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.
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
Acute Illness and Cannabis Use in Adults, Ann Intern Med; ePub 2019 Mar 26; Monte, et al
Must Reads in Pain
Sleep Disturbance and Chronic Pain Intensity, Clin J Pain; ePub 2019 Mar 25; Burgess, et al
Dual Receipt of Rx Opioids & Overdose Death, Ann Intern Med; ePub 2019 Mar 12; Moyo, et al
Opioid-Related Mortality in US by Opioid Type, JAMA Netw Open; 2019 Feb 22; Kiang, et al
Disparities in the Prescription of Opioids, JAMA Intern Med; ePub 2019 Feb 11; Friedman, et al
Trends in Pain Prevalence in US Adults, J Pain; ePub 2019 Jan 15; Nahin, et al