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

Objectives To investigate the prevalence, characteristics, and management of pain in older hospitalized medical patients. Design Medical record aggregate review. Setting Tertiary care hospital. Participants Individuals aged 65 and older admitted to the medicine service between November 28, 2014, and...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2018-09, Vol.66 (9), p.1744-1751
Main Authors: Deng, Lisa X., Patel, Kanan, Miaskowski, Christine, Maravilla, Ingrid, Schear, Sarah, Garrigues, Sarah, Thompson, Nicole, Auerbach, Andrew D., Ritchie, Christine S.
Format: Article
Language:English
Subjects:
Acetaminophen - therapeutic use
Aged
Aged, 80 and over
Analgesics - therapeutic use
Analgesics, Opioid - therapeutic use
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Female
hospital
Humans
Inpatients - statistics & numerical data
Male
older adult
opioids
pain
Pain - drug therapy
Pain - epidemiology
pain management
Pain Management - methods
Pain Management - statistics & numerical data
Pain Measurement
Prevalence
Tertiary Care Centers
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Summary:Objectives To investigate the prevalence, characteristics, and management of pain in older hospitalized medical patients. Design Medical record aggregate review. Setting Tertiary care hospital. Participants Individuals aged 65 and older admitted to the medicine service between November 28, 2014, and May 28, 2015. Measurements Demographic characteristics, comorbidity burden, pain characteristics, and analgesics during index hospitalization were assessed in individuals with moderate to severe pain (≥4 on 0–10 Numeric Pain Rating Scale). Results Of 1,267 patients admitted to the medicine service, 248 (20%) had moderate to severe pain on admission (mean age 75 ± 8, 57% female, 50% white). During hospitalization, most participants received opioids (80%) and acetaminophen (74%), and few received nonsteroidal antiinflammatory drugs (9%). Participants with chronic pain had less reduction in pain intensity score from admission to discharge than those without a history of chronic pain (mean change score 3.7 vs 4.9, p=.002) and were more likely to receive opioids, adjuvant analgesics, and other analgesics (all p
ISSN:0002-8614
1532-5415
DOI:10.1111/jgs.15459