Prevalence of Pain and Its Characteristics in Hospitalized Patients in an Indian Teaching Hospital

Das, Saroj Kumar; Dhar, Sovan Sarang; Panigrahi, Ansuman

doi:10.1016/j.pmn.2019.06.005

Cited by 8 publications

(7 citation statements)

References 21 publications

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“…There could be a biological or psychosocial basis that explains the differences regarding gender, the perception of pain, or the response to treatment [28]. In our study, we did not find differences in the prevalence of pain in reference to gender, as has been previously published [12,13,23,29]. Nor did we detect a relationship between pain and the age of patients [10,12,15,23].…”

Section: Discussionsupporting

confidence: 59%

Pain Prevalence and Satisfaction with Pain Management in Inpatients: A Cross-Sectional Study

Becerra-Bolaños,

Armas-Domínguez,

Valencia

et al. 2023

Healthcare

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Background: Pain in hospitalized adults is underestimated and undervalued. The aim of this study was to evaluate pain prevalence and satisfaction with the hospital’s pain management among patients attending a tertiary university hospital. Predictor factors of pain were also studied. Methods: A prospective, cross-sectional study was carried out through a structured questionnaire given on one day to all hospitalized patients in a university hospital. Clinical data, such as personal history and analgesic treatment, were collected from medical records. Other variables related to pain (including intensity rated by the visual analogue scale as well as location and patient satisfaction measured by the numerical rating scale) were also obtained. Results: Of the 274 surveyed patients, pain prevalence was 52.9%, with an average intensity of 5.3 ± 2.8 according to VAS. The overall satisfaction was 87.2%, and 72.6% had already been prescribed at least one analgesic. Patients receiving analgesics showed higher pain intensity (VAS 3.6 ± 3.4) than those without treatment (VAS 1.1 ± 2.1) (p < 0.001). However, patients with treatment showed more satisfaction (NRS 7.8 ± 2 vs. 5.3 ± 1.4, p < 0.001). Conclusions: The prevalence of pain in hospitalized patients was high, despite the fact that patient satisfaction was also very high.

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Section: Discussionsupporting

confidence: 59%

Pain Prevalence and Satisfaction with Pain Management in Inpatients: A Cross-Sectional Study

Becerra-Bolaños,

Armas-Domínguez,

Valencia

et al. 2023

Healthcare

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“…All of the patient information was anonymized before analysis. We used numeric rating scale to classify pain levels into mild (1-3), moderate (4-6), and severe (7)(8)(9)(10). We used the chisquare test to analyze the variability of the patient's demographic data and care-related pain with severity � 4 and duration � 4 hours.…”

Section: Statisticsmentioning

confidence: 99%

“…It can also worsen a patient’s quality of life, and has a deleterious effect on recovery from illness or surgery [ 6 ]. Poor pain management leads to longer hospital stays and increased readmissions, resulting in a waste of medical resources [ 7 ]. The hospital should provide comprehensive pain management to improve the physical and mental condition of most patients suffering from pain.…”

Section: Introductionmentioning

confidence: 99%

Three-year hospital-wide pain management system implementation at a tertiary medical center: Pain prevalence analysis

Chen

Yeh

et al. 2023

PLoS ONE

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We developed a pain management system over a 3-year period. In this project, “Towards a pain-free hospital”, we combined evidence-based medicine and medical expertise to develop a series of policies. The intervention mainly included the development of standard procedures for inpatient pain management, the implementation of hospital-wide pain medicine education and training, the establishment of a dashboard system to track pain status, and regular audits and feedback. This study aimed to gain an understanding of the changes in the prevalence of pain in inpatients under the care of the pain management system. The subjects of the survey are inpatients over 20 years old, and who had been hospitalized in the general ward for at least 3 days. The patients would be excluded if they were unable to respond to the questions. We randomly selected eligible patients in the general ward. Our trained interviewers visited inpatients to complete the questionnaires designed by our pain care specialists. A total of 3,094 inpatients completed the survey from 2018 to 2020. During the three-year period, the prevalence of pain was 69.5% (2018) (reference), 63.3% (2019) (OR:0.768, p<0.01), and 60.1% (2020) (OR:0.662, p <0.001). The prevalence rates of pain in patients undergoing surgery during the 3-year period were 81.4% (2018), 74.3% (2019), and 68.8% (2020), respectively. As for care-related causes of pain, injection, change in position/chest percussion, and rehabilitation showed a decreasing trend over the 3-year period of study. Our pain management system provided immediate professional pain management, and achieved a good result in the management of acute moderate to severe pain, especially perioperative pain. Studies on pain prevalence and Pain-Free Hospitals are scarce in Asia. With the aid of the policies based on evidence-based medicine and the dashboard information system, from 2018 to 2020, the prevalence of pain has decreased year by year.

