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Table 1 Sample characteristics of newly admitted NH residents with dementia by clinically relevant pain1

From: Pain and quality of life in nursing home residents with dementia after admission – a longitudinal study

Characteristics

MOBID-2 ≥ 3 n = 355 (35.6%)

MOBID-2 < 3 n = 641 (64.3%)

p-value1

Socio-demographics

  Age, mean (SD)

84.3 (7.6)

84.7 (7.6)

0.502

  Males, n (%)

118 (33.2)

242 (37.8)

0.141

  Married/partner, n (%) (11 missing)

118 (33.5)

192 (30.3)

0.274

Health condition

  CDR-SoB, mean (SD) (41 missing)

11.4 (3.4)

11.1 (3.5)

0.234

GMHR, n (%) (65 missing)

  Fairly poor/Poor

204 (60.7)

276 (46.4)

 < 0.001

  Good/Fairly good

132 (39.3)

319 (53.6)

 

  PSMS score, mean (SD) (4 missing)

15.5 (4.5)

14.7 (4.5)

0.002

NPI-NH sub-syndromea

 

  Agitation, mean (SD) (30 missing)

5.8 (7.8)

4.4 (7.4)

0.008

  Affective, mean (SD) (33 missing)

4.4 (5.9)

3.0 (4.9)

<0.001

  Psychosis, mean (SD) (21 missing)

2.5 (4.7)

1.7 (3.7)

  0.004

  Apathy, mean (SD) (21 missing)

1.1 (2.5)

1.0 (2.4)

0.346

Psychotropic drugs (yes), n (%)

 

  Antipsychotics

43 (12.1)

71 (11.1)

0.614

  Antidepressants

127 (35.8)

175 (27.3)

0.012

  Anxiolytics

55 (15.5)

85 (13.3)

0.377

  Sedatives

107 (30.1)

144 (22.5)

0.009

  Any

214 (60.3)

335 (52.3)

0.021

Analgesics, n (%)

  Opioids

107 (30.1)

73 (11.4)

 < 0.001

  Paracetamol

213 (60.0)

240 (37.4)

 < 0.001

  Any

237 (66.8)

258 (40.3)

 < 0.001

  MOBID-2, sum scoreb, mean (SD)

16.4 (10.2)

3.5 (4.4)

 < 0.001

NH characteristics, n (%) (18 missing)

  Regular care unit

209 (60.2)

355 (56.3)

0.285

  Special care unit

138 (39.8)

276 (43.7)

 

Type of dementia, n (%)

  Alzheimer’s disease

222 (62.5)

393 (61.3)

0.285

  Vascular dementia

32 (9.0)

35 (5.5)

 

  Alzheimer’s disease mixed type

36 (10.1)

72 (11.2)

 

  Frontotemporal dementia

28 (7.9)

66 (10.3)

 

  Lewy body dementia/ Parkinson’s disease

31 (8.7)

55 (8.6)

 

  Unspecified

6 (1.7)

20 (3.1)

 
  1. Abbreviations: CDR-SoB Clinical Dementia Rating-Sum of Boxes, GMHR General Medical Health Rating, MOBID-2 Mobilization-Observation-Behavior-Intensity-Dementia-2, n number, NH Nursing Home, NPI-NH Neuropsychiatric Inventory Nursing Home version, Opioids N02A, Paracetamol N02B E01 N02A J06 and N02A J13, PSMS Physical Self-Maintenance Scale, SD Standard Deviation
  2. Clinically relevant pain: Overall pain intensity with MOBID-2 ≥ 3
  3. 1Generalized linear mixed model (adjusting for cluster effect within NH)
  4. aNPI-NH Agitation sub-syndrome: agitation/aggression, disinhibition, and irritability, NPI-NH Affective sub-syndrome: depression and anxiety, NPI-NH Psychosis sub-syndrome: delusions and hallucination
  5. bThe sum score from the ten single MOBID-2 items