Pain and Sleep Issues After Hospitalization in Older Adults
Author Information
Author(s): Hastings Susan, Stechuchak Karen, Coffman Cynthia, Kappler Caitlin, Hughes Jaime, Webster Amy, Allen Kelli
Primary Institution: Durham VA Health Care System
Hypothesis
What is the relationship between post-discharge pain and sleep disturbance with quality of life and function in older adults?
Conclusion
Pain and sleep disturbance are independent contributors to worse quality of life and functional status in recently hospitalized older adults.
Supporting Evidence
- Older adults experience vulnerability after hospitalization.
- Pain interference and sleep disturbance were measured using PROMIS-29 short forms.
- Quality of life was measured by EQ-5D.
- Function was assessed using LLFDI total and advanced lower extremity function.
- Community mobility was measured by Life Space.
- Participants included 618 adults aged 60 and older.
- The study found negative associations between pain, sleep disturbance, and quality of life.
- 15% of participants had been readmitted to the hospital.
Takeaway
When older people leave the hospital, pain and trouble sleeping can make it hard for them to feel good and do things.
Methodology
Cross-sectional study using telephone surveys to assess pain, sleep disturbance, quality of life, and function in older adults post-hospitalization.
Potential Biases
Potential bias due to self-reported measures and the specific demographic of participants.
Limitations
The study is limited to a specific population of older adults discharged from Veterans Affairs hospitals.
Participant Demographics
Mean age 70.6 years, 95% male, 25% Black, 34% lived alone.
Statistical Information
P-Value
<0.01
Statistical Significance
p<0.01
Digital Object Identifier (DOI)
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