Postoperative pain and its impact on quality of life for hip-fractured older people over 12 months after hospital discharge

Background Pain is one of the most common, feared, and unpleasant symptoms associated with surgery. However, there is a clear gap in patient care after surgical patients are discharged from hospital, resulting in poorly controlled postoperative pain. Inadequate pain management after discharge can have detrimental effects on quality of life and lead to the development of chronic postsurgical pain. The severity of postoperative pain before discharge is well described, but less emphasis has been placed on assessing pain at home after hospital discharge. Objective The objective of this review is to summarize the prevalence of moderate-to-severe postoperative pain within the first 1 to 14 days after hospital discharge. Methods A detailed search of epidemiological studies investigating postoperative pain will be conducted on MEDLINE and EMBASE from their inception until the date the searches are run. The primary outcome will be the proportion of patients reporting moderate-to-severe postoperative pain at rest and with movement within the first 1 to 14 days after hospital discharge. The secondary outcomes will include a comparison of postoperative pain after discharge between patients who underwent ambulatory and inpatient surgery, and adverse outcomes attributable to poor pain control after hospital discharge (eg, readmission to hospital, emergency room or other unplanned medical visits, or a decrease in quality of life). Results The protocol has been registered in PROSPERO (registration number CRD42020194346). The search strategies for MEDLINE and EMBASE have been completed. The final results are expected to be published in May 2021. Conclusions This systematic review is expected to synthesize evidence describing the prevalence of postoperative pain after hospital discharge. Available epidemiological evidence may help inform the magnitude of the problem of postoperative pain at home after hospital discharge. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42020194346; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=194346 International Registered Report Identifier (IRRID) PRR1-10.2196/22437

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Prevalence of Postoperative Pain Following Hospital Discharge: Protocol for a Systematic Review (Preprint)

10.2196/preprints.22437 ◽

2020 ◽

Author(s):

Rex Park ◽

Mohammed Mohiuddin ◽

Ramiro Arellano ◽

Esther Pogatzki-Zahn ◽

Gregory Klar ◽

...

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Postoperative Pain ◽

Hospital Discharge ◽

Epidemiological Studies ◽

Adverse Outcomes ◽

Chronic Postsurgical Pain ◽

Severe Postoperative Pain ◽

At Home

BACKGROUND Pain is one of the most common, feared, and unpleasant symptoms associated with surgery. However, there is a clear gap in patient care after surgical patients are discharged from hospital, resulting in poorly controlled postoperative pain. Inadequate pain management after discharge can have detrimental effects on quality of life and lead to the development of chronic postsurgical pain. The severity of postoperative pain before discharge is well described, but less emphasis has been placed on assessing pain at home after hospital discharge. OBJECTIVE The objective of this review is to summarize the prevalence of moderate-to-severe postoperative pain within the first 1 to 14 days after hospital discharge. METHODS A detailed search of epidemiological studies investigating postoperative pain will be conducted on MEDLINE and EMBASE from their inception until the date the searches are run. The primary outcome will be the proportion of patients reporting moderate-to-severe postoperative pain at rest and with movement within the first 1 to 14 days after hospital discharge. The secondary outcomes will include a comparison of postoperative pain after discharge between patients who underwent ambulatory and inpatient surgery, and adverse outcomes attributable to poor pain control after hospital discharge (eg, readmission to hospital, emergency room or other unplanned medical visits, or a decrease in quality of life). RESULTS The protocol has been registered in PROSPERO (registration number CRD42020194346). The search strategies for MEDLINE and EMBASE have been completed. The final results are expected to be published in May 2021. CONCLUSIONS This systematic review is expected to synthesize evidence describing the prevalence of postoperative pain after hospital discharge. Available epidemiological evidence may help inform the magnitude of the problem of postoperative pain at home after hospital discharge. CLINICALTRIAL PROSPERO International Prospective Register of Systematic Reviews CRD42020194346; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=194346 INTERNATIONAL REGISTERED REPORT PRR1-10.2196/22437

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The Quality of Life of Older People With a Disability in Ireland

PsycEXTRA Dataset ◽

10.1037/e537152013-001 ◽

2007 ◽

Cited By ~ 3

Author(s):

Kathy Murphy ◽

Eamon O'Shea ◽

Adeline Cooney ◽

Dympna Casey

Keyword(s):

Quality Of Life ◽

Older People

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Financial Interdependence among Malay Older People in the Community: An interpretative phenomenological analysis

Environment-Behaviour Proceedings Journal ◽

10.21834/e-bpj.v2i5.689 ◽

2017 ◽

Vol 2 (5) ◽

pp. 135

Author(s):

Ahmad Shahir Abdul Mutalib ◽

Akehsan Haji Dahlan ◽

Ajau Danis

Keyword(s):

Quality Of Life ◽

Older People ◽

Interpretative Phenomenological Analysis ◽

Publishing House ◽

Phenomenological Analysis ◽

Financial Assistance ◽

Depth Interview ◽

International Publishing ◽

Open Access Article

This study explores the practice of financial interdependence among Malay older people who live in the community in Malaysia. Eleven Malay older people participated in this qualitative study by an in-depth interview. The data was analyzed using six stages of the interpretative phenomenological analysis. Two main themes emerged from the interview transcripts are issues regarding living expenses and financial assistance. Financial interdependence is one of the most effective ways for the Malay older people in the community in Malaysia to adapt their retired status, to achieve maximum life satisfaction and productivity thereby improving their overall quality of life.Keywords: Financial interdependence, Older people, Quality of life, Interpretative phenomenological analysisISSN: 2398-4287© 2017. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.

