title: Effective Pain Management for Inpatients at Siriraj Hospital: A Retrospective Study.
abstract: OBJECTIVE
  The prevalence of severe cancer and non-cancer pain among in patients has been reported at rates ranging from 15% to 36%. We examined the effectiveness of the pain management provided to inpatients by the Siriraj Pain Clinic.
  
  
  METHODS
  A retrospective chart review was conducted among inpatients who had consulted the clinic between January 2013 and December 2014. Patients with a numeric pain rating scale (NRS) 4 on the day of consultation, those discharged within seven days, and postoperative patients were excluded. Successful pain control was defined as NRS ≤ 4 within seven days of the initial consultation.
  
  
  RESULTS
  We identified 352 eligible patients, of which 231 (65.4%) had cancer pain. Only 42.6% achieved successful pain control. An absence of psychological problems (odds ratio (OR) 2.1, 95% confidence interval (CI) 1.1-4.2; p = 0.010); an initial NRS < 7 (OR 1.9, 95% CI 1.2-3.0; p = 0.008); the use of either a non-steroidal anti-inflammatory drugs (NSAIDs) or a Coxibs (OR 2.3, 95% CI 1.3-3.9; p = 0.017), and abdominal pain (OR 2.7, 95% CI 1.5-4.7; p =0.008) were factors associated with successful pain control.
  
  
  CONCLUSIONS
  Adequate pain control was achieved in less than half of the inpatients in our institution. Psychological disturbance and severe pain predicted unsatisfactory pain control.
authors: Suratsawadee
authors: S
authors: Wangnamthip
authors: Pramote
authors: P
authors: Euasobhon
authors: Arunotai
authors: A
authors: Siriussawakul
authors: Sukunya
authors: S
authors: Jirachaipitak
authors: Janravee
authors: J
authors: Laurujisawat
authors: Kesinee
authors: K
authors: Vimolwattanasarn
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006761:Hospitals; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D059408:Pain Management; D012189:Retrospective Studies