Prevalence and Correlates of Frailty in Community-Dwelling Older Adults with Chronic Pain: A Cross-Sectional Study.


Journal

Pain management nursing : official journal of the American Society of Pain Management Nurses
ISSN: 1532-8635
Titre abrégé: Pain Manag Nurs
Pays: United States
ID NLM: 100890606

Informations de publication

Date de publication:
12 2020
Historique:
received: 13 04 2020
revised: 14 05 2020
accepted: 30 05 2020
pubmed: 9 7 2020
medline: 4 8 2021
entrez: 9 7 2020
Statut: ppublish

Résumé

Frailty is a frequent health condition in older adults of decreased functional reserve that leads to vulnerability to internal and external stressors. It has been associated with chronic pain, which is a common, costly and incapacitating condition in older adults. To describe frailty status in a sample of community-dwelling older adults with chronic pain attending a primary health care centre. Cross-sectional investigation. Adults aged 65 years or older with chronic pain. The Survey of Health, Ageing and Retirement in Europe Frailty Instrument (SHARE-FI) was used to assess frailty status and a visual analogue scale to assess pain intensity. Descriptive and analytical statistics were performed. Among 154 participants recruited, 20.1% were frail, 38.3% pre-frail and 41.6% robust. Women were more likely to be classified as frail or pre-frail (OR: 4.62, 95% CI: 2.23-9.59), as well as participants aged 75 years or older (OR: 3.41, 95% CI: 1.74-6.68) and participants reporting moderate and severe pain (OR: 4.20, 95% CI: 2.10-8.40). These results remained significant after adjustment. There is an association between frailty status and other variables such as older age, female gender and higher pain intensity.

Sections du résumé

BACKGROUND
Frailty is a frequent health condition in older adults of decreased functional reserve that leads to vulnerability to internal and external stressors. It has been associated with chronic pain, which is a common, costly and incapacitating condition in older adults.
AIMS
To describe frailty status in a sample of community-dwelling older adults with chronic pain attending a primary health care centre.
DESIGN
Cross-sectional investigation.
PARTICIPANTS
Adults aged 65 years or older with chronic pain.
METHODS
The Survey of Health, Ageing and Retirement in Europe Frailty Instrument (SHARE-FI) was used to assess frailty status and a visual analogue scale to assess pain intensity. Descriptive and analytical statistics were performed.
RESULTS
Among 154 participants recruited, 20.1% were frail, 38.3% pre-frail and 41.6% robust. Women were more likely to be classified as frail or pre-frail (OR: 4.62, 95% CI: 2.23-9.59), as well as participants aged 75 years or older (OR: 3.41, 95% CI: 1.74-6.68) and participants reporting moderate and severe pain (OR: 4.20, 95% CI: 2.10-8.40). These results remained significant after adjustment.
CONCLUSIONS
There is an association between frailty status and other variables such as older age, female gender and higher pain intensity.

Identifiants

pubmed: 32636062
pii: S1524-9042(20)30139-9
doi: 10.1016/j.pmn.2020.05.009
pii:
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

530-535

Informations de copyright

Copyright © 2020 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

Auteurs

Pedro Otones Reyes (P)

San Andrés Primary Care Center, Madrid, Spain. Electronic address: pedro.otones@salud.madrid.org.

Eva García Perea (E)

Nursing Department, Universidad Autónoma de Madrid, Madrid, Spain.

Milagros Rico Blázquez (M)

Research Unit, Gerencia Asistencial de Atención Primaria, Madrid, Spain.

Azucena Pedraz Marcos (A)

Nursing Department, Universidad Autónoma de Madrid, Madrid, Spain.

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