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Service Delivery Models to Maximize Quality of Life for Older People at the End of Life: A Rapid Review

Milbank Quarterly ◽

10.1111/1468-0009.12373 ◽

2019 ◽

Vol 97 (1) ◽

pp. 113-175 ◽

Cited By ~ 14

Author(s):

CATHERINE J. EVANS ◽

LUCY ISON ◽

CLARE ELLIS‐SMITH ◽

CAROLINE NICHOLSON ◽

ALESSIA COSTA ◽

...

Keyword(s):

Quality Of Life ◽

Service Delivery ◽

Older People ◽

End Of Life ◽

Rapid Review ◽

Service Delivery Models ◽

Delivery Models

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Impact on Quality of Life of Patients Treated by Different File Systems for Root Canal Treatment

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1722108 ◽

2021 ◽

Author(s):

L.S. Priyanka ◽

Lakshmi Nidhi Rao ◽

Aditya Shetty ◽

Mithra N. Hegde ◽

Chitharanjan Shetty

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Postoperative Pain ◽

Root Canal ◽

File Systems ◽

Study Groups ◽

Significant Difference ◽

Related Quality ◽

The Impact

Abstract Introduction The outcomes of oral health conditions and therapy for those conditions are described by the term “oral health-related quality of life.” Oral health-related quality of life is recognized by the World Health Organization as an important part of the Global Oral Health Program. The study aims to compare the impact of three root canal preparation systems on patients’ quality of life and correlate postoperative pain with the impact on the quality of life. Materials and Methods A survey was performed in which 90 patients were randomly assigned to three groups based on the root canal preparation system: (1) ProTaper Gold (Dentsply, Tulsa Dental Specialties, Tulsa, Oklahoma, United States), (2) Neoendo flex (Neoendo, India),and (3) Hyflex EDM/CM (Coltene Whaledent) that included 30 participants in each group. Data collection included the implementation of a demographic data questionnaire, Oral Health Impact Profile 14 (quality of life), and visual analogue scale(pain). The questionnaire was given after root canal treatment in the first 24 hours. The data obtained were statistically analyzed. Results No significant differences were found in the quality of life among study groups. Group 1 demonstrated a highly significant difference in the postoperative pain with p value of 2.67. Conclusion Within the limitations of the present study, Protaper Gold showed a highly significant difference in postoperative pain when compared with other file systems. No significant differences were found in the quality of life among the study groups.

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Understanding the Link between Family Caregiver Quality of Life and the Care Provided to Older People With Dementia

Innovation in Aging ◽

10.1093/geroni/igaa057.500 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 153-154

Author(s):

Afeez Hazzan

Keyword(s):

Quality Of Life ◽

Quality Of Care ◽

Older People ◽

Family Caregivers ◽

Family Caregiver ◽

Well Being ◽

The United States ◽

People With Dementia ◽

The Impact

Abstract Dementia is one of the most rapidly growing diseases in the United States. In 2018, the direct costs to American society of caring for older people with dementia was approximately $277 billion. Primary informal caregivers are mainly responsible for the care of older people with dementia including Alzheimer’s disease. Caregivers perform a myriad of duties ranging from shopping for their loved ones’ groceries, helping with medications, and managing finances. The caregiving role becomes more demanding as the disease progresses over time, and studies have shown that the quality-of-life (QoL) experienced by caregivers of older adults who have dementia is lower than the QoL of caregivers for older people who do not have dementia. To the best of our knowledge, there has been no research conducted to investigate whether lower caregiver QoL affects the level or quality of care that caregivers provide to persons with dementia. In the current study, we interviewed family caregivers living in Rochester, New York to inquire about their quality of life and the care provided to older people living with dementia. Further, caregivers completed the 36-item Short Form Health Survey (SF-36) as well as a draft questionnaire for measuring the quality of care provided to older people living with dementia. Both quantitative and qualitative findings from this study reveals important relationships between family caregiver QoL and the care provided, including the impact of social support and financial well-being. The study findings could have significant impact, particularly for the provision of much needed support for family caregivers.

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Quality of Life, Health and the Great Recession in Spain: Why Older People Matter?

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18042028 ◽

2021 ◽

Vol 18 (4) ◽

pp. 2028

Author(s):

Carla Blázquez-Fernández ◽

David Cantarero-Prieto ◽

Marta Pascual-Sáez

Keyword(s):

Quality Of Life ◽

Older People ◽

Great Recession ◽

Household Income ◽

Macroeconomic Variables ◽

Crisis Period ◽

The Great Recession ◽

Health Aging ◽

Logistic Regressions

The financial crisis of 2008 precipitated the “Great Recession”. In this scenario, we took Spain as a country of study, because although it experienced significant negative shocks associated with macroeconomic variables (GDP or unemployment), its welfare indicators have been marked by limited changes. This study used data from waves 2 and 4 (years 2006–2007 and 2010–2012, respectively) of the Survey on Health, Aging and Retirement in Europe (SHARE). Specifically, through logistic regressions we have analysed the effects of socioeconomic, demographic, health and “Great Recession” factors on the quality of life (QoL) of elders in Spain. Although QoL did not change too much during the “Great Recession”, the results confirmed the importance of several factors (such as chronicity) that affect the satisfaction with the QoL among the older people. In this regard, statistically significant effects were obtained for individual exposure to recession. Therefore, a decrease in household income in the crisis period with respect to the pre-crisis period would increase by 44% the probability of reporting a low QoL (OR = 1.44; 95% CI: 1.00–2.07). Furthermore, gender differences were observed. Health and socioeconomic variables are the most significant when determining individual QoL. Therefore, when creating policies, establishing multidisciplinary collaborations is essential.

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