Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Pain and ED Use in Adults with Dementia

J Pain Symptom Manage; ePub 2018 Sep 14; Hunt, et al

Unmet need for pain management was associated with more frequent emergency department (ED) visits in the last month of life among older adults with dementia, a new study found. The mortality follow-back study included older adults with dementia in the National Health and Aging Trends Study (NHATS) who died between 2012-2014. Researchers found:

  • 281 NHATS decedents (mean age 86 years, 61% female, 81% white) with dementia met study criteria.
  • 57% had a least 1 ED visit in the last month of life; 46.5% had an ED visit resulting in a hospital admission.
  • 73% of decedents experienced pain in the last month of life, and 10% had an unmet need for pain management.
  • After adjustments, pain was not associated with increased ED use in the last month of life.
  • However, decedents with unmet need for pain management had an almost 50% higher rate of ED visits in the last month of life than those without unmet needs.

Citation:

Hunt LJ, Ritchie CS, Cataldo JK, Patel K, Stephens CE, Smith AK. Pain and emergency department use in the last month of life among older adults with dementia. [Published online ahead of print September 14, 2018]. J Pain Symptom Manage. doi:10.1016/j.jpainsymman.2018.09.005.

This Week's Must Reads

Reactogenicity & Immunogenicity of Tdap in Pregnancy, Vaccine; ePub 2018 Sep 13; Fortner, et al

Barriers to Implementation of Vaccine Standards, Vaccine; ePub 2018 Sep 20; Srivastav, et al

Intra-Season Waning of Influenza Vaccine Efficacy, Open Forum Infect Dis; ePub 2018 Sep 10; Ray, et al

Pneumococcal Disease in Older Adults After PCV13, Clin Infect Dis; ePub 2018 Sep 20; Pelton, et al

Mumps Outbreaks in Vaccinated US Populations, Clin Infect Dis; ePub 2018 Sep 10; Clemmons, et al

Must Reads in Pain

Chronic Pain Among Suicide Decedents, Ann Intern Med; ePub 2018 Sep 11; Petrosky, et al

Pain and ED Use in Adults with Dementia, J Pain Symptom Manage; ePub 2018 Sep 14; Hunt, et al

Higher Optimism Predicts Lower Pain Reduction, J Pain; ePub 2018 Sep 13; Hinkle, Quiton

QOL in Patients with Chronic & Episodic Migraine, Pain Medicine; ePub 2018 Sep 14; Ceylan, et al

LIDAS as a Valid Measure for Chronic Pain, J Pain; ePub 2018 Aug 30; Wilson, et al