Prevalence, causes, and treatment of neuropathic pain in Dutch nursing home residents: a retrospective chart review.

Autor: van Kollenburg EG; Department of Primary and Community Care, Centre for Family Medicine, Geriatric Care and Public Health, Radboud University Vijmegen Medical Centre, Nijmegen, the Netherlands. e.vankollenburg@elg.umcn.nl, Lavrijsen JC, Verhagen SC, Zuidema SU, Schalkwijk A, Vissers KC
Jazyk: angličtina
Zdroj: Journal of the American Geriatrics Society [J Am Geriatr Soc] 2012 Aug; Vol. 60 (8), pp. 1418-25. Date of Electronic Publication: 2012 Jul 12.
DOI: 10.1111/j.1532-5415.2012.04078.x
Abstrakt: Objectives: To identify the prevalence and causes of neuropathic pain in Dutch nursing home residents; to establish the prevalence of painful and nonpainful diabetic polyneuropathy in a subsample of individuals with diabetes mellitus and central poststroke pain (CPSP) in a subsample of individuals who had a stroke; and to study the prescription of antineuropathic drugs.
Design: A descriptive, retrospective, cross-sectional study conducted by analyzing medical records.
Setting: Data were collected in 12 Dutch nursing homes.
Participants: The data were derived from the medical records of 497 residents of chronic long-term stay and rehabilitation nursing home units.
Measurements: Four groups were defined: actual (at some time in the previous year) neuropathic pain (ANP), possible neuropathic pain (PNP), neuropathic pain in the past (NPP), and no signs of neuropathic pain (NoNP).
Results: The prevalence of ANP was 10.9% (95% confidence interval (CI) = 8.4-13.8%) and of PNP was 5.6% (95% CI = 3.9-7.9%). The most common causes were CPSP and phantom limb pain. In the subgroup with diabetes mellitus, 6.3% had nonpainful diabetic polyneuropathy, 0.7% had painful diabetic polyneuropathy, and 0.7% had possible painful diabetic polyneuropathy. In the poststroke subsample, 4.7% were identified as having CPSP, and 5.2% were identified as possibly having CPSP. Within the ANP group, 68.5% of the residents received antineuropathic drugs on the day the medical records were examined; 48.1% used anticonvulsants.
Conclusion: Dutch nursing home residents frequently experience neuropathic pain; therefore, neuropathic pain should receive more attention in frail elderly adults.
(© 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society.)
Databáze: MEDLINE
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