BACKGROUND: Pain is a significant problem in the elderly, but the impact of dementia on perceived pain has not been studied in population-based study settings. OBJECTIVES: To analyse the prevalence of daily pain and analgesic use among home-dwelling older people with and without dementia. DESIGN: A cross-sectional population-based survey. SETTING: Population of Kuopio city, Finland. SUBJECTS: 523 home-dwelling subjects aged 75 years and older. METHODS: Structured clinical examination and interview. RESULTS: Prevalence rates for any pain, any daily pain, pain every day interfering with routine activities, and daily pain at rest were significantly lower in those subjects with dementia (43%, 23%, 19% and 4%, respectively) compared to those subjects without dementia (69%, 40%, 36% and 13%, respectively). The subjects with dementia were less likely to use analgesics (33%) than the non-demented (47%). CONCLUSION: Dementia was related to a lower prevalence of reported pain and analgesic use among home-dwelling elderly people.
BACKGROUND:Pain is a significant problem in the elderly, but the impact of dementia on perceived pain has not been studied in population-based study settings. OBJECTIVES: To analyse the prevalence of daily pain and analgesic use among home-dwelling older people with and without dementia. DESIGN: A cross-sectional population-based survey. SETTING: Population of Kuopio city, Finland. SUBJECTS: 523 home-dwelling subjects aged 75 years and older. METHODS: Structured clinical examination and interview. RESULTS: Prevalence rates for any pain, any daily pain, pain every day interfering with routine activities, and daily pain at rest were significantly lower in those subjects with dementia (43%, 23%, 19% and 4%, respectively) compared to those subjects without dementia (69%, 40%, 36% and 13%, respectively). The subjects with dementia were less likely to use analgesics (33%) than the non-demented (47%). CONCLUSION:Dementia was related to a lower prevalence of reported pain and analgesic use among home-dwelling elderly people.
Authors: Todd B Monroe; John C Gore; Li Min Chen; Lorraine C Mion; Ronald L Cowan Journal: J Geriatr Psychiatry Neurol Date: 2012-12-31 Impact factor: 2.680
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