Pubblicazioni

Autori:

Ardoino, Ilaria; Franchi, Carlotta; Nobili, Alessandro; Mannucci, Pier Mannuccio; Corli, Oscar; Minuz, Pietro; Fondrieschi, Luigi; Morellini, Sarah

Titolo:

Pain and Frailty in Hospitalized Older Adults

Anno:

2020

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Referee:

No

Nome rivista:

PAIN AND THERAPY

ISSN Rivista:

2193-8237

N° Volume:

9

Numero o Fascicolo:

2

Intervallo pagine:

727-740

Parole chiave:

Chronic pain; Internal medicine and geriatric wards; Musculoskeletal diseases

Breve descrizione dei contenuti:

Introduction Pain and frailty are prevalent conditions in the older population. Many chronic diseases are likely involved in their origin, and both have a negative impact on quality of life. However, few studies have analysed their association. Methods In light of this knowledge gap, 3577 acutely hospitalized patients 65 years or older enrolled in the REPOSI register, an Italian network of internal medicine and geriatric hospital wards, were assessed to calculate the frailty index (FI). The impact of pain and some of its characteristics on the degree of frailty was evaluated using an ordinal logistic regression model after adjusting for age and gender. Results The prevalence of pain was 24.7%, and among patients with pain, 42.9% was regarded as chronic pain. Chronic pain was associated with severe frailty (OR = 1.69, 95% CI 1.38-2.07). Somatic pain (OR = 1.59, 95% CI 1.23-2.07) and widespread pain (OR = 1.60, 95% CI 0.93-2.78) were associated with frailty. Osteoarthritis was the most common cause of chronic pain, diagnosed in 157 patients (33.5%). Polymyalgia, rheumatoid arthritis and other musculoskeletal diseases causing chronic pain were associated with a lower degree of frailty than osteoarthritis (OR = 0.49, 95%CI 0.28-0.85). Conclusions Chronic and somatic pain negatively affect the degree of frailty. The duration and type of pain, as well as the underlying diseases associated with chronic pain, should be evaluated to improve the hospital management of frail older people.

Id prodotto:

127712

Handle IRIS:

11562/1063683

ultima modifica:

9 aprile 2023

Citazione bibliografica:

Ardoino, Ilaria; Franchi, Carlotta; Nobili, Alessandro; Mannucci, Pier Mannuccio; Corli, Oscar; Minuz, Pietro; Fondrieschi, Luigi; Morellini, Sarah, Pain and Frailty in Hospitalized Older Adults «PAIN AND THERAPY» , vol. 9 , n. 2 , 2020 , pp. 727-740

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