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Limitations of Self-Report Tools in Pain Evaluation of Patients With Vertebral Fractures.
Matsuura, Takanori; Yoshimi, Youhei; Takahashi, Shiho; Tanaka, Nami; Morinaga, Hanae; Hayata, Asuka; Onishi, Minami; Nagano, Yousuke; Ohnishi, Hideo.
Afiliación
  • Matsuura T; Department of Orthopedics, Moji Medical Center, Japan.
  • Yoshimi Y; Department of Orthopedics, School of Medicine, University of Occupational and Environmental Health, Japan.
  • Takahashi S; Department of Orthopedics, Nishinomiya Watanabe Hospital, Japan.
  • Tanaka N; Department of Orthopedics, Moji Medical Center, Japan.
  • Morinaga H; Department of Orthopedics, School of Medicine, University of Occupational and Environmental Health, Japan.
  • Hayata A; Department of Nursing, Moji Medical Center, Japan.
  • Onishi M; Department of Nursing, Moji Medical Center, Japan.
  • Nagano Y; Department of Nursing, Moji Medical Center, Japan.
  • Ohnishi H; Department of Rehabilitation, Moji Medical Center, Japan.
J UOEH ; 46(3): 251-261, 2024.
Article en En | MEDLINE | ID: mdl-39218662
ABSTRACT
Few studies have evaluated the usefulness and limitations of pain assessment using verbal communication tools for acute orthopedic diseases in older patients. The purpose of this study was to assess the rate of usage of the numerical rating scale (NRS), a verbal communication tool, and to identify the characteristics of patients in whom continuous assessment was impossible. We retrospectively examined electronic medical records of patients with acute vertebral fractures who had been admitted to our hospital between April 2018 and March 2020. Continuous pain assessment using the NRS was possible in 43.2% of hospitalized patients with the fractures. The factors preventing continuous pain assessment using the NRS were an advanced age and low Mini-Mental State Examination (MMSE) scores. Based on the receiver-operating characteristic curves, the cutoff age and MMSE score were >85.3 years and <22, respectively. Continuous NRS-based pain assessment is difficult in older adult patients or those with cognitive decline with acute vertebral fractures. In future, a simple observational assessment tool for patients with dementia should be introduced in acute medical care settings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dimensión del Dolor / Fracturas de la Columna Vertebral / Autoinforme Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J UOEH Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dimensión del Dolor / Fracturas de la Columna Vertebral / Autoinforme Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J UOEH Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón