Prevalence, characteristics and treatment of chronic pain in elderly patients hospitalized in internal medicine wards

European Journal of Internal Medicine
Nicole CorsiREPOSI Investigators

Abstract

Chronic pain is a frequent characteristic of elderly people and represents an actual and still poorly debated topic. We investigated pain prevalence and intensity, and its pharmacological therapy in elderly patients hospitalized in 101 internal medicine wards. Taking advantage of the "REgistro POliterapie Società Italiana Medicina Interna" (REPOSI), we collected 2535 patients of whom almost a quarter was older than 85 years old. Among them, 582 patients were affected by pain (either chronic or acute) and 296 were diagnosed with chronic pain. Patients with pain showed worse cognitive status, higher depression and comorbidities, and a longer duration of hospital stay compared to those without pain (all p < .0366). Patients with chronic pain revealed lower level of independency in their daily life, worse cognitive status and higher level of depression compared to acute pain patients (all p < .0156). Moreover, most of them were not treated for pain at admission (73.4%) and half of them was not treated with any analgesic drug at discharge (50.5%). This difference affected also the reported levels of pain intensity. Patients who received analgesics at both admission and discharge remained stable (p = .172). Conversely, those not trea...Continue Reading

Citations

Sep 25, 2020·The International Journal of Health Planning and Management·Francesco AmatoAnna Perri
Aug 14, 2019·Journal of Clinical Nursing·Joanne HarmonIsabel Higgins
Sep 2, 2018·Internal and Emergency Medicine·Pier Mannuccio MannucciUNKNOWN REPOSI Collaborators (REPOSI is the acronym of REgistro POliterapie SIMI, Società Italiana di Medicina Interna)
Jan 28, 2021·International Journal of Environmental Research and Public Health·Maria M JohanssonHuan-Ji Dong
Oct 16, 2020·Pain and Therapy·Ilaria ArdoinoUNKNOWN REPOSI Investigators
Mar 1, 2021·The Journal of Pain : Official Journal of the American Pain Society·Isabelle RouchMartin Preisig
Aug 5, 2021·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Marion DumainMaxime Billot
Jan 28, 2022·JAMA Network Open·Gracie HimmelsteinLi Zhou

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