A comparative study of pain in heart failure and non-heart failure veterans.

Abstract:

BACKGROUND:Progress has been made in addressing pain in specific diseases such as cancer, but less attention has focused on understanding pain in nonmalignant states, including heart failure (HF). METHODS AND RESULTS:From March 2006 to June 2007, 672 veterans were surveyed and scores for the Brief Pain Inventory, pain distress, clinically significant pain levels (moderate to severe pain), and pain locations were compared using univariate and multivariate models. Fifteen percent of the final sample had HF (95/634). In our study, the HF patients were older (P < .000), reported lower levels of general health (P = .018), had more co-morbidities (P < .000), were more likely to have a history of cancer (P = .035), and suffered more chest pain and fewer headaches (P = .026, P = .03, respectively) than their non-HF cohorts. When controlling for age, co-morbidity and cancer disorders, HF and non-HF patients did not differ in pain severity, interference, distress or locations. Of the patients currently experiencing pain, 67.3% of HF patients and 68.4% of non-HF patients rated their pain as moderate or severe (pain >or=4 on a 0 to 10 scale). CONCLUSIONS:Although HF has not been identified as a painful condition, this study suggests the burden of pain is significant for both HF and non-HF ambulatory care patients.

journal_name

J Card Fail

authors

Goebel JR,Doering LV,Evangelista LS,Nyamathi AM,Maliski SL,Asch SM,Sherbourne CD,Shugarman LR,Lanto AB,Cohen A,Lorenz KA

doi

10.1016/j.cardfail.2008.09.002

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

24-30

issue

1

eissn

1071-9164

issn

1532-8414

pii

S1071-9164(08)00999-8

journal_volume

15

pub_type

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