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Pain Management in Nursing Home Residents: Results from the INCUR Study
Pain is very common among older persons living in nursing home, affecting 45% to 80% of residents, interfering with daily activities and quality of life. Aims of the study are: 1) to measure the analgesics non-prescription in nursing home residents who present pain symptoms; 2) to identify the main...
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| Published in: | The Journal of nutrition, health & aging health & aging, 2020-07, Vol.24 (9), p.1019-1022 |
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| container_end_page | 1022 |
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| container_title | The Journal of nutrition, health & aging |
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| creator | Nunziata, V Proietti, M Saporiti, E Calcaterra, L Rolland, Y Vellas, B Cesari, M |
| description | Pain is very common among older persons living in nursing home, affecting 45% to 80% of residents, interfering with daily activities and quality of life. Aims of the study are: 1) to measure the analgesics non-prescription in nursing home residents who present pain symptoms; 2) to identify the main determinants of analgesics non-prescription.
Retrospective cross-sectional analysis.
Data from an observational study ('Incidence of pNeumonia and related ConseqUences in nursing home Residents' [INCUR] study).
800 older persons living in 13 French nursing homes. Measurments: Pain symptoms were definied by one of the following criteria: i) Presence of pain affecting the individual's function in the Activities of Daily Living; ii) Presence of daily pain, and/or; iii) Severe pain measured with a visual analogue scale.
Among the patients originally included in the study, 288 (36%) reported pain symptomatology (mean age 86.9 [SD 7.2] years, 220 (76%) participants women). Amongst these, 138 (47.9%) were treated with non-opioid analgesic drugs, 52 (18.1%) with opioids, and 98 (34%) did not receive any analgesic prescription. An adjusted logistic regression analysis found that the strongest determinant of analgesics non-prescription was the number of concomitantly prescribed drugs (p |
| doi_str_mv | 10.1007/s12603-020-1443-z |
| format | article |
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Retrospective cross-sectional analysis.
Data from an observational study ('Incidence of pNeumonia and related ConseqUences in nursing home Residents' [INCUR] study).
800 older persons living in 13 French nursing homes. Measurments: Pain symptoms were definied by one of the following criteria: i) Presence of pain affecting the individual's function in the Activities of Daily Living; ii) Presence of daily pain, and/or; iii) Severe pain measured with a visual analogue scale.
Among the patients originally included in the study, 288 (36%) reported pain symptomatology (mean age 86.9 [SD 7.2] years, 220 (76%) participants women). Amongst these, 138 (47.9%) were treated with non-opioid analgesic drugs, 52 (18.1%) with opioids, and 98 (34%) did not receive any analgesic prescription. An adjusted logistic regression analysis found that the strongest determinant of analgesics non-prescription was the number of concomitantly prescribed drugs (p<0.001). Age, education, and frailty were not associated with prescription of analgesic drugs.
Pain undertreatment is very common among older persons living in nursing homes. The number of prescribed medications represents the most relevant risk factor for the analgesics non-prescription. Our findings document the importance of reviewing prescriptions in nursing home residents.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-020-1443-z</identifier><identifier>PMID: 33155631</identifier><language>eng</language><publisher>France: Springer Verlag (Germany)</publisher><subject>Aged, 80 and over ; Cross-Sectional Studies ; Female ; Humans ; Life Sciences ; Male ; Nursing Homes - standards ; Pain - drug therapy ; Pain Management - methods ; Quality of Life - psychology ; Retrospective Studies ; Santé publique et épidémiologie</subject><ispartof>The Journal of nutrition, health & aging, 2020-07, Vol.24 (9), p.1019-1022</ispartof><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c287t-f3a574fe1daeabf17dd184bd22dde306719f4d5a821a7f6b9af4827b0aa6143f3</cites><orcidid>0000-0002-7678-5065</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33155631$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://ut3-toulouseinp.hal.science/hal-04534718$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Nunziata, V</creatorcontrib><creatorcontrib>Proietti, M</creatorcontrib><creatorcontrib>Saporiti, E</creatorcontrib><creatorcontrib>Calcaterra, L</creatorcontrib><creatorcontrib>Rolland, Y</creatorcontrib><creatorcontrib>Vellas, B</creatorcontrib><creatorcontrib>Cesari, M</creatorcontrib><title>Pain Management in Nursing Home Residents: Results from the INCUR Study</title><title>The Journal of nutrition, health & aging</title><addtitle>J Nutr Health Aging</addtitle><description>Pain is very common among older persons living in nursing home, affecting 45% to 80% of residents, interfering with daily activities and quality of life. Aims of the study are: 1) to measure the analgesics non-prescription in nursing home residents who present pain symptoms; 2) to identify the main determinants of analgesics non-prescription.
Retrospective cross-sectional analysis.
Data from an observational study ('Incidence of pNeumonia and related ConseqUences in nursing home Residents' [INCUR] study).
800 older persons living in 13 French nursing homes. Measurments: Pain symptoms were definied by one of the following criteria: i) Presence of pain affecting the individual's function in the Activities of Daily Living; ii) Presence of daily pain, and/or; iii) Severe pain measured with a visual analogue scale.
Among the patients originally included in the study, 288 (36%) reported pain symptomatology (mean age 86.9 [SD 7.2] years, 220 (76%) participants women). Amongst these, 138 (47.9%) were treated with non-opioid analgesic drugs, 52 (18.1%) with opioids, and 98 (34%) did not receive any analgesic prescription. An adjusted logistic regression analysis found that the strongest determinant of analgesics non-prescription was the number of concomitantly prescribed drugs (p<0.001). Age, education, and frailty were not associated with prescription of analgesic drugs.
