Prevalence and correlates of pain and pain treatment in a western Kenya referral hospital
dc.contributor.author | Huang, Kristin T. L. | |
dc.contributor.author | Owino, Claudio | |
dc.contributor.author | Gramelspacher, Gregory P. | |
dc.contributor.author | Monahan, Patrick O. | |
dc.contributor.author | Tabbey, Rebeka | |
dc.contributor.author | Hagembe, Mildred | |
dc.contributor.author | Strother, Robert M. | |
dc.contributor.author | Njuguna, Festus | |
dc.contributor.author | Vreeman, Rachel C. | |
dc.contributor.department | Department of Medicine, IU School of Medicine | en_US |
dc.date.accessioned | 2016-03-14T12:52:45Z | |
dc.date.available | 2016-03-14T12:52:45Z | |
dc.date.issued | 2013-10 | |
dc.description.abstract | BACKGROUND: Pain is often inadequately evaluated and treated in sub-Saharan Africa (SSA). OBJECTIVE: We sought to assess pain levels and pain treatment in 400 hospitalized patients at a national referral hospital in western Kenya, and to identify factors associated with pain and pain treatment. DESIGN: Using face-validated Kiswahili versions of two single-item pain assessment tools, the Numerical Rating Scale (NRS) and the Faces Pain Scale-Revised (FPS-R), we determined patients' pain levels. Additional data collected included patient demographics, prescribed analgesics, and administered analgesics. We calculated mean pain ratings and pain management index (PMI) scores. RESULTS: Averaged between the NRS and FPS-R, 80.5% of patients endorsed a nonzero level of pain and 30% of patients reported moderate to severe pain. Older patients, patients with HIV, and cancer patients had higher pain ratings. Sixty-six percent of patients had been prescribed analgesics at some point during their hospitalization, the majority of which were nonopioids. A majority of patients (66%) had undertreated pain (negative scores on the PMI). CONCLUSION: This study shows that hospitalized patients in Kenya are experiencing pain and that this pain is often undertreated. | en_US |
dc.identifier.citation | Huang, K. T. L., Owino, C., Gramelspacher, G. P., Monahan, P. O., Tabbey, R., Hagembe, M., … Vreeman, R. C. (2013). Prevalence and Correlates of Pain and Pain Treatment in a Western Kenya Referral Hospital. Journal of Palliative Medicine, 16(10), 1260–1267. http://doi.org/10.1089/jpm.2013.0080 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/8821 | |
dc.language.iso | en_US | en_US |
dc.publisher | Mary Ann Liebert, Inc. | en_US |
dc.relation.isversionof | 10.1089/jpm.2013.0080 | en_US |
dc.relation.journal | Journal of Palliative Medicine | en_US |
dc.rights | Publisher Policy | en_US |
dc.source | PMC | en_US |
dc.subject | Adolescent | en_US |
dc.subject | Aged | en_US |
dc.subject | Adult | en_US |
dc.subject | Aged, 80 and over | en_US |
dc.subject | Child | en_US |
dc.subject | Child, Preschool | en_US |
dc.subject | Female | en_US |
dc.subject | Humans | en_US |
dc.subject | Kenya -- Epidemiology | en_US |
dc.subject | Male | en_US |
dc.subject | Middle Aged | en_US |
dc.subject | Pain -- Epidemiology | en_US |
dc.subject | Pain Management -- Methods | en_US |
dc.subject | Pain Measurement | en_US |
dc.subject | Prevalence | en_US |
dc.title | Prevalence and correlates of pain and pain treatment in a western Kenya referral hospital | en_US |
dc.type | Article | en_US |
ul.alternative.fulltext | http://pubmed.gov/24032753 | en_US |
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