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28.11.2022 | original article

Pain in Austrian hospitals: evaluation of 1089 in-patients

verfasst von: MD MSc Stefan Neuwersch-Sommeregger, MD MBA Markus Köstenberger, MD Wolfgang Pipam, Susanne Demschar, Brigitte Trummer, MD PD Christian Breschan, MD MSc Univ.-Prof. Rudolf Likar

Erschienen in: Wiener Medizinische Wochenschrift

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Summary

Background

Despite the existence of internationally consistent guidelines for the management of pain, efficient regional anesthesia techniques, safe pain medications, and organizational structures, e.g., acute pain services, various studies have shown that pain is still common among both surgical and non-surgical in-patients.

Objective

The primary objective of this study was to evaluate, on a multi-center basis, the point pain prevalence of surgical and non-surgical in-patients. We further analyzed pain intensities, in-hospital pain triggers, pain-related impairments, pain assessments, patient information about pain, and patient satisfaction with pain therapy. This benchmark information should lead to better implementation of pain management strategies and thus improve health care quality.

Methods

We surveyed all adult in-patients in three general hospitals in Austria (general hospital Klagenfurt am Wörthersee, general hospital Villach, general hospital Wolfsberg) on the index day with two standardized questionnaires for both surgical and non-surgical patients.

Results

Overall, a pain prevalence of 40.0%, with no statistically significant difference between surgical and non-surgical patients, was shown. Higher pain prevalence in female patients, high pain prevalence in the age group 18–30 years, and highest pain prevalence in the age group over 90 years old was found. Overall pain intensity was relatively low, but unacceptable maximum pain within the preceding 24 h was shown. Different in-hospital pain triggers like patient’s care and mobilization were found. Our survey has shown that pain has an impact on personal hygiene, mobilization, mood, sleep, and appetite. However, patients were very satisfied with their pain therapy.

Conclusion

Medical staff and nurses have to be sensitized to the urgent need to improve pain management strategies.
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Metadaten
Titel
Pain in Austrian hospitals: evaluation of 1089 in-patients
verfasst von
MD MSc Stefan Neuwersch-Sommeregger
MD MBA Markus Köstenberger
MD Wolfgang Pipam
Susanne Demschar
Brigitte Trummer
MD PD Christian Breschan
MD MSc Univ.-Prof. Rudolf Likar
Publikationsdatum
28.11.2022
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-022-00984-5