Pain and delirium in people with dementia in the acute general hospital setting.

Age and Ageing
Alexandra R FeastElizabeth L Sampson

Abstract

Pain and delirium are common in people with dementia admitted to hospitals. These are often under-diagnosed and under-treated. Pain is implicated as a cause of delirium but this association has not been investigated in this setting. To investigate the relationship between pain and delirium in people with dementia, on admission and throughout a hospital admission. Exploratory secondary analysis of observational prospective longitudinal cohort data. Two acute hospitals in the UK. Two-hundred and thirty participants aged ≥70 years were assessed for dementia severity, delirium ((Confusion Assessment Method (CAM), pain (Pain Assessment in Advanced Dementia (PAINAD)) scale and prescription of analgesics. Logistic and linear regressions explored the relationship between pain and delirium using cross-sectional data. Pain at rest developed in 49%, and pain during activity for 26% of participants during their inpatient stay. Incident delirium developed in 15%, of participants, and 42% remained delirious for at least two assessments. Of the 35% of participants who were delirious and unable to self-report pain, 33% of these participants experienced pain at rest, and 56 experienced pain during activity. The odds of being delirious were 3.26...Continue Reading

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Citations

Feb 7, 2019·Journal of Neural Transmission·Georg EbersbachChristiana Franke
Jan 28, 2020·Nursing Older People·Michael Smith, Tony Gill
May 23, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Raoul DaoustMarcel Émond
Aug 30, 2020·Journal of Clinical Nursing·Britany WalshKathleen F Hunter
Apr 17, 2020·European Geriatric Medicine·Elizabeth L SampsonThomas Fischer
Nov 15, 2019·Current Treatment Options in Neurology·Michael E Reznik, Arjen J C Slooter
Jul 1, 2020·Emergency Medicine Australasia : EMA·Katren R TylerGlenn Arendts
Feb 2, 2021·Nursing in Critical Care·Surui LiangMingrong Gao
Sep 15, 2020·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Marie BoltzJames E Galvin
Mar 25, 2021·Current Emergency and Hospital Medicine Reports·Sangil LeeJin H Han
Dec 10, 2020·Nursing Older People·Barbara SharpRhoda Macrae
Apr 18, 2021·Emergency Medicine Clinics of North America·Debra Eagles, Danya Khoujah
Jun 28, 2021·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Carmelle PeisahMaria Lapid
Dec 5, 2021·The Senior Care Pharmacist·George A DeMaagdAshok Philip

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