Chronic Pain and Related Factors in Patients Aged ≥80 Years
Journal Title: European Journal of Geriatrics and Gerontology - Year 2019, Vol 1, Issue 3
Abstract
Objective: Chronic pain ranks among one of the most common, costly and incapacitating conditions in later life. The prevalence of chronic pain in the adult population ranges from 20% to 50%. Pain among older persons is almost always the result of pathology involving a physical or psychological process. In this study, we aimed to assess the prevalence of chronic pain in older adults and factors associated with chronic pain. Materials and Methods: A total of 215 patients aged ≥80 years were included in the study. In addition to the demographic characteristics of the patients, geriatric syndromes were assessed and comprehensive geriatric assessment of frailty and functional and nutritional status was performed to detect chronic pain prevalence and its associated factors in older adults. SPSS 21 for Windows program was used for statistical analysis. Results: Of the patients included in the study, 145 were female (67.4%) and 70 were male (32.6%). The mean age of the patients was 83.9±3.5 years. Chronic pain was present in 124 patients (57.7%) and was more common in females (p=0.006). When the relationship between chronic pain and geriatric syndromes was evaluated, falls in the past year, urinary incontinence, frailty and depressive mood were found to be associated with chronic pain (p=0.04, p=0.001, p=0.000 and p=0.04, respectively). Female gender and frailty were independently associated with chronic pain with odds ratios of 2.07 and 4.78, respectively. Conclusion: We found a high rate of chronic pain and geriatric syndromes as well as an association between them. To effectively address chronic pain in later life, a multimodal approach to treatment must involve a comprehensive assessment of pain in the older adult and management including pharmacologic and nonpharmacologic treatments that incorporate the functional, cognitive and comorbidity status of the patient.
Authors and Affiliations
Serdar Özkök
Keywords
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- EP ID EP675930
- DOI 10.4274/ejgg.galenos.2019.226
- Views 198
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