Investigating pain in heart failure patients: The pain assessment, incidence, and nature in heart failure (PAIN-HF) study

Sarah Goodlin, Sue Wingate, Nancy M. Albert, Susan J. Pressler, Janet Houser, Jennifer Kwon, Jun Chiong, C. Porter Storey, Timothy Quill, John R. Teerlink

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Background: Patients with advanced heart failure (HF) have high rates of pain and other symptoms that diminish quality of life. We know little about the characteristics and correlates of pain in patients with advanced HF. Methods and Results: We identified pain prevalence, location, character, severity, frequency, and correlates in 347 outpatients with advanced HF enrolled from hospices and clinics. We evaluated the correlation of pain with HF-related quality of life, mortality, symptoms and health problems, and current treatments for pain. Pain at any site was reported by 293 patients (84.4%), and 138 (39.5%) reported pain at more than one site. The most common site of pain was the legs below the knees (32.3% of subjects). Pain interfered with activity for 70% of patients. Pain was "severe" or "very severe" for 28.6% of subjects with chest pain, and for 38.9% of those with other sites of pain. The only medication reported to provide pain relief was opioids, prescribed for 34.1% of subjects (P =.001). The strongest predictors of pain were degenerative joint disease (DJD) (odds ratio [OR] 14.95, 95% confidence interval [CI] 3.9-56.0; P

Original languageEnglish (US)
Pages (from-to)776-783
Number of pages8
JournalJournal of Cardiac Failure
Volume18
Issue number10
DOIs
StatePublished - Oct 2012
Externally publishedYes

Fingerprint

Pain Measurement
Heart Failure
Pain
Incidence
Quality of Life
Hospices
Chest Pain
Osteoarthritis
Opioid Analgesics
Leg
Knee
Outpatients
Odds Ratio
Confidence Intervals

Keywords

  • arthritis shortness of breath
  • Heart failure
  • opioids
  • pain
  • symptoms

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Investigating pain in heart failure patients : The pain assessment, incidence, and nature in heart failure (PAIN-HF) study. / Goodlin, Sarah; Wingate, Sue; Albert, Nancy M.; Pressler, Susan J.; Houser, Janet; Kwon, Jennifer; Chiong, Jun; Storey, C. Porter; Quill, Timothy; Teerlink, John R.

In: Journal of Cardiac Failure, Vol. 18, No. 10, 10.2012, p. 776-783.

Research output: Contribution to journalArticle

Goodlin, S, Wingate, S, Albert, NM, Pressler, SJ, Houser, J, Kwon, J, Chiong, J, Storey, CP, Quill, T & Teerlink, JR 2012, 'Investigating pain in heart failure patients: The pain assessment, incidence, and nature in heart failure (PAIN-HF) study', Journal of Cardiac Failure, vol. 18, no. 10, pp. 776-783. https://doi.org/10.1016/j.cardfail.2012.07.007
Goodlin, Sarah ; Wingate, Sue ; Albert, Nancy M. ; Pressler, Susan J. ; Houser, Janet ; Kwon, Jennifer ; Chiong, Jun ; Storey, C. Porter ; Quill, Timothy ; Teerlink, John R. / Investigating pain in heart failure patients : The pain assessment, incidence, and nature in heart failure (PAIN-HF) study. In: Journal of Cardiac Failure. 2012 ; Vol. 18, No. 10. pp. 776-783.
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