Are Opioids Agitating? A Data Analysis of Baseline Data from the STAN Study.

IF 2.8 Q2 NEUROSCIENCES Journal of Alzheimer's disease reports Pub Date : 2024-09-27 eCollection Date: 2024-01-01 DOI:10.3233/ADR-240025
Myriam Lesage, Karin Cinalioglu, Sabrina Chan, Sanjeev Kumar, Tarek Rajji, Ashley Melichercik, Carmen Desjardins, Jess Friedland, Amer Burhan, Sarah Colman, Li Chu, Simon Davies, Peter Derkach, Sarah Elmi, Philip Gerretsen, Ariel Graff-Guerrero, Maria Hussain, Zahinoor Ismail, Donna Kim, Linda Krisman, Rola Moghabghab, Benoit H Mulsant, Bruce G Pollock, Aviva Rostas, Lisa Van Bussel, Soham Rej
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Abstract

 Agitation, a common dementia symptom often arising from untreated pain, lacks comprehensive research on its connection with opioids prescribed for long-term pain. This study investigated the relationship between opioid use and agitation in dementia patients. Participants (n = 188) were categorized into opioid, acetaminophen PRN, or no-pain medication groups. Despite higher reported pain levels in the opioid group, no significant differences in agitation were observed among the groups. In conclusion, opioid use for pain management in older adults with dementia did not significantly impact agitation, emphasizing the ongoing importance of proper pain management in improving dementia care and addressing agitation in this population.

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阿片类药物会使人躁动吗?对 STAN 研究基线数据的分析。
躁动是一种常见的痴呆症症状,通常是由于疼痛得不到治疗而引起的,但目前还没有关于躁动与长期疼痛处方阿片类药物之间关系的全面研究。本研究调查了痴呆症患者使用阿片类药物与躁动之间的关系。参与者(n = 188)被分为阿片类药物组、对乙酰氨基酚PRN组和无疼痛药物组。尽管阿片类药物组患者报告的疼痛程度较高,但各组患者的躁动程度并无明显差异。总之,使用阿片类药物治疗老年痴呆症患者的疼痛并不会对躁动产生明显影响,这强调了适当的疼痛治疗对改善痴呆症护理和解决该人群躁动问题的持续重要性。
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