老年人群中慢性疼痛的风险因素和并发症的关系

IF 3 Q1 PRIMARY HEALTH CARE
Neil Mookerjee, Nicole Schmalbach, Gianna Antinori, Subhadra Thampi, Dylan Windle-Puente, Amy Gilligan, Ha Huy, Megha Andrews, Angela Sun, Roshni Gandhi, William Benedict, Austin Chang, Ben Sanders, Justin Nguyen, Maanika Reddy Keesara, Janet Aliev, Aneri Patel, Isaiah Hughes, Ian Millstein, Krystal Hunter, Satyajeet Roy
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引用次数: 0

摘要

导言/目标:在美国,约有 20% 的成年人受到慢性疼痛疾病的影响,生活在社会经济条件极差社区的人受到的影响尤为严重。在许多情况下,人们注意到慢性疼痛是由多种风险因素和事件共同造成的。因此,认识到可改变的风险因素非常重要。本研究旨在调查 65 岁及以上患者中与慢性疼痛疾病相关的合并症和风险因素:我们的团队回顾性地查看了 2020 年 7 月 1 日至 2021 年 6 月 30 日期间因急性问题、慢性病管理或健康检查而在门诊部接受评估的老年患者(65 岁及以上)的病历。我们将患者分为患有慢性疼痛障碍的一组和没有慢性疼痛障碍的另一组。我们比较了这两组患者的相关变量:在 2431 名患者中,有 493 人(20.3%)患有慢性疼痛疾病。与无慢性疼痛障碍组相比,有慢性疼痛障碍组中女性的比例更高(60.6% vs 55.2%;P = .033)。两组患者的平均年龄相似(76.35 ± 7.5 岁 vs 76.81 ± 7.59 岁;P = 0.228)。与无慢性疼痛障碍组相比,有慢性疼痛障碍组的某些合并症有明显关联,如抑郁症(21.9% vs 15.2%;P P P = .036)、阻塞性睡眠呼吸暂停(16.8% vs 11.6%;P = .002)、胃食管反流病(40.8% vs 29.0%;P P P = .006)和周围神经病变(14.4% vs 5.3%;P 结论:女性性别、抑郁、焦虑、慢性阻塞性肺病、阻塞性睡眠呼吸暂停、胃食管反流病、骨关节炎、其他风湿病和周围神经病变与老年患者的慢性疼痛障碍显著相关,而体重指数与慢性疼痛障碍无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of Risk Factors and Comorbidities With Chronic Pain in the Elderly Population.

Introduction/objective: Chronic pain disorders affect about 20% of adults in the United States, and it disproportionately affects individuals living in the neighborhoods of extreme socioeconomic disadvantage. In many instances, chronic pain has been noted to arise from an aggregation of multiple risk factors and events. Therefore, it is of importance to recognize the modifiable risk factors. The aim of this study was to investigate the comorbid medical conditions and risk factors associated with chronic pain disorders in patients aged 65 years and older.

Methods: Our team retrospectively reviewed medical records of elderly patients (65 years and older) who were evaluated in our outpatient medicine office between July 1, 2020 and June 30, 2021 for acute problems, management of chronic medical problems, or well visits. We divided our patients into a group who suffered from chronic pain disorder, and another group who did not have chronic pain disorder. The association of variables were compared between those groups.

Results: Of the 2431 patients, 493 (20.3%) had a chronic pain disorder. A higher frequency of females in the group with chronic pain disorder was found compared to the group without a chronic pain disorder (60.6% vs 55.2%; P = .033). The mean ages between the two groups were similar in the group with a chronic pain disorder compared to the group without (76.35 ± 7.5 year vs 76.81 ± 7.59 year; P = .228). There were significant associations of certain comorbidities in the group with a chronic pain disorder compared to the group without a chronic pain disorder, such as depression (21.9% vs 15.2%; P < .001), anxiety (27.0% vs 17.1%; P < .001), chronic obstructive pulmonary disease (8.7% vs 6.1%; P = .036), obstructive sleep apnea (16.8% vs 11.6%; P = .002), gastroesophageal reflux disease (40.8% vs 29.0%; P < .001), osteoarthritis (49.3% vs 26.1%; P < .001), other rheumatologic diseases (24.9% vs 19.4%; P = .006), and peripheral neuropathy (14.4% vs 5.3%; P < .001).

Conclusion: Female sex, depression, anxiety, chronic obstructive pulmonary disease, obstructive sleep apnea, gastroesophageal reflux disease, osteoarthritis, other rheumatologic diseases, and peripheral neuropathy were significantly associated with chronic pain disorder in elderly patients, while BMI was not associated with chronic pain disorder.

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CiteScore
4.80
自引率
2.80%
发文量
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审稿时长
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