A retrospective examination of pain in acute stroke at hospital discharge.

Autor: Dishman D; Institute for Stroke and Cerebrovascular Disease and Cizik School of Nursing, University of Texas Health Science Center at Houston, United States; Institute for Stroke and Cerebrovascular Disease, University of Texas Health Science Center at Houston, United States. Electronic address: Deniz.N.Dishman@uth.tmc.edu., Lal T; Institute for Stroke and Cerebrovascular Disease, University of Texas Health Science Center at Houston, United States., Silos C; Baylor College of Medicine, Houston, Texas, United States., Chen L; School of Biomedical Informatics, University of Texas Health Science Center at Houston, United States., Jiang X; Institute for Stroke and Cerebrovascular Disease and School of Biomedical Informatics, University of Texas Health Science Center at Houston, United States., Beauchamp J; Institute for Stroke and Cerebrovascular Disease and Cizik School of Nursing, University of Texas Health Science Center at Houston, United States., Aggarwal S; Institute for Stroke and Cerebrovascular Disease and Cizik School of Nursing, University of Texas Health Science Center at Houston, United States., Green C; Institute for Stroke and Cerebrovascular Disease and McGovern Medical School, University of Texas Health Science Center at Houston, United States., Savitz SI; Institute for Stroke and Cerebrovascular Disease, University of Texas Health Science Center at Houston, United States.
Jazyk: angličtina
Zdroj: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2023 Dec; Vol. 32 (12), pp. 107370. Date of Electronic Publication: 2023 Oct 11.
DOI: 10.1016/j.jstrokecerebrovasdis.2023.107370
Abstrakt: Objectives: Pain is an overlooked sequela of stroke. Persistent pain after stroke is an underrecognized experience and significantly impacts survivors' function, ability to participate in rehabilitation, and quality of life. The aim of this retrospective, observational study is to examine the incidence of pain at the acute hospitalization period immediately after stroke, to identify the characteristics of those reporting pain at discharge, and to compare pain reporting between stroke and non-stroke hospital controls.
Materials and Methods: Using discharge diagnosis, this retrospective review examined self- reports of pain during acute hospitalization for stroke compared to those with COPD (control group) admitted during the same time in the same facilities. Variables of interest included age, gender, body mass index (BMI), length of stay, pain assessment score (numeric rating scale [NRS], behavior pain scale [BPS], and medication administration record pain score total [MAR]), smoking history, prevalence of hypertension and race. 821 subjects were included from a total of three campuses from one large hospital system. 772 subjects were included in the comparative analysis with COPD patients from the same facilities during the same time.
Results: 43% of patients diagnosed with stroke reported pain at discharge. For stroke survivors reporting pain at discharge, the average BMI was higher (p=0.009), average arrival NIHSS was higher (p=0.044), and mean hospital length of stay was longer (p<0.001).
Conclusions: The evidence demonstrated in this study highlights the critical need for the implementation of targeted objective pain assessment and effective pain interventions for stroke survivors beginning at initial hospitalization.
Competing Interests: Declaration of Competing Interest All authors deny any financial and personal relationships with other people or organizations that could inappropriately influence (bias) their work.
(Copyright © 2023. Published by Elsevier Inc.)
Databáze: MEDLINE
Externí odkaz: