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M94A0317.TXT
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1994-10-08
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Document 0317
DOCN M94A0317
TI Pain in hospitalized patients with AIDS: analgesic and psychotropic
medications.
DT 9412
AU Lebovits AH; Smith G; Maignan M; Lefkowitz M; Department of
Anesthesiology, State University of New York Health; Science Center at
Brooklyn 11203.
SO Clin J Pain. 1994 Jun;10(2):156-61. Unique Identifier : AIDSLINE
MED/94355736
AB OBJECTIVE: We undertook this study to evaluate the use of analgesic and
psychotropic medication in acquired immunodeficiency syndrome (AIDS)
patients with pain and to determine whether our previous findings of a
high prevalence of pain in patients with AIDS who were hospitalized
could be replicated. Additional factors related to pain were evaluated,
such as death during hospital stay, i.v. drug abuse, and length of
hospital stay. DESIGN: One hundred thirty-nine medical charts randomly
selected from 1 year of hospital admissions of patients with AIDS were
reviewed in a systematic manner for pain, prescription of analgesic and
psychotropic medication, patient demographics, and disease
characteristics. RESULTS: Sixty-one percent of the charts reviewed had
at least one note of nonprocedural pain. Sixty-eight percent of pain
patients were prescribed a nonnarcotic (most commonly acetaminophen),
and 44% a narcotic. Sixty-two percent of pain patients were prescribed a
psychotropic medication. Patients with pain were significantly more
likely to receive an analgesic as well as psychotropic medication,
particularly a sedative-hypnotic, than patients without pain. Having
pain was not significantly related to other factors such as i.v. drug
abuse except for length of hospital stay. Most of the previous study
findings were replicated with the notable exception of the rate of
prescription of psychotropics as well as acetaminophen, which increased
substantially in this study. CONCLUSIONS: Although pain is a prevalent
problem in hospitalized AIDS patients, narcotics as well as
antidepressants appear to be underutilized. It is suggested that medical
education regarding pain management in AIDS patients is an important
first step in a more aggressive approach.
DE Acquired Immunodeficiency Syndrome/EPIDEMIOLOGY/ETIOLOGY/
*PHYSIOPATHOLOGY Adult Analgesics/*THERAPEUTIC USE Female
*Hospitalization Human Male Middle Age Pain/*DRUG
THERAPY/*PHYSIOPATHOLOGY Psychotropic Drugs/*THERAPEUTIC USE Risk
Factors Substance Abuse, Intravenous/COMPLICATIONS JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).