Pain in hemophilia patients: Assessment and management in a fourth level hospital. Case series
Up to 80% of hemophilia patients present acute and chronic pain, mostly secondary to joint involvement. In Colombia there are no studies on the topic.
To show the epidemiological profile, assessment and management of these patients in a referral hospital for the treatment of hemophilia.
Observational descriptive study, based on case series. Patients older than18 years with diagnosis of hemophilia who were evaluated between January 1st, 2013 and March 31st, 2016 were included. The qualitative variables were described with absolute frequencies and the quantitative variables with means.
196 hemophilia patients were registered in the trial; 87%, males and13% females; the average age was 39 years. Hemophilia A 79%, hemophilia B18%, carriers 3%. The causes for admission were 45% surgical,37% medical and17% trauma. The average hospital stay was 8 days (range 1-58) and 2 hospital admission per year (range 1-5). No pain evaluation scales were used in 71% of the cases and 29% were administered the Visual Analogue Scale. Opioids were prescribed in 58% of cases, acetaminophen in 67%, and pregabalin in 5.6%. Only 33 patients were treated by the pain clinic.
Notwithstanding the presence of pain and the frequency of functional sequelae among hemophilia patients, most of them were not assessed by the pain clinic and no pain evaluation scales were used. The pharmacological management was based on the prescription of opioids and acetaminophen.
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