Prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the AgeQualiDe study

BMC Family Practice

for the AgeCoDe & AgeQualiDe study group¹  Siegfried Weyerer²  Jochen Werle²  Christian Brettschneider³  Hans-Helmut König³  Martin Scherer⁴  Tina Mallon⁴  Annette Ernst⁴  Edelgard Mösch⁵  Dagmar Weeg⁵  Kathrin Heser⁶  Wolfgang Maier⁶  Luca Kleineidam⁶  Michael Pentzek⁷  Angela Fuchs⁷  Susanne Röhr⁸  Steffi Riedel-Heller⁸  Tobias Luck⁸  Birgitt Wiese⁹ 

[1] ;Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University;Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf;Department of Primary Medical Care, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf;Department of Psychiatry, Klinikum rechts der Isar, Technical University of Munich;Department of Psychiatry, University of Bonn;Institute of General Practice, Medical Faculty, Heinrich-Heine-University Düsseldorf;Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig;Work Group Medical Statistics and IT-Infrastructure, Institute for General Practice, Hannover Medical School;

关键词: Prevalence of pain;    Impairment in daily activities;    Care setting;    Primary care;   

DOI  :  10.1186/s12875-018-0768-8

来源: DOAJ

【 摘 要 】

Abstract Background The prevalence of pain is very common in the oldest age group. Managing pain successfully is a key topic in primary care, especially within the ageing population. Different care settings might have an impact on the prevalence of pain and everyday life. Methods Participants from the German longitudinal cohort study on Needs, Health Service Use, Costs and Health-related Quality of Life in a large Sample of Oldest-old Primary Care Patients (85+) (AgeQualiDe) were asked to rate their severity of pain as well as the impairment with daily activities. Besides gender, age, education, BMI and use of analgesics we focused on the current housing situation and on cognitive state. Associations of the dependent measures were tested using four ordinal logistic regression models. Model 1 and 4 consisted of the overall sample, model 2 and 3 were divided according to no cognitive impairment (NCI) and mild cognitive impairment (MCI). Results Results show a decline in pain at very old age but nonetheless a high prevalence among the 85+ year olds. Sixty-three per cent of the participants report mild to severe pain and 69% of the participants mild to extreme impairment due to pain with daily activities. Use of analgesics, depression and living at home with care support are significantly associated with higher and male gender with lower pain ratings. Conclusions Sufficient pain management among the oldest age group is inevitable. Outpatient care settings are at risk of overlooking pain. Therefore focus should be set on pain management in these settings.

【 授权许可】

Unknown