Limitations of Self-Report Tools in Pain Evaluation of Patients With Vertebral Fractures.

Q3 Medicine
Takanori Matsuura, Youhei Yoshimi, Shiho Takahashi, Nami Tanaka, Hanae Morinaga, Asuka Hayata, Minami Onishi, Yousuke Nagano, Hideo Ohnishi
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引用次数: 0

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.

椎体骨折患者疼痛评估中自我报告工具的局限性。
很少有研究对老年骨科急性病患者使用口头交流工具进行疼痛评估的实用性和局限性进行评估。本研究旨在评估口头交流工具--数字评分量表(NRS)的使用率,并确定无法进行连续评估的患者的特征。我们回顾性检查了本院在 2018 年 4 月至 2020 年 3 月期间收治的急性椎体骨折患者的电子病历。43.2%的住院骨折患者可以使用NRS进行连续疼痛评估。阻碍使用 NRS 进行连续疼痛评估的因素是高龄和迷你精神状态检查(MMSE)评分较低。根据接受者操作特征曲线,年龄和 MMSE 评分的临界值分别为 >85.3 岁和 >85.3 分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of UOEH
Journal of UOEH Medicine-Medicine (all)
CiteScore
1.30
自引率
0.00%
发文量
35
期刊介绍: Published quarterly: 1 annual volume consisted of 4 numbers. Issued on the 1st of March, June, September and December, respectively.
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