Inability to self-report pain after a stroke: A population-based study

Jonathan H. Smith; Kari L. Bottemiller; Kelly D. Flemming; F. Michael Cutrer; Edythe A. Strand

doi:10.1016/j.pain.2013.04.006

Inability to self-report pain after a stroke: A population-based study

Jonathan H. Smith, Kari L. Bottemiller, Kelly D. Flemming, F. Michael Cutrer, Edythe A. Strand

Neurology

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

The frequency of not being able to self-report pain after a stroke has not been previously assessed in a population-based sample. We studied the epidemiology of this problem using a cohort of patients hospitalized after a stroke in Olmsted County, Minnesota, from June 1, 2008, to June 1, 2012. Overall, 52 of 388 (13.4%) individuals were unable to provide a meaningful response to either a Faces Pain Scale or Numerical Rating Scale on admission. Inability to self-report pain was associated with measures of stroke severity (P <.0001), aphasia severity (P <.0001), and level of consciousness (P <.0001). Inability to self-report pain on admission was further associated with either subsequent death during the hospitalization (P <.0001) or an inability to provide self-report on dismissal (P <.0001). Our study further defines the epidemiology of the inability to self-report pain after a stroke as being less common than previously thought. Attempts to validate observational pain scales for poststroke patients should focus on those individuals with aphasia and/or depressed levels of consciousness.

Original language	English (US)
Pages (from-to)	1281-1286
Number of pages	6
Journal	Pain
Volume	154
Issue number	8
DOIs	https://doi.org/10.1016/j.pain.2013.04.006
State	Published - Aug 2013

Keywords

Epidemiology
Neurology
Pain assessment
Stroke

ASJC Scopus subject areas

Neurology
Clinical Neurology
Anesthesiology and Pain Medicine

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10.1016/j.pain.2013.04.006

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title = "Inability to self-report pain after a stroke: A population-based study",

abstract = "The frequency of not being able to self-report pain after a stroke has not been previously assessed in a population-based sample. We studied the epidemiology of this problem using a cohort of patients hospitalized after a stroke in Olmsted County, Minnesota, from June 1, 2008, to June 1, 2012. Overall, 52 of 388 (13.4%) individuals were unable to provide a meaningful response to either a Faces Pain Scale or Numerical Rating Scale on admission. Inability to self-report pain was associated with measures of stroke severity (P <.0001), aphasia severity (P <.0001), and level of consciousness (P <.0001). Inability to self-report pain on admission was further associated with either subsequent death during the hospitalization (P <.0001) or an inability to provide self-report on dismissal (P <.0001). Our study further defines the epidemiology of the inability to self-report pain after a stroke as being less common than previously thought. Attempts to validate observational pain scales for poststroke patients should focus on those individuals with aphasia and/or depressed levels of consciousness.",

keywords = "Epidemiology, Neurology, Pain assessment, Stroke",

author = "Smith, {Jonathan H.} and Bottemiller, {Kari L.} and Flemming, {Kelly D.} and {Michael Cutrer}, F. and Strand, {Edythe A.}",

note = "Funding Information: This research was partially supported by the Center for Translational Science Activities (CTSA) at Mayo Clinic. This center is funded in part by a grant from the National Center for Research Resources (NCRR) , a component of the National Institutes of Health (NIH) ( RR024150 PI: Rizza). Its contents are solely the responsibility of the authors and do not necessarily represent the official view of CTSA, NCRR, or NIH. The authors have no conflicts of interest.",

year = "2013",

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language = "English (US)",

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AU - Smith, Jonathan H.

AU - Bottemiller, Kari L.

AU - Flemming, Kelly D.

AU - Michael Cutrer, F.

AU - Strand, Edythe A.

N1 - Funding Information: This research was partially supported by the Center for Translational Science Activities (CTSA) at Mayo Clinic. This center is funded in part by a grant from the National Center for Research Resources (NCRR) , a component of the National Institutes of Health (NIH) ( RR024150 PI: Rizza). Its contents are solely the responsibility of the authors and do not necessarily represent the official view of CTSA, NCRR, or NIH. The authors have no conflicts of interest.

PY - 2013/8

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N2 - The frequency of not being able to self-report pain after a stroke has not been previously assessed in a population-based sample. We studied the epidemiology of this problem using a cohort of patients hospitalized after a stroke in Olmsted County, Minnesota, from June 1, 2008, to June 1, 2012. Overall, 52 of 388 (13.4%) individuals were unable to provide a meaningful response to either a Faces Pain Scale or Numerical Rating Scale on admission. Inability to self-report pain was associated with measures of stroke severity (P <.0001), aphasia severity (P <.0001), and level of consciousness (P <.0001). Inability to self-report pain on admission was further associated with either subsequent death during the hospitalization (P <.0001) or an inability to provide self-report on dismissal (P <.0001). Our study further defines the epidemiology of the inability to self-report pain after a stroke as being less common than previously thought. Attempts to validate observational pain scales for poststroke patients should focus on those individuals with aphasia and/or depressed levels of consciousness.

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Inability to self-report pain after a stroke: A population-based study

Abstract

Keywords

ASJC Scopus subject areas

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