ORCID Profile
0000-0002-2617-6261
Current Organisation
Edith Cowan University
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Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 2018
Publisher: Medknow
Date: 05-2020
Publisher: Wiley
Date: 21-10-2020
DOI: 10.1111/PHN.12678
Publisher: Elsevier BV
Date: 12-2022
Publisher: Elsevier BV
Date: 09-2016
Publisher: Oncology Nursing Society (ONS)
Date: 25-10-2013
Publisher: Wiley
Date: 07-08-2020
DOI: 10.1111/OPN.12338
Publisher: Wiley
Date: 03-09-2023
DOI: 10.1111/JOCN.16854
Publisher: Springer Science and Business Media LLC
Date: 27-02-2023
DOI: 10.1038/S41598-023-29933-X
Abstract: Frailty and pain in hospitalised patients are associated with adverse clinical outcomes. However, there is limited data on the associations between frailty and pain in this group of patients. Understanding the prevalence, distribution and interaction of frailty and pain in hospitals will help to determine the magnitude of this association and assist health care professionals to target interventions and develop resources to improve patient outcomes. This study reports the point prevalence concurrence of frailty and pain in adult patients in an acute hospital. A point prevalence, observational study of frailty and pain was conducted. All adult inpatients (excluding high dependency units) at an acute, private, 860-bed metropolitan hospital were eligible to participate. Frailty was assessed using the self-report modified Reported Edmonton Frail Scale. Current pain and worst pain in the last 24 h were self-reported using the standard 0–10 numeric rating scale. Pain scores were categorised by severity (none, mild, moderate, severe). Demographic and clinical information including admitting services (medical, mental health, rehabilitation, surgical) were collected. The STROBE checklist was followed. Data were collected from 251 participants (54.9% of eligible). The prevalence of frailty was 26.7%, prevalence of current pain was 68.1% and prevalence of pain in the last 24 h was 81.3%. After adjusting for age, sex, admitting service and pain severity, admitting services medical (AOR: 13.5 95% CI 5.7–32.8), mental health (AOR: 6.3, 95% CI 1. 9–20.9) and rehabilitation (AOR: 8.1, 95% CI 2.4–37.1) and moderate pain (AOR: 3.9, 95% CI 1. 6–9.8) were associated with increased frailty. The number of older patients identified in this study who were frail has implications for managing this group in a hospital setting. This indicates a need to focus on developing strategies including frailty assessment on admission, and the development of interventions to meet the care needs of these patients. The findings also highlight the need for increased pain assessment, particularly in those who are frail, for more effective pain management. Trial registration: The study was prospectively registered (ACTRN12620000904976 14th September 2020).
Publisher: Medknow
Date: 2018
Publisher: Springer Science and Business Media LLC
Date: 26-10-2018
Publisher: Global Science & Technology Forum (GSTF)
Date: 24-07-2017
Publisher: Springer Science and Business Media LLC
Date: 24-05-2019
Publisher: Global Science and Technology Forum
Date: 2018
Publisher: Elsevier BV
Date: 10-2023
Publisher: Wiley
Date: 17-10-2023
DOI: 10.1111/JAN.15904
Publisher: BMJ
Date: 06-2022
DOI: 10.1136/BMJOPEN-2021-059388
Abstract: Hospitalised older adults are prone to functional deterioration, which is more evident in frail older patients and can be further exacerbated by pain. Two interventions that have the potential to prevent progression of frailty and improve patient outcomes in hospitalised older adults but have yet to be subject to clinical trials are nurse-led volunteer support and technology-driven assessment of pain. This single-centre, prospective, non-blinded, cluster randomised controlled trial will compare the efficacy of nurse-led volunteer support, technology-driven pain assessment and the combination of the two interventions to usual care for hospitalised older adults. Prior to commencing recruitment, the intervention and control conditions will be randomised across four wards. Recruitment will continue for 12 months. Data will be collected on admission, at discharge and at 30 days post discharge, with additional data collected during hospitalisation comprising records of pain assessment and volunteer support activity. The primary outcome of this study will be the change in frailty between both admission and discharge, and admission and 30 days, and secondary outcomes include length of stay, adverse events, discharge destination, quality of life, depression, cognitive function, functional independence, pain scores, pain management intervention (type and frequency) and unplanned 30-day readmissions. Stakeholder evaluation and an economic analysis of the interventions will also be conducted. Ethical approval has been granted by Human Research Ethics Committees at Ramsay Health Care WA|SA (number: 2057) and Edith Cowan University (number: 2021-02210-SAUNDERS). The findings will be disseminated through conference presentations, peer-reviewed publications and social media. ACTRN12620001173987.
No related grants have been discovered for Seng Giap Marcus Ang.