Pain undertreatment is very common among older persons living in nursing homes. The number of prescribed medications represents the most relevant risk factor for the analgesics non-prescription. Our findings document the importance of reviewing prescriptions in nursing home residents.</description><subject>Aged, 80 and over</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Nursing Homes - standards</subject><subject>Pain - drug therapy</subject><subject>Pain Management - methods</subject><subject>Quality of Life - psychology</subject><subject>Retrospective Studies</subject><subject>Santé publique et épidémiologie</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNo9kE9PAjEQxRujEUQ_gBezRz1UO213W7wRokCCaFDOTZe2sGb_4HbXBD69u1nkNG9m3rxkfgjdAnkEQsSTBxoRhgklGDhn-HCG-iAigrmQ8rzRVAyxEET00JX334TwcCijS9RjDMIwYtBHkw-d5MGbzvXGZjavgqZb1KVP8k0wLTIbLK1PTLPwz62s08oHriyyoNraYLYYr5bBZ1Wb_TW6cDr19uZYB2j1-vI1nuL5-2Q2Hs3xmkpRYcd0KLizYLTVsQNhDEgeG0qNsYxEAoaOm1BLClq4KB5qxyUVMdE6As4cG6CHLnerU7Urk0yXe1XoRE1Hc9XOmh8ZFyB_ofHed95dWfzU1lcqS_zapqnObVF7RXkoCYs4YY0VOuu6LLwvrTtlA1Eta9WxVg1r1bJWh-bm7hhfx5k1p4t_uOwPPut4pQ</recordid><startdate>20200713</startdate><enddate>20200713</enddate><creator>Nunziata, V</creator><creator>Proietti, M</creator><creator>Saporiti, E</creator><creator>Calcaterra, L</creator><creator>Rolland, Y</creator><creator>Vellas, B</creator><creator>Cesari, M</creator><general>Springer Verlag (Germany)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-7678-5065</orcidid></search><sort><creationdate>20200713</creationdate><title>Pain Management in Nursing Home Residents: Results from the INCUR Study</title><author>Nunziata, V ; Proietti, M ; Saporiti, E ; Calcaterra, L ; Rolland, Y ; Vellas, B ; Cesari, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c287t-f3a574fe1daeabf17dd184bd22dde306719f4d5a821a7f6b9af4827b0aa6143f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged, 80 and over</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Nursing Homes - standards</topic><topic>Pain - drug therapy</topic><topic>Pain Management - methods</topic><topic>Quality of Life - psychology</topic><topic>Retrospective Studies</topic><topic>Santé publique et épidémiologie</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nunziata, V</creatorcontrib><creatorcontrib>Proietti, M</creatorcontrib><creatorcontrib>Saporiti, E</creatorcontrib><creatorcontrib>Calcaterra, L</creatorcontrib><creatorcontrib>Rolland, Y</creatorcontrib><creatorcontrib>Vellas, B</creatorcontrib><creatorcontrib>Cesari, M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>The Journal of nutrition, health & aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nunziata, V</au><au>Proietti, M</au><au>Saporiti, E</au><au>Calcaterra, L</au><au>Rolland, Y</au><au>Vellas, B</au><au>Cesari, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pain Management in Nursing Home Residents: Results from the INCUR Study</atitle><jtitle>The Journal of nutrition, health & aging</jtitle><addtitle>J Nutr Health Aging</addtitle><date>2020-07-13</date><risdate>2020</risdate><volume>24</volume><issue>9</issue><spage>1019</spage><epage>1022</epage><pages>1019-1022</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>Pain is very common among older persons living in nursing home, affecting 45% to 80% of residents, interfering with daily activities and quality of life. Aims of the study are: 1) to measure the analgesics non-prescription in nursing home residents who present pain symptoms; 2) to identify the main determinants of analgesics non-prescription.
Retrospective cross-sectional analysis.
Data from an observational study ('Incidence of pNeumonia and related ConseqUences in nursing home Residents' [INCUR] study).
800 older persons living in 13 French nursing homes. Measurments: Pain symptoms were definied by one of the following criteria: i) Presence of pain affecting the individual's function in the Activities of Daily Living; ii) Presence of daily pain, and/or; iii) Severe pain measured with a visual analogue scale.
Among the patients originally included in the study, 288 (36%) reported pain symptomatology (mean age 86.9 [SD 7.2] years, 220 (76%) participants women). Amongst these, 138 (47.9%) were treated with non-opioid analgesic drugs, 52 (18.1%) with opioids, and 98 (34%) did not receive any analgesic prescription. An adjusted logistic regression analysis found that the strongest determinant of analgesics non-prescription was the number of concomitantly prescribed drugs (p<0.001). Age, education, and frailty were not associated with prescription of analgesic drugs.
Pain undertreatment is very common among older persons living in nursing homes. The number of prescribed medications represents the most relevant risk factor for the analgesics non-prescription. Our findings document the importance of reviewing prescriptions in nursing home residents.</abstract><cop>France</cop><pub>Springer Verlag (Germany)</pub><pmid>33155631</pmid><doi>10.1007/s12603-020-1443-z</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-7678-5065</orcidid></addata></record> |
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| subjects | Aged, 80 and over Cross-Sectional Studies Female Humans Life Sciences Male Nursing Homes - standards Pain - drug therapy Pain Management - methods Quality of Life - psychology Retrospective Studies Santé publique et épidémiologie |
| title | Pain Management in Nursing Home Residents: Results from the INCUR Study |
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