Volume 45 Issue 10
Oct.  2024
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Xuesong HU, Wenbin DONG, Shifu LI, Liyue CHEN, Yingzhou MIAO, Bing SHEN, WenRui ZHOU, Shaoxing DONG. Frailty and Related Factors in Elderly Patients with Chronic Pain[J]. Journal of Kunming Medical University, 2024, 45(10): 130-134. doi: 10.12259/j.issn.2095-610X.S20241020
Citation: Xuesong HU, Wenbin DONG, Shifu LI, Liyue CHEN, Yingzhou MIAO, Bing SHEN, WenRui ZHOU, Shaoxing DONG. Frailty and Related Factors in Elderly Patients with Chronic Pain[J]. Journal of Kunming Medical University, 2024, 45(10): 130-134. doi: 10.12259/j.issn.2095-610X.S20241020

Frailty and Related Factors in Elderly Patients with Chronic Pain

doi: 10.12259/j.issn.2095-610X.S20241020
  • Received Date: 2024-06-20
    Available Online: 2024-10-19
  • Publish Date: 2024-10-31
  •   Objective  To understand the frailty of elderly patients with chronic pain and its related influencing factors.   Methods  A face-to-face survey using a simple random sampling method was conducted for elderly patients with chronic pain at a grade-A tertiary hospital in Yuxi City from January to June 2023. The NIPRO Painvision (PS-2100) and the Visual Analog Scale (VAS) were used for comprehensive pain assessment. The investigation of depression, anxiety, and frailty was conducted using the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), and the FRAIL scale, respectively. Logistic regression analysis was performed to identify factors associated with frailty in elderly patients with chronic pain.   Results  Among the 272 elderly patients with chronic pain, the prevalence of frailty was 21.32% (95%CI 16.46%-26.19%). The median age of the frail group was [69 (65-72) years], which was higher than that of the non-frail group [66 (62-69) years], and this difference was statistically significant (Z = 2.962, P = 0.003). The results of the multivariate logistic regression model showed that older age was associated with a higher risk of frailty among elderly patients with chronic pain (OR = 1.08, 95%CI 1.02-1.14). Those with severe pain (OR = 3.12, 95%CI: 1.42-6.88), multiple pain locations (OR = 4.47, 95%CI 2.23-8.94), and those experiencing depression (OR = 4.76, 95%CI 2.34-9.68) had a significantly higher risk of frailty compared to those with mild/moderate pain, single pain location, and no depression.   Conclusion   In Yuxi City, elderly patients with chronic pain have a high prevalence of frailty. Factors such as age, pain intensity, pain location, and depression are associated with the risk of frailty. It is recommended to conduct regular frailty screenings and timely interventions to improve the quality of life for older adults.
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