Pain Clinical Trial
Official title:
The Impact of Pain Assessment on the Hospital Length of Stay of Patients in a Rehabilitation Unit
The financing of the Belgian hospitals is based on a system taking into account the length of
hospitalization of a given patient according to his/her pathology, his/her age and his/her
geriatric characteristics. This system encourages all hospital to lower the hospitalization
duration to the national average for these criteria. This results in better efficiency in the
management of hospitalizations but also means a swifter transfer to structures exempted from
this system such as revalidation units, nursing homes and psychiatric units. An assessment of
the differences in the medical practice, in terms of quality and outcomes of care, is
essential for any reform willing to reduce medical costs.
Pain management is part of the quality indicators within hospitals. Pain is defined by the
International Association for the Study of Pain as "an unpleasant sensory and emotional
experience, associated to present or potential tissue damage, or described in terms of such a
damage". Several studies have showed that pain affects the quality of life and impacts the
daily activities. Acute or chronic pain can cause adverse symptoms such as sleep disturbance,
appetite loss, decreased concentration, mood changes and the disruption of familial, work and
social activities. Pain might also slow down revalidation processes. A study performed by
Aprile et al showed that pain negatively influenced the rehabilitation program of a quarter
of the patients having had a stroke. The functional recovery was slower and the costs were
higher.
The aim of this study is to determine if the systematic evaluation of the pain of a patient
hospitalized in a revalidation unit has an impact on his/her length of stay.
n/a
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