Is all pain is treated equally? A multicenter evaluation of acute pain care by age

Older patients receive less analgesics than younger patients, yet had greater reductions in acute pain scores. These differences may be driven by type of pain. Pain is highly prevalent in health care settings; however, disparities continue to exist in pain care treatment. Few studies have investigat...

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Veröffentlicht in:Pain (Amsterdam) 2014-12, Vol.155 (12), p.2568-2574
Hauptverfasser: Hwang, Ula, Belland, Laura K., Handel, Daniel A., Yadav, Kabir, Heard, Kennon, Rivera-Reyes, Laura, Eisenberg, Amanda, Noble, Matthew J., Mekala, Sudha, Valley, Morgan, Winkel, Gary, Todd, Knox H., Morrison, R. Sean
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container_end_page 2574
container_issue 12
container_start_page 2568
container_title Pain (Amsterdam)
container_volume 155
creator Hwang, Ula
Belland, Laura K.
Handel, Daniel A.
Yadav, Kabir
Heard, Kennon
Rivera-Reyes, Laura
Eisenberg, Amanda
Noble, Matthew J.
Mekala, Sudha
Valley, Morgan
Winkel, Gary
Todd, Knox H.
Morrison, R. Sean
description Older patients receive less analgesics than younger patients, yet had greater reductions in acute pain scores. These differences may be driven by type of pain. Pain is highly prevalent in health care settings; however, disparities continue to exist in pain care treatment. Few studies have investigated if differences exist based on patient-related characteristics associated with aging. The objective of this study was to determine if there are differences in acute pain care for older vs younger patients. This was a multicenter, retrospective, cross-sectional observation study of 5 emergency departments across the United States evaluating the 2 most commonly presenting pain conditions for older adults, abdominal and fracture pain. Multivariable adjusted hierarchical modeling was completed. A total of 6,948 visits were reviewed. Older (⩾65years) and oldest (⩾85years) were less likely to receive analgesics compared to younger patients (
doi_str_mv 10.1016/j.pain.2014.09.017
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Sean</creatorcontrib><title>Is all pain is treated equally? A multicenter evaluation of acute pain care by age</title><title>Pain (Amsterdam)</title><addtitle>Pain</addtitle><description>Older patients receive less analgesics than younger patients, yet had greater reductions in acute pain scores. These differences may be driven by type of pain. Pain is highly prevalent in health care settings; however, disparities continue to exist in pain care treatment. Few studies have investigated if differences exist based on patient-related characteristics associated with aging. The objective of this study was to determine if there are differences in acute pain care for older vs younger patients. This was a multicenter, retrospective, cross-sectional observation study of 5 emergency departments across the United States evaluating the 2 most commonly presenting pain conditions for older adults, abdominal and fracture pain. Multivariable adjusted hierarchical modeling was completed. 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Psychology</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Observation</subject><subject>Pain Measurement</subject><subject>Retrospective Studies</subject><subject>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. 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source MEDLINE; Journals@Ovid Complete
subjects Acute Pain - therapy
Acute pain care
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Aging
Analgesics - therapeutic use
Biological and medical sciences
Cross-Sectional Studies
Electronic Health Records - statistics & numerical data
Emergency department
Female
Fundamental and applied biological sciences. Psychology
Geriatrics
Humans
Male
Middle Aged
Observation
Pain Measurement
Retrospective Studies
Somesthesis and somesthetic pathways (proprioception, exteroception, nociception)
interoception
electrolocation. Sensory receptors
Vertebrates: nervous system and sense organs
Young Adult
title Is all pain is treated equally? A multicenter evaluation of acute pain care by age
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