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“…In fact, pain can have negative effects on the physical and mental conditions of hospitalized patients, worsening the quality of life and increasing costs [8]. Notably, several investigations demonstrated the occurrence of pain, even of moderate or severe degree, between 20% and 50% of hospitalized children [9][10][11][12][13][14][15][16][17][18][19][20]; this is often associated with inadequate therapy [20]. In fact, despite the ability to accurately assess pain and the considerable technical resources available, the prevalence of pain in hospitalized children is still high with more than onehalf caused by insufficient pain management [21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Pain prevalence and pain management in children and adolescents in an italian third level pediatric hospital: a cross-sectional study

et al. 2023

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Background In 2016, we performed a one-day investigation to analyze the prevalence of pain, pain intensity, and pain therapy in the Departments of Surgery and Onco-Hematology of the Ospedale Pediatrico Bambino Gesù. To improve the knowledge gap highlighted in the previous study, refresher courses and even personalized audits have been carried out during these years. The purpose of this study is to evaluate if, after 5 years, there have been improvements in the management of pain. Methods The study was conducted on 25 January 2020. Pain assessment, pain therapies, pain prevalence and intensity in the preceding 24 h and during the recovery period were recorded. Pain outcomes were compared with previous audit results. Results Out of the 63 children with at least one documented pain assessment (starting from 100 eligible), 35 (55.4%) experienced pain: 32 children (50.7%) experienced moderate /severe pain while 3 patients (4%) felt mild pain. In the preceding 24 h, 20 patients (31.7%) reported moderate/severe pain while 10 (16%) reported moderate or severe pain during the interview. The average value of the Pain Management Index (PMI) was − 1.3 ± 0.9 with a minimum of -3 and a maximum of 0. 28 patients (87%) undergoing analgesic therapy for moderate/severe pain had a PMI of less than 0 (undertreated pain), while 3 patients (13%) scored value of 0 or higher (adequate pain therapy), 4 patients (12.5%) received multimodal analgesia with opioids and 2 patients (6%) opioids alone. Time-based therapy was prescribed to 20 patients (62.5%), intermittent therapy was prescribed to 7 patients (22%) and 5 patients (15.5%) did not receive any therapy. The prevalence of pain was higher during hospitalization and 24 h before the interview, while at the time of the interview, the proportion was the same. In this audit, the daily prescription modality of the therapy had some improvements (time-based: 62.5% vs. 44%; intermittent: 22%vs 25%; no therapy: 15.5% vs. 31%). Conclusion Pain management in hospitalized children constantly requires special daily attention from health professionals aimed at mitigating the components of intractable pain and resolving those of treatable pain. Trial registration : This study is registered with ClinicalTrials.gov, number (NCT04209764), registered 24 December 2019, https://clinicaltrials.gov/ct2/show/NCT04209764?term=NCT04209764&draw=2&rank=1.

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Prevalence of Pain and Its Characteristics in Hospitalized Patients in an Indian Teaching Hospital

Cited by 8 publications

References 21 publications

Pain Prevalence and Satisfaction with Pain Management in Inpatients: A Cross-Sectional Study

Pain Prevalence and Satisfaction with Pain Management in Inpatients: A Cross-Sectional Study

Three-year hospital-wide pain management system implementation at a tertiary medical center: Pain prevalence analysis

Pain prevalence and pain management in children and adolescents in an italian third level pediatric hospital: a cross-sectional study

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