干旱区生态环境知识资源中心(Arid): Pain Management in Home Health Care: Relationship With Dementia and Facility Admissions

Arid

DOI	10.1016/j.pmn.2020.06.007
	Pain Management in Home Health Care: Relationship With Dementia and Facility Admissions
	Wang, Jinjiao; Monroe, Todd B.; Simning, Adam; Conwell, Yeates; Caprio, Thomas, V; Cai, Xueya; Temkin-Greener, Helena; Muench, Ulrike; Yu, Fang; Ge, Song; Li, Yue
通讯作者	Wang, JJ (corresponding author), Univ Rochester, Sch Nursing, Room 2w-121,255 Crittenden Blvd, Rochester, NY 14642 USA.
来源期刊	PAIN MANAGEMENT NURSING
ISSN	1524-9042
EISSN	1532-8635
出版年	2021
卷号	22 期号:1 页码:36-43
英文摘要	Background: Pain is common yet under-studied among older Medicare home health (HH) patients with Alzheimer's disease and related dementias (ADRD). Aims: Examine (1) the association between ADRD and severe pain in Medicare HH patients; and (2) the impact of severe pain and ADRD on unplanned facility admissions in this population. Design: Analysis of the Outcome and Assessment Information Set (OASIS) and Medicare claims data. Settings/Participants: 6,153 patients >= 65 years receiving care from a nonprofit HH agency in 2017. Methods: Study outcomes included presence of severe pain and time-to-event measures of unplanned facility admissions (hospital, nursing home, or rehabilitation facilities). ADRD was identified using ICD-10 diagnosis codes and cognitive impairment symptoms. Logistic regression and Cox proportional hazard models were used to examine, respectively, the association between ADRD and severe pain, and the independent and interaction effects of severe pain and ADRD on unplanned facility admission. Results: Patients with ADRD (n = 1,525, 24.8%) were less likely to have recorded severe pain than others (16.4% vs. 23.6%, p < .001). Adjusting for demographics, comorbidities, mental and physical functional status, and use of HH services, having severe pain was related to a 35% increase (hazard ratio [HR] = 1.35, p = .002) in the risk of unplanned facility admission, but the increase in such risk was the same whether or not the patient had ADRD. Conclusions: HH patients with ADRD may have under-recognized pain. Severe pain is a significant independent predictor of unplanned facility admissions among HH patients. (C) 2021 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
类型	Article
语种	英语
开放获取类型	Bronze
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000617920000008
WOS类目	Nursing
WOS研究方向	Nursing
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/351249
作者单位	[Wang, Jinjiao] Univ Rochester, Sch Nursing, Room 2w-121,255 Crittenden Blvd, Rochester, NY 14642 USA; [Monroe, Todd B.] Ohio State Univ, Coll Nursing, Columbus, OH 43210 USA; [Simning, Adam; Conwell, Yeates] Univ Rochester, Dept Psychiat, Med Ctr, Rochester, NY 14642 USA; [Caprio, Thomas, V] Univ Rochester, Dept Med, Med Ctr, Rochester, NY 14642 USA; [Caprio, Thomas, V] Univ Rochester, Med Home Care, Rochester, NY 14642 USA; [Caprio, Thomas, V] Finger Lakes Geriatr Educ Ctr, Rochester, NY USA; [Cai, Xueya] Univ Rochester, Dept Biostat & Computat Biol, Rochester, NY 14642 USA; [Temkin-Greener, Helena; Li, Yue] Univ Rochester, Dept Publ Hlth Sci, Rochester, NY 14642 USA; [Muench, Ulrike] Univ Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USA; [Yu, Fang] Univ Minnesota, Sch Nursing, Minneapolis, MN 55455 USA; [Ge, Song] Univ Houston Downtown, Sch Nursing, Houston, TX USA
推荐引用方式 GB/T 7714	Wang, Jinjiao,Monroe, Todd B.,Simning, Adam,et al. Pain Management in Home Health Care: Relationship With Dementia and Facility Admissions[J],2021,22(1):36-43.
APA	Wang, Jinjiao.,Monroe, Todd B..,Simning, Adam.,Conwell, Yeates.,Caprio, Thomas, V.,...&Li, Yue.(2021).Pain Management in Home Health Care: Relationship With Dementia and Facility Admissions.PAIN MANAGEMENT NURSING,22(1),36-43.
MLA	Wang, Jinjiao,et al."Pain Management in Home Health Care: Relationship With Dementia and Facility Admissions".PAIN MANAGEMENT NURSING 22.1(2021):36-43.