Pain Prevalence Study in a Large Canadian Teaching Hospital

Sawyer, Jason; Haslam, Lynn; Robinson, Sara; Daines, Pat; Stilos, Kalli

doi:10.1016/j.pmn.2008.02.001

Cited by 52 publications

(51 citation statements)

References 36 publications

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“…Although within the values presented by other studies 7,8,[10][11][12][13][14]17 , the fact that 24 hours later there were still 41.1% with pain means that virtually one out of two patients have pain, and that more might be done for their treatment. With regard to severe pain according to the visual analog scale (VAS) at interview time, only two patients have referred it.…”

Section: Discussionsupporting

confidence: 54%

“…Table 1 summarizes some results obtained from different hospitals worldwide to establish an overview. Although much has been done to improve pain management, referred studies point to a prevalence of pain during the interviews of 43 to 84%, and severe pain within 24 hours may reach 42% [7][8][9][10][11][12][13][14] . True comparisons are difficult due to variations on samples, methods and structure of the studies, but it is possible to make a global analysis and to notice that, no matter how much is published about pain, prevalence is kept high along the years.…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have shown pain management improvements as a consequence of world campaigns that organizations such as IASP (International Association for the Study of Pain), WHO (World Health Organization) and JCAHO (Joint Commission on Accreditation of Healthcare Organizations) have carried out in favor of pain management and approach 1 . Studies repeating the pain prevalence study of 2008 have obtained worse results in 2010, referring that annual evaluation of prevalence has provided major evidence for the institution and its publication, which is an incentive for other institutions 7,13 . In fact, studies such as the above allow the identification of situations to be improved, leading to the adoption of specific approaches directed to such situations in all evaluated hospitals (Table 1).…”

Section: Introductionmentioning

confidence: 99%

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Prevalência e características de dor em pacientes internados em hospital português

Silva¹,

Dixe²

2013

Rev. dor

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BACKGROUND AND OBJECTIVES:Studies on pain prevalence systematically point to high values. Although not comparable, a global analysis allows inferring that from every two hospitalized patients, one is in pain. This study aimed at determining pain prevalence, its characteristics, analgesic treatment and satisfaction of patients admitted to a hospital in the Center of Portugal with regard to pain evaluation and treatment. METHODS: This is a transversal and observational study with 141 patients admitted for at least 24 hours to surgical and medical units (excluded those unable to communicate), with mean age of 69 years, of both genders, who were interviewed after compliance with respective formal and ethic procedures. RESULTS: Pain prevalence in the 24 hours previous to the study was 52.5% (28.8% severe pain). During interviews, prevalence has decreased to 41.1% (2.7% severe pain). Patients with more severe pain were admitted to surgical services and pain was primarily musculoskeletal. Most patients with pain have waited no more than ten minutes before analgesics were administered. From 57 patients referring pain during data collection, 46 (80.7%) did not require a different drug and 91.3% were happy with their treatment. CONCLUSION: In this institution, there has been pain prevalence and approach similar to the literature, but pain remains undertreated. Such data shall allow the definition and implementation of a more focused and effective pain control program. MÉTODOS:Estudo transversal e observacional realizado com 141 pacientes, internados há pelo menos 24 horas, em unidades cirúrgicas e médicas (excluídos os não comunicantes), com idade média de 69 anos, de ambos os gêneros, a quem foi realizada uma entrevista após o cumprimento dos respetivos procedimentos formais e éticos. RESULTADOS: Obteve-se prevalência de dor nas 24 horas anteriores ao estudo de 52,5% (28,8% dor intensa). Na altura da entrevista, a prevalência diminuiu para 41,1% (2,7% de dor intensa). Os pacientes com mais dor estavam internados nos serviços cirúrgicos e o tipo de dor era sobretudo musculoesquelé-tica. A maioria dos pacientes com dor esperou, no máximo, 10 minutos, para lhe ser administrado um analgésico. Dos 57 que referiram dor no momento da coleta dos dados, 46 (80,7%) não desejaram outro fármaco e 91,3% mostraram-se satisfeitos com o seu tratamento. CONCLUSÃO: Nessa instituição houve prevalência e abordagem da dor semelhantes às da literatura, mas a dor ainda se encontra subtratada. Esses dados permitirão a definição e implementação de um programa de controle de dor mais dirigida e eficaz. Descritores: Dor, Intensidade da dor, Prevalência de dor, Satisfação do paciente, Tratamento da dor. INTRODUCTIONPain is a universal and transversal problem to many diseases. It is subjective, very often difficult to describe, but patients should feel that health professionals are willing to listen to them. If untreated, pain leads to several adverse effects, such as cardiovascular, immunological, thrombotic, psychological, social, sleep...

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Section: Discussionsupporting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalência e características de dor em pacientes internados em hospital português

Silva¹,

Dixe²

2013

Rev. dor

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“…This questionnaire 11,30,60 is composed of a pain intensity scale and a pain interference scale. The Brief Pain Inventory is a valid and reliable instrument 11,12,26,30,32,47,60,73 and has a validated Portuguese version. 1 Pain intensity was categorized using Serlin et al classification 29,34,39,49,71 ; mild (1-4), moderate (5)(6), and severe (7)(8)(9)(10).…”

Section: Instruments and Methods For Data Collectionmentioning

confidence: 99%

Epidemiology of Chronic Pain: A Population-Based Nationwide Study on Its Prevalence, Characteristics and Associated Disability in Portugal

Azevedo

Costa‐Pereira

Mendonça

et al. 2012

The Journal of Pain

194

163

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“…The prevalence of pain at rest in hospitalized patients is high with reported percentages between 33 – 71% (Fabbian et al., ; Maier et al., ; Sawyer, Haslam, Robinson, Daines, & Stilos ; Strohbuecker, Mayer, Evers, & Sabatowski ). Maier et al.…”

Section: Introductionmentioning

confidence: 99%

Hospitalized patients’ vs. nurses’ assessments of pain intensity and barriers to pain management

Dequeker

Lancker

Hecke

2017

Journal of Advanced Nursing

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Pain Prevalence Study in a Large Canadian Teaching Hospital

Cited by 52 publications

References 36 publications

Prevalência e características de dor em pacientes internados em hospital português

Prevalência e características de dor em pacientes internados em hospital português

Epidemiology of Chronic Pain: A Population-Based Nationwide Study on Its Prevalence, Characteristics and Associated Disability in Portugal

Hospitalized patients’ vs. nurses’ assessments of pain intensity and barriers to pain management

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