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Prevalence of frailty and pain in hospitalised adult patients in an acute hospital: a protocol for a point prevalence observational study

INTRODUCTION: Frailty and pain are associated with adverse patient clinical outcomes and healthcare system costs. Frailty and pain can interact, such that symptoms of frailty can make pain assessment difficult and pain can exacerbate the progression of frailty. The prevalence of frailty and pain and...

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Autores principales: Saunders, Rosemary, Crookes, Kate, Atee, Mustafa, Bulsara, Caroline, Bulsara, Max K, Etherton-Beer, Christopher, Ewens, Beverley, Gallagher, Olivia, Graham, Renee M, Gullick, Karen, Haydon, Sue, Nguyen, Kim-Huong, O'Connell, Bev, Seaman, Karla, Hughes, Jeff
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993156/
https://www.ncbi.nlm.nih.gov/pubmed/33757956
http://dx.doi.org/10.1136/bmjopen-2020-046138
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author Saunders, Rosemary
Crookes, Kate
Atee, Mustafa
Bulsara, Caroline
Bulsara, Max K
Etherton-Beer, Christopher
Ewens, Beverley
Gallagher, Olivia
Graham, Renee M
Gullick, Karen
Haydon, Sue
Nguyen, Kim-Huong
O'Connell, Bev
Seaman, Karla
Hughes, Jeff
author_facet Saunders, Rosemary
Crookes, Kate
Atee, Mustafa
Bulsara, Caroline
Bulsara, Max K
Etherton-Beer, Christopher
Ewens, Beverley
Gallagher, Olivia
Graham, Renee M
Gullick, Karen
Haydon, Sue
Nguyen, Kim-Huong
O'Connell, Bev
Seaman, Karla
Hughes, Jeff
author_sort Saunders, Rosemary
collection PubMed
description INTRODUCTION: Frailty and pain are associated with adverse patient clinical outcomes and healthcare system costs. Frailty and pain can interact, such that symptoms of frailty can make pain assessment difficult and pain can exacerbate the progression of frailty. The prevalence of frailty and pain and their concurrence in hospital settings are not well understood, and patients with cognitive impairment are often excluded from pain prevalence studies due to difficulties assessing their pain. The aim of this study is to determine the prevalence of frailty and pain in adult inpatients, including those with cognitive impairment, in an acute care private metropolitan hospital in Western Australia. METHODS AND ANALYSIS: A prospective, observational, single-day point prevalence, cross-sectional study of frailty and pain intensity of all inpatients (excluding day surgery and critical care units) will be undertaken. Frailty will be assessed using the modified Reported Edmonton Frail Scale. Current pain intensity will be assessed using the PainChek smart-device application enabling pain assessment in people unable to report pain due to cognitive impairment. Participants will also provide a numerical rating of the intensity of current pain and the worst pain experienced in the previous 24 hours. Demographic and clinical information will be collected from patient files. The overall response rate of the survey will be reported, as well as the percentage prevalence of frailty and of pain in the sample (separately for PainChek scores and numerical ratings). Additional statistical modelling will be conducted comparing frailty scores with pain scores, adjusting for covariates including age, gender, ward type and reason for admission. ETHICS AND DISSEMINATION: Ethical approval has been granted by Ramsay Health Care Human Research Ethics Committee WA/SA (reference: 2038) and Edith Cowan University Human Research Ethics Committee (reference: 2020–02008-SAUNDERS). Findings will be widely disseminated through conference presentations, peer-reviewed publications and social media. TRIAL REGISTRATION NUMBER: ACTRN12620000904976.
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spelling pubmed-79931562021-04-19 Prevalence of frailty and pain in hospitalised adult patients in an acute hospital: a protocol for a point prevalence observational study Saunders, Rosemary Crookes, Kate Atee, Mustafa Bulsara, Caroline Bulsara, Max K Etherton-Beer, Christopher Ewens, Beverley Gallagher, Olivia Graham, Renee M Gullick, Karen Haydon, Sue Nguyen, Kim-Huong O'Connell, Bev Seaman, Karla Hughes, Jeff BMJ Open Research Methods INTRODUCTION: Frailty and pain are associated with adverse patient clinical outcomes and healthcare system costs. Frailty and pain can interact, such that symptoms of frailty can make pain assessment difficult and pain can exacerbate the progression of frailty. The prevalence of frailty and pain and their concurrence in hospital settings are not well understood, and patients with cognitive impairment are often excluded from pain prevalence studies due to difficulties assessing their pain. The aim of this study is to determine the prevalence of frailty and pain in adult inpatients, including those with cognitive impairment, in an acute care private metropolitan hospital in Western Australia. METHODS AND ANALYSIS: A prospective, observational, single-day point prevalence, cross-sectional study of frailty and pain intensity of all inpatients (excluding day surgery and critical care units) will be undertaken. Frailty will be assessed using the modified Reported Edmonton Frail Scale. Current pain intensity will be assessed using the PainChek smart-device application enabling pain assessment in people unable to report pain due to cognitive impairment. Participants will also provide a numerical rating of the intensity of current pain and the worst pain experienced in the previous 24 hours. Demographic and clinical information will be collected from patient files. The overall response rate of the survey will be reported, as well as the percentage prevalence of frailty and of pain in the sample (separately for PainChek scores and numerical ratings). Additional statistical modelling will be conducted comparing frailty scores with pain scores, adjusting for covariates including age, gender, ward type and reason for admission. ETHICS AND DISSEMINATION: Ethical approval has been granted by Ramsay Health Care Human Research Ethics Committee WA/SA (reference: 2038) and Edith Cowan University Human Research Ethics Committee (reference: 2020–02008-SAUNDERS). Findings will be widely disseminated through conference presentations, peer-reviewed publications and social media. TRIAL REGISTRATION NUMBER: ACTRN12620000904976. BMJ Publishing Group 2021-03-23 /pmc/articles/PMC7993156/ /pubmed/33757956 http://dx.doi.org/10.1136/bmjopen-2020-046138 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Research Methods
Saunders, Rosemary
Crookes, Kate
Atee, Mustafa
Bulsara, Caroline
Bulsara, Max K
Etherton-Beer, Christopher
Ewens, Beverley
Gallagher, Olivia
Graham, Renee M
Gullick, Karen
Haydon, Sue
Nguyen, Kim-Huong
O'Connell, Bev
Seaman, Karla
Hughes, Jeff
Prevalence of frailty and pain in hospitalised adult patients in an acute hospital: a protocol for a point prevalence observational study
title Prevalence of frailty and pain in hospitalised adult patients in an acute hospital: a protocol for a point prevalence observational study
title_full Prevalence of frailty and pain in hospitalised adult patients in an acute hospital: a protocol for a point prevalence observational study
title_fullStr Prevalence of frailty and pain in hospitalised adult patients in an acute hospital: a protocol for a point prevalence observational study
title_full_unstemmed Prevalence of frailty and pain in hospitalised adult patients in an acute hospital: a protocol for a point prevalence observational study
title_short Prevalence of frailty and pain in hospitalised adult patients in an acute hospital: a protocol for a point prevalence observational study
title_sort prevalence of frailty and pain in hospitalised adult patients in an acute hospital: a protocol for a point prevalence observational study
topic Research Methods
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993156/
https://www.ncbi.nlm.nih.gov/pubmed/33757956
http://dx.doi.org/10.1136/bmjopen-2020-046138
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