Pain Prevalence in Hospitalized Patients of a German University Teaching Hospital

2.50
Hdl Handle:
http://hdl.handle.net/10755/150185
Type:
Presentation
Title:
Pain Prevalence in Hospitalized Patients of a German University Teaching Hospital
Abstract:
Pain Prevalence in Hospitalized Patients of a German University Teaching Hospital
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Author:Strohbuecker, Barbara, MScN
P.I. Institution Name:University of Witten/Herdecke; University of Cologne
Title:N/A
Co-Authors:Herbert Mayer, PhD; Rainer Sabatowski, MD; George C.M. Evers, RN, PhD
Objective: Identify strengths and weaknesses of pain management Design: Descriptive, cross-sectional Sample, Setting: 825 inpatients of 48 units of a university teaching hospital in Germany were enrolled; patients had to be at least 18 years and able to speak German. Intensive care, psychiatric, maternal and paediatric units were excluded. Variables studied: Prevalence of pain during interview at rest and on movement and pain during 24 hours before interview; pain intensity at rest and on movement as well as worst pain 24 hours before interview; localization, duration, causes of pain and pain medication. Methods: Structured interviews were conducted by an independent researcher. Pain intensity was measured with a 10 cm visual analogue scale (VAS). Chart analysis was carried out to check for pain medication, ICD-10 and demographic data. To evaluate adequacy of pain man-agement, Pain Management Index (PMI) was computed by comparing pain medication (WHO-analgesic ladder) and pain levels. Findings: 561 patients participated, 50% had pain during interview and 63% had pain during the preceding 24 hours. 58% had moderate or severe pain (above VAS 44 mm) and 36% reported severe pain (above VAS 64 mm). Every second patient with pain received pain medication, those who had passed surgery (p = 0.002) and those who had severe pain (p < 0.001) had a greater chance to get analgesics. However, 30% of those with VAS above 64 mm received no analgesic and only 24% had adequate medication. A negative PMI to indicate inadequate pain therapy was found in 44% (246/559) of the sample. 33% had pain for more than six months, pain in the lower extremities was most prevalent (35%). Conclusions: Pain prevalence and intensity were high and pain therapy was inadequate in many cases. Pain management needs to be improved by continuous assessment and adequate pain medication.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePain Prevalence in Hospitalized Patients of a German University Teaching Hospitalen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150185-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Pain Prevalence in Hospitalized Patients of a German University Teaching Hospital</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Strohbuecker, Barbara, MScN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Witten/Herdecke; University of Cologne</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">N/A</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Barbara.Strohbuecker@t-online.de</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Herbert Mayer, PhD; Rainer Sabatowski, MD; George C.M. Evers, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">Objective: Identify strengths and weaknesses of pain management Design: Descriptive, cross-sectional Sample, Setting: 825 inpatients of 48 units of a university teaching hospital in Germany were enrolled; patients had to be at least 18 years and able to speak German. Intensive care, psychiatric, maternal and paediatric units were excluded. Variables studied: Prevalence of pain during interview at rest and on movement and pain during 24 hours before interview; pain intensity at rest and on movement as well as worst pain 24 hours before interview; localization, duration, causes of pain and pain medication. Methods: Structured interviews were conducted by an independent researcher. Pain intensity was measured with a 10 cm visual analogue scale (VAS). Chart analysis was carried out to check for pain medication, ICD-10 and demographic data. To evaluate adequacy of pain man-agement, Pain Management Index (PMI) was computed by comparing pain medication (WHO-analgesic ladder) and pain levels. Findings: 561 patients participated, 50% had pain during interview and 63% had pain during the preceding 24 hours. 58% had moderate or severe pain (above VAS 44 mm) and 36% reported severe pain (above VAS 64 mm). Every second patient with pain received pain medication, those who had passed surgery (p = 0.002) and those who had severe pain (p &lt; 0.001) had a greater chance to get analgesics. However, 30% of those with VAS above 64 mm received no analgesic and only 24% had adequate medication. A negative PMI to indicate inadequate pain therapy was found in 44% (246/559) of the sample. 33% had pain for more than six months, pain in the lower extremities was most prevalent (35%). Conclusions: Pain prevalence and intensity were high and pain therapy was inadequate in many cases. Pain management needs to be improved by continuous assessment and adequate pain medication.</td></tr></table>en_GB
dc.date.available2011-10-26T10:18:27Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:18:27Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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