Centre for Research in Aged Care, School of Nursing & Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia
Centre for Research in Aged Care, School of Nursing & Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia.
BMJ Open. 2021 Mar 23;11(3):e046138. doi: 10.1136/bmjopen-2020-046138.
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.
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.
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.
ACTRN12620000904976.
衰弱和疼痛与患者临床结局不良和医疗保健系统成本增加有关。衰弱和疼痛可能相互作用，例如，衰弱的症状可能使疼痛评估变得困难，而疼痛可能使衰弱的进展恶化。衰弱和疼痛在医院环境中的流行程度尚不清楚，并且由于评估其疼痛存在困难，认知障碍患者通常被排除在疼痛流行率研究之外。本研究的目的是确定在西澳大利亚州一家急性护理私立大都市医院中，包括认知障碍患者在内的成年住院患者衰弱和疼痛的流行率。
将对所有住院患者（不包括日间手术和重症监护病房）进行前瞻性、观察性、单日、横断面研究，以评估衰弱和疼痛强度。衰弱将使用改良的报告埃德蒙顿衰弱量表进行评估。目前的疼痛强度将使用 PainChek 智能设备应用程序进行评估，该应用程序可以评估因认知障碍而无法报告疼痛的人的疼痛。参与者还将对当前疼痛的强度和过去 24 小时内经历的最严重疼痛进行数字评分。将从患者档案中收集人口统计学和临床信息。将报告调查的总体响应率，以及样本中衰弱和疼痛的百分比流行率（分别针对 PainChek 评分和数字评分）。还将进行额外的统计建模，比较衰弱评分和疼痛评分，调整年龄、性别、病房类型和入院原因等协变量。
拉姆斯盖特健康保健公司人类研究伦理委员会 WA/SA（参考号：2038）和埃迪斯科文大学人类研究伦理委员会已批准该研究（参考号：2020-02008-SAUNDERS）。研究结果将通过会议演讲、同行评审出版物和社交媒体广泛传播。
ACTRN12620000904976。
