Painful Memories: Reliability of Pain Intensity Recall at 3 Months in Senior Patients

Background. Validity of pain recall is questioned in research. Objective. To evaluate the reliability of pain intensity recall for seniors in an emergency department (ED). Methods. This study was part of a prospective multicenter project for seniors (≥65 years old) treated in an ED for minor traumat...

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Main Authors: Raoul Daoust, Marie-Josée Sirois, Jacques S. Lee, Jeffrey J. Perry, Lauren E. Griffith, Andrew Worster, Eddy Lang, Jean Paquet, Jean-Marc Chauny, Marcel Émond
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2017/5983721
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author Raoul Daoust
Marie-Josée Sirois
Jacques S. Lee
Jeffrey J. Perry
Lauren E. Griffith
Andrew Worster
Eddy Lang
Jean Paquet
Jean-Marc Chauny
Marcel Émond
author_facet Raoul Daoust
Marie-Josée Sirois
Jacques S. Lee
Jeffrey J. Perry
Lauren E. Griffith
Andrew Worster
Eddy Lang
Jean Paquet
Jean-Marc Chauny
Marcel Émond
author_sort Raoul Daoust
collection DOAJ
description Background. Validity of pain recall is questioned in research. Objective. To evaluate the reliability of pain intensity recall for seniors in an emergency department (ED). Methods. This study was part of a prospective multicenter project for seniors (≥65 years old) treated in an ED for minor traumatic injury. Pain intensity (0–10 numerical rating scale) was evaluated at the initial ED visit, at one week (baseline), and 3 months. At three months, patients were asked to recall the pain intensity they had at baseline. Results. 482 patients were interviewed (mean age 76.6 years, SD ± 7.3) and 72.8% were female. Intraclass correlation coefficient between pain at baseline and its recall was 0.24 (95% CI: 0.14–0.33). Senior patients tended to overestimate their pain intensity by a mean of 1.2 (95% CI: 0.9–1.5) units. A stepwise multiple regression analysis showed that the variance of baseline pain recall at 3 months was explained by pain at ED visit (11%), pain at 3 months (7%), and pain at baseline (2%). Conclusion. The accuracy of pain intensity recall after three months is poor in seniors and seems to be influenced by the pain experienced at the time of injury.
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spelling doaj-art-501d48cdfb7243888520222608a90ffd2025-08-20T02:05:38ZengWileyPain Research and Management1203-67651918-15232017-01-01201710.1155/2017/59837215983721Painful Memories: Reliability of Pain Intensity Recall at 3 Months in Senior PatientsRaoul Daoust0Marie-Josée Sirois1Jacques S. Lee2Jeffrey J. Perry3Lauren E. Griffith4Andrew Worster5Eddy Lang6Jean Paquet7Jean-Marc Chauny8Marcel Émond9Department of Emergency Medicine, Research Centre, Sacré-Coeur Hospital of Montreal, Montreal, QC, CanadaAxe de Recherche en Traumatologie-Urgence-Soins Intensifs du Centre de Recherche FRQ-S du CHU, Quebec City, QC, CanadaSunnybrook Research Institute, Toronto, ON, CanadaDepartment of Emergency Medicine, University of Ottawa, Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, CanadaDepartment of Clinical Epidemiology and Biostatistic, McMaster University, Hamilton, ON, CanadaDepartment of Clinical Epidemiology and Biostatistic, McMaster University, Hamilton, ON, CanadaUniversity of Calgary, Calgary, AB, CanadaDepartment of Emergency Medicine, Research Centre, Sacré-Coeur Hospital of Montreal, Montreal, QC, CanadaDepartment of Emergency Medicine, Research Centre, Sacré-Coeur Hospital of Montreal, Montreal, QC, CanadaAxe de Recherche en Traumatologie-Urgence-Soins Intensifs du Centre de Recherche FRQ-S du CHU, Quebec City, QC, CanadaBackground. Validity of pain recall is questioned in research. Objective. To evaluate the reliability of pain intensity recall for seniors in an emergency department (ED). Methods. This study was part of a prospective multicenter project for seniors (≥65 years old) treated in an ED for minor traumatic injury. Pain intensity (0–10 numerical rating scale) was evaluated at the initial ED visit, at one week (baseline), and 3 months. At three months, patients were asked to recall the pain intensity they had at baseline. Results. 482 patients were interviewed (mean age 76.6 years, SD ± 7.3) and 72.8% were female. Intraclass correlation coefficient between pain at baseline and its recall was 0.24 (95% CI: 0.14–0.33). Senior patients tended to overestimate their pain intensity by a mean of 1.2 (95% CI: 0.9–1.5) units. A stepwise multiple regression analysis showed that the variance of baseline pain recall at 3 months was explained by pain at ED visit (11%), pain at 3 months (7%), and pain at baseline (2%). Conclusion. The accuracy of pain intensity recall after three months is poor in seniors and seems to be influenced by the pain experienced at the time of injury.http://dx.doi.org/10.1155/2017/5983721
spellingShingle Raoul Daoust
Marie-Josée Sirois
Jacques S. Lee
Jeffrey J. Perry
Lauren E. Griffith
Andrew Worster
Eddy Lang
Jean Paquet
Jean-Marc Chauny
Marcel Émond
Painful Memories: Reliability of Pain Intensity Recall at 3 Months in Senior Patients
Pain Research and Management
title Painful Memories: Reliability of Pain Intensity Recall at 3 Months in Senior Patients
title_full Painful Memories: Reliability of Pain Intensity Recall at 3 Months in Senior Patients
title_fullStr Painful Memories: Reliability of Pain Intensity Recall at 3 Months in Senior Patients
title_full_unstemmed Painful Memories: Reliability of Pain Intensity Recall at 3 Months in Senior Patients
title_short Painful Memories: Reliability of Pain Intensity Recall at 3 Months in Senior Patients
title_sort painful memories reliability of pain intensity recall at 3 months in senior patients
url http://dx.doi.org/10.1155/2017/5983721
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