ArticlePain management nursing : official journal of the American Society of Pain Management Nurses2021
Pain Management in Home Health Care: Relationship With Dementia and Facility Admissions.
Article in Pain management nursing : official journal of the American Society of Pain Management Nurses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Case Definition for Diagnosed Alzheimer Disease and Related Dementias in Medicare.JAMA network open · 2024Pooled it
- Immediate and long-term effects of transcranial direct current stimulation on pain relief in older adults with Alzheimer's disease and related dementias: A pilot study.Geriatric nursing (New York, N.Y.)Trial
- Skilled home healthcare utilization and outcomes for older adults with dementia: A scoping review.Journal of the American Geriatrics Society · 2025Article
- Association between chronic pain and dementia: a systematic review and meta-analysis.European journal of ageing · 2024Review
- Challenges in Deprescribing among Older Adults in Post-Acute Care Transitions to Home.Journal of the American Medical Directors Association · 2024Article
- Article
- Association Between Documented Severe Pain and Cognitive Impairment in Home Health Care Patients: Results from the National Outcome and Assessment Information Set Data.Journal of palliative medicine · 2023Article
- Antipsychotic use among older patients with dementia receiving home health care services: Prevalence, predictors, and outcomes.Journal of the American Geriatrics Society · 2023Article
- HomeADScreen: Developing Alzheimer's disease and related dementia risk identification model in home healthcare.International journal of medical informatics · 2023Article
- Nursing students' simulated home-visit learning experiences with dementia -a qualitative research.BMC nursing · 2023Article
- Medications Associated With Geriatric Syndromes (MAGS) and Hospitalization Risk in Home Health Care Patients.Journal of the American Medical Directors Association · 2022Article
- Pain and the Alzheimer's Disease and Related Dementia Spectrum in Community-Dwelling Older Americans: A Nationally Representative Study.Journal of pain and symptom management · 2022Article
- Home Health Agencies With More Socially Vulnerable Patients Have Poorer Experience of Care Ratings.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- Policy Issues Affecting Nursing Pain Management: A New Decade of Hope.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2021Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundPain is common yet under-studied among older Medicare home health (HH) patients with Alzheimer's disease and related dementias (ADRD).
aimsExamine (1) the association between ADRD and severe pain in Medicare HH patients; and (2) the impact of severe pain and ADRD on unplanned facility admissions in this population.
designAnalysis of the Outcome and Assessment Information Set (OASIS) and Medicare claims data. SETTINGS/
participants6,153 patients ≥65 years receiving care from a nonprofit HH agency in 2017.
methodsStudy outcomes included presence of severe pain and time-to-event measures of unplanned facility admissions (hospital, nursing home, or rehabilitation facilities). ADRD was identified using ICD-10 diagnosis codes and cognitive impairment symptoms. Logistic regression and Cox proportional hazard models were used to examine, respectively, the association between ADRD and severe pain, and the independent and interaction effects of severe pain and ADRD on unplanned facility admission.
resultsPatients with ADRD (n = 1,525, 24.8%) were less likely to have recorded severe pain than others (16.4% vs. 23.6%, p < .001). Adjusting for demographics, comorbidities, mental and physical functional status, and use of HH services, having severe pain was related to a 35% increase (hazard ratio [HR] = 1.35, p = .002) in the risk of unplanned facility admission, but the increase in such risk was the same whether or not the patient had ADRD.
conclusionsHH patients with ADRD may have under-recognized pain. Severe pain is a significant independent predictor of unplanned facility admissions among HH patients.
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