title: Algoplus® Scale in Older Patients with Dementia: A Reliable Real-World Pain Assessment Tool.
abstract: Pain is still a neglected clinical issue in elderly people with dementia and/or communicative disorders, with an unacceptable higher rate of under diagnosis and under treatment. Cognitive deficit and emotional and psychological disturbances entangle pain symptoms, affecting patient self-report. So far, observational pain tools do not have fully adequate clinimetric properties and quality requirements for easy-to-use daily rating. Older patients with dementia represent a clinical challenge. The assessment of pain is important for improving clinical outcomes, such as functional status, frailty trajectories, comorbidity, and quality of life. The PAINAID scale appears to be the most accurate pain tool in people with dementia along with the Algoplus® scale, a recently developed tool to rapidly assess acute pain in hospitals settings. The present study aimed to assess the clinimetric properties of the Algoplus®, as compared to PAINAID, for detecting acute pain in a real-world cohort of hospitalized older patients with dementia.
authors.affiliation: DIMi, Department of Internal Medicine and Medical Specialties, Section of Geriatrics, University of Genoa, Genoa, Italy.
authors.forename: Fiammetta
authors.initials: F
authors.lastname: Monacelli
authors.affiliation: DISSAL, Department of Health Science, University of Genoa, Genoa, Italy.
authors.forename: Alessio
authors.initials: A
authors.lastname: Signori
authors.affiliation: DIMi, Department of Internal Medicine and Medical Specialties, Section of Geriatrics, University of Genoa, Genoa, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Roffredo
authors.affiliation: IRCCS AUO San Martino Hospital, Section of Geriatrics, Genoa, Italy.
authors.forename: Katiuscia
authors.initials: K
authors.lastname: Pace
authors.affiliation: DIMi, Department of Internal Medicine and Medical Specialties, Section of Geriatrics, University of Genoa, Genoa, Italy.
authors.forename: Alessio
authors.initials: A
authors.lastname: Nencioni
authors.affiliation: Département de Pharmacologie, Faculté de Médecine, INSERM CIC 501 and U766, Université d'Auvergne, CHU Clermont-Ferrand, Clermont-Ferrand, France.|Collectif Doloplus, Centre de Soins Palliatifs, CHR Metz-Thionville, Thionville, France.
authors.forename: Gisele
authors.initials: G
authors.lastname: Pickering
authors.affiliation: Département de Pharmacologie, Faculté de Médecine, INSERM CIC 501 and U766, Université d'Auvergne, CHU Clermont-Ferrand, Clermont-Ferrand, France.
authors.forename: Macian
authors.initials: M
authors.lastname: Nicolas
authors.affiliation: DIMi, Department of Internal Medicine and Medical Specialties, Section of Geriatrics, University of Genoa, Genoa, Italy.
authors.forename: Patrizio
authors.initials: P
authors.lastname: Odetti
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003704:Dementia / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology; D003863:Depression / Q000150:complications; D005260:Female; D006760:Hospitalization; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D000073216:Mental Status and Dementia Tests; D010146:Pain / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D010147:Pain Measurement; D011446:Prospective Studies; D011594:Psychometrics; D015203:Reproducibility of Results
keywords: Algoplus® scale; aged; dementia; pain