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

机译:内科病房住院患者慢性疼痛的患病率,特征和治疗

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BackgroundChronic pain is a frequent characteristic of elderly people and represents an actual and still poorly debated topic. ObjectiveWe investigated pain prevalence and intensity, and its pharmacological therapy in elderly patients hospitalized in 101 internal medicine wards. MethodsTaking 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. ResultsPatients with pain showed worse cognitive status, higher depression and comorbidities, and a longer duration of hospital stay compared to those without pain (allp?
机译:BackgroundChronic疼痛是老年人的常见特征,代表了实际和仍然糟糕的辩论。目的术治疗疼痛患病率和强度,其老年患者在101例内科病房住院治疗的药理治疗。 “Registran PoliterapieSocietàItaliana Medicina Interna Interna”(Reposi)的方法奠定了优势,我们收集了2535名近四分之一的患者超过85岁?岁月。其中,582名患者受到疼痛的影响(慢性或急性),296例被诊断为慢性疼痛。疼痛的结果显示,与没有疼痛的人相比,疼痛的疼痛表现出更差,抑郁和合并症,以及较长的住院时间(ALLP?<?0366)。慢性疼痛的患者显示出日常生活中的独立性水平较低,与急性疼痛患者相比,更差的认知状态和更高水平的抑郁症(ALLP?<〜0156)。此外,大多数未治疗疼痛(73.4%),其中一半未用任何镇痛药(50.5%)治疗。这种差异也影响了报告的疼痛强度水平。接受镇痛药的患者仍然稳定(P?= 172)。相反,那些未在住院期间接受镇痛治疗的入院治疗的人降低了他们的感知疼痛(P?<0001)。结论您的结果表明,需要重点关注慢性疼痛的药理治疗,特别是在住院老年患者,以支持他们,并促进其在医院排放后的日常生活。

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