = 0.002) and received more adjuvant analgesics, analgesics, and opioids (p<.05) as compared to those who were without chronic pain history. As per results, 20 percent of patients were known to suffer from moderate to severe pain. Further research is required to discover an optimal pain management approach for older patients with chronic pain.


J Am Geriatr Soc

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The original title of the article:

Prevalence and Characteristics of Moderate to Severe Pain among Hospitalized Older Adults


Lisa X. Deng et al.

Exploratory, Pain, Opioids, NSAIDs, Analgesics, Medical Record Aggregate Review, NPRS
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