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M94A0646.TXT
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1994-10-21
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Document 0646
DOCN M94A0646
TI Pain in patients with advanced AIDS.
DT 9412
AU Glare P; Palliative Care Service, Royal Prince Alfred Hospital,;
Camperdown, NSW.
SO Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:60 (abstract no.
SPa2). Unique Identifier : AIDSLINE ASHM5/94349009
AB There has been little systematic evaluation of pain or its treatment in
patients with HIV/AIDS. The charts of all HIV admissions to the
palliative care ward at Eversleigh Hospital, Petersham were reviewed for
pain and analgesic use. There were 104 admissions of 68 patients. 65
(96%) were males. 63 (93%) had stage IV disease. 33% died. Pain was the
presenting complaint in 75% and a top 3 symptom in 53%. Pain was a
difficult management problem in 25 (37%) patients, due to peripheral
neuropathy (9), abdominal pain (8), headache (2), total body pain (2),
cancer pain (2), anal pain (1), odynophagia (1). Strong opioid
analgesics were used in 70%, (used pre-admission in 50%). The median
oral morphine dose was 120 mg/day (range 6-1900 mg). 85% of dying
patients required subcutaneous morphine injections. Coanalgesics were
used in 45% [paracetamol 35, anti-convulsants 14, antidepressants 10,
steroids 7, capsaicin 4, non-steroidals 4]. Pain in AIDS is an
underestimated problem worthy of much more research attention.
DE Analgesics/*THERAPEUTIC USE Analgesics, Addictive/THERAPEUTIC USE Drug
Therapy, Combination Human HIV Infections/*PHYSIOPATHOLOGY New South
Wales Pain/*DRUG THERAPY/ETIOLOGY *Palliative Treatment Terminal Care
MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).