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Prevalence of pain and pharmacological pain treatment among old people in nursing homes in 2007 and 2013

Overview of attention for article published in European Journal of Clinical Pharmacology, December 2017
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Title
Prevalence of pain and pharmacological pain treatment among old people in nursing homes in 2007 and 2013
Published in
European Journal of Clinical Pharmacology, December 2017
DOI 10.1007/s00228-017-2384-2
Pubmed ID
Authors

Eva-Stina Hemmingsson, Maria Gustafsson, Ulf Isaksson, Stig Karlsson, Yngve Gustafson, Per-Olof Sandman, Hugo Lövheim

Abstract

Many elderly people living in nursing homes experience pain and take analgesic medication. The aim of this study was to analyze the prevalence of pain and pharmacological pain treatment among people living in nursing homes in Sweden, in two large, comparable, samples from 2007 to 2013. Cross-sectional surveys were performed in 2007 and 2013, including all residents in nursing homes in the county of Västerbotten, Sweden. A total of 4933 residents (2814 and 2119 respectively) with a mean age of 84.6 and 85.0 years participated. Of these, 71.1 and 72.4% respectively were cognitively impaired. The survey was completed by the staff members who knew the residents best. The prescription of opioids became significantly more common while the use of tramadol decreased significantly. The staff reported that 63.4% in 2007 and 62.3% in 2013 had experienced pain. Of those in pain, 20.2% in 2007 and 16.8% in 2013 received no treatment and 73.4 and 75.0% respectively of those with pain, but no pharmacological treatment, were incorrectly described by the staff as being treated for pain. There has been a change in the pharmacological analgesic treatment between 2007 and 2013 with less prescribing of tramadol and a greater proportion taking opioids. Nevertheless, undertreatment of pain still occurs and in many cases, staff members believed that the residents were prescribed analgesic treatment when this was not the case.

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Geographical breakdown

Country Count As %
Unknown 50 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 14%
Researcher 6 12%
Student > Bachelor 6 12%
Student > Ph. D. Student 4 8%
Other 3 6%
Other 8 16%
Unknown 16 32%
Readers by discipline Count As %
Nursing and Health Professions 11 22%
Medicine and Dentistry 11 22%
Pharmacology, Toxicology and Pharmaceutical Science 3 6%
Social Sciences 2 4%
Psychology 2 4%
Other 3 6%
Unknown 18 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 February 2018.
All research outputs
#18,585,544
of 23,020,670 outputs
Outputs from European Journal of Clinical Pharmacology
#2,233
of 2,569 outputs
Outputs of similar age
#328,899
of 440,653 outputs
Outputs of similar age from European Journal of Clinical Pharmacology
#31
of 36 outputs
Altmetric has tracked 23,020,670 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,569 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.0. This one is in the 6th percentile – i.e., 6% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 440,653 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 14th percentile – i.e., 14% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 36 others from the same source and published within six weeks on either side of this one. This one is in the 8th percentile – i.e., 8% of its contemporaries scored the same or lower than it.