Objective: Pain is very common in the elderly, so there is a high prevalence of analgesic use among this population. The purpose of this study was to assess patterns of analgesic use and evaluate factors associated with analgesic use in elderly patients. Method: The subjects of this study were patients over 65 years old hospitalized in a teaching hospital located in Chuncheon-si, Korea between January 1, 2014 and March 31, 2014. Data collection regarding analgesic prescriptions and baseline characteristics was conducted using computerized hospital database by medical information team. Logistic regression analysis was used to identify factors related to analgesic use. Results: A total of 2,394 patients were finally included. Among these patients, 700 (29.2%) took analgesics; 521 (74.4%) out of these 700 patients were received opioid analgesics and 179 (25.6%) were received only nonopioid analgesics. The most frequently prescribed opioid analgesic was pethidine (45.7%), and the most frequently prescribed nonopioid analgesic was acetaminophen (44.1%). Fracture was associated with increased odds of opioid analgesic prescriptions (OR = 2.766, 95% CI = 2.019-3.790, p < 0.001) and any analgesic prescriptions (OR = 2.394, 95% CI = 1.766 -3.244, p < 0.001). Stroke or cerebral infarction was associated with decreased odds of opioid analgesic prescriptions (OR = 0.636, 95% CI = 0.471- 0.858, p = 0.003). Conclusion: A significant proportion of hospitalized elderly patients use analgesics. Health care professionals should consider factors associated with analgesic use in this population to improve pain management.
목차
ABSTRACT 연구 방법 연구 대상 자료수집 방법 자료 분석 통계 분석 연구 결과 연구 대상자의 일반적 특성 진통제 처방 현황 진통제 처방에 영향을 미치는 인자분석 고찰 및 결론 참고문헌
키워드
painanalgesicsopioidselderlymanagement
저자
남기남 [ Ki Nam Nam | 강원대학교병원 약제과, 강원대학교 약학대학 ]
최은옥 [ Eun Ok Choi | 강원대학교병원 약제과, 강원대학교 약학대학 ]
김범해 [ Beam Hae Kim | 강원대학교병원 약제과, 강원대학교 약학대학 ]
성새라 [ Sae Ra Seong | 강원대학교 약학대학 ]
허유정 [ Yoo Jeong Heo | 강원대학교 약학대학 ]
이경주 [ Kyeong Ju Lee | 강원대학교 약학대학 ]
이유정 [ Yu Jeung Lee | 강원대학교 약학대학 ]
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