Older adults with chronic musculoskeletal pain are at increased risk of recurrent falls and the brief pain inventory could help identify those most at risk

Brendon Stubbs; Laura Eggermont; Sandhi Patchay; Pat Schofield

doi:10.1111/ggi.12357

Older adults with chronic musculoskeletal pain are at increased risk of recurrent falls and the brief pain inventory could help identify those most at risk

Brendon Stubbs^*
, Laura Eggermont
, Sandhi Patchay
, Pat Schofield

^*Corresponding author for this work

School of Nursing and Midwifery

University of Greenwich
Vrije Universiteit Amsterdam

Research output: Contribution to journal › Article › peer-review

Abstract

AimChronic musculoskeletal pain (CMP) and falls are common among community‐dwelling older adults. The study aims were: (i) to investigate the relationship between CMP and any falls (≥1), single falls and recurrent falls (≥2) in community‐dwelling older adults; and (ii) to determine the discriminative validity of the Brief Pain Inventory (BPI) to differentiate between non‐fallers and (a) any and (b) recurrent fallers.MethodsA cross‐sectional study involving 295 community‐dwelling participants (mean age 77.5 ± 8.1 years, 66.4% female) was carried out. CMP was assessed and classified as none (comparison group), single and multisite (≥2). The BPI severity and interference subscales were used, and falls were recorded over 12 months. Data were analyzed with logistic regression and receiver operating characteristic curves (ROC).ResultsOver half of the participants (154/295, 52.2%) had CMP (41.6% single and 58.4% multisite pain). Participants with CMP were at increased risk of recurrent falls (OR 2.25, 95% CI 1.03–4.88), and this risk was highest in those with multisite CMP (OR 3.43, CI 1.34–8.65). The BPI severity subscale showed good discriminative ability to differentiate between recurrent and non‐fallers with an area under the curve (AUC) of 0.731 (95% CI 0.635–0.826); a mean score of 5.1 had a sensitivity of 93.3% and specificity of 56.7%. The AUC for the BPI interference subscale was 0.724 (95% CI 0.630–0.818), and a cut‐off score of 4.6 had a sensitivity of 84.4% and specificity of 57.8%ConclusionOlder adults with multisite CMP are at greatest risk of recurrent falls. In clinical settings, the BPI could prove useful to discriminate between recurrent and non‐fallers. Geriatr Gerontol Int 2015; 15: 881–888.

Original language	English
Pages (from-to)	881-888
Number of pages	0
Journal	Geriatrics & Gerontology International
Volume	15
Issue number	7
Early online date	28 Aug 2014
DOIs	https://doi.org/10.1111/ggi.12357
Publication status	Published - Jul 2015

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10.1111/ggi.12357

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@article{653c2f3d1fef4e53b6a96b998a65ca8f,

title = "Older adults with chronic musculoskeletal pain are at increased risk of recurrent falls and the brief pain inventory could help identify those most at risk",

abstract = "AimChronic musculoskeletal pain (CMP) and falls are common among community‐dwelling older adults. The study aims were: (i) to investigate the relationship between CMP and any falls (≥1), single falls and recurrent falls (≥2) in community‐dwelling older adults; and (ii) to determine the discriminative validity of the Brief Pain Inventory (BPI) to differentiate between non‐fallers and (a) any and (b) recurrent fallers.MethodsA cross‐sectional study involving 295 community‐dwelling participants (mean age 77.5 ± 8.1 years, 66.4\% female) was carried out. CMP was assessed and classified as none (comparison group), single and multisite (≥2). The BPI severity and interference subscales were used, and falls were recorded over 12 months. Data were analyzed with logistic regression and receiver operating characteristic curves (ROC).ResultsOver half of the participants (154/295, 52.2\%) had CMP (41.6\% single and 58.4\% multisite pain). Participants with CMP were at increased risk of recurrent falls (OR 2.25, 95\% CI 1.03–4.88), and this risk was highest in those with multisite CMP (OR 3.43, CI 1.34–8.65). The BPI severity subscale showed good discriminative ability to differentiate between recurrent and non‐fallers with an area under the curve (AUC) of 0.731 (95\% CI 0.635–0.826); a mean score of 5.1 had a sensitivity of 93.3\% and specificity of 56.7\%. The AUC for the BPI interference subscale was 0.724 (95\% CI 0.630–0.818), and a cut‐off score of 4.6 had a sensitivity of 84.4\% and specificity of 57.8\%ConclusionOlder adults with multisite CMP are at greatest risk of recurrent falls. In clinical settings, the BPI could prove useful to discriminate between recurrent and non‐fallers. Geriatr Gerontol Int 2015; 15: 881–888.",

author = "Brendon Stubbs and Laura Eggermont and Sandhi Patchay and Pat Schofield",

year = "2015",

month = jul,

doi = "10.1111/ggi.12357",

language = "English",

volume = "15",

pages = "881--888",

journal = "Geriatrics \& Gerontology International",

issn = "1444-1586",

number = "7",

}

TY - JOUR

T1 - Older adults with chronic musculoskeletal pain are at increased risk of recurrent falls and the brief pain inventory could help identify those most at risk

AU - Stubbs, Brendon

AU - Eggermont, Laura

AU - Patchay, Sandhi

AU - Schofield, Pat

PY - 2015/7

Y1 - 2015/7

N2 - AimChronic musculoskeletal pain (CMP) and falls are common among community‐dwelling older adults. The study aims were: (i) to investigate the relationship between CMP and any falls (≥1), single falls and recurrent falls (≥2) in community‐dwelling older adults; and (ii) to determine the discriminative validity of the Brief Pain Inventory (BPI) to differentiate between non‐fallers and (a) any and (b) recurrent fallers.MethodsA cross‐sectional study involving 295 community‐dwelling participants (mean age 77.5 ± 8.1 years, 66.4% female) was carried out. CMP was assessed and classified as none (comparison group), single and multisite (≥2). The BPI severity and interference subscales were used, and falls were recorded over 12 months. Data were analyzed with logistic regression and receiver operating characteristic curves (ROC).ResultsOver half of the participants (154/295, 52.2%) had CMP (41.6% single and 58.4% multisite pain). Participants with CMP were at increased risk of recurrent falls (OR 2.25, 95% CI 1.03–4.88), and this risk was highest in those with multisite CMP (OR 3.43, CI 1.34–8.65). The BPI severity subscale showed good discriminative ability to differentiate between recurrent and non‐fallers with an area under the curve (AUC) of 0.731 (95% CI 0.635–0.826); a mean score of 5.1 had a sensitivity of 93.3% and specificity of 56.7%. The AUC for the BPI interference subscale was 0.724 (95% CI 0.630–0.818), and a cut‐off score of 4.6 had a sensitivity of 84.4% and specificity of 57.8%ConclusionOlder adults with multisite CMP are at greatest risk of recurrent falls. In clinical settings, the BPI could prove useful to discriminate between recurrent and non‐fallers. Geriatr Gerontol Int 2015; 15: 881–888.

AB - AimChronic musculoskeletal pain (CMP) and falls are common among community‐dwelling older adults. The study aims were: (i) to investigate the relationship between CMP and any falls (≥1), single falls and recurrent falls (≥2) in community‐dwelling older adults; and (ii) to determine the discriminative validity of the Brief Pain Inventory (BPI) to differentiate between non‐fallers and (a) any and (b) recurrent fallers.MethodsA cross‐sectional study involving 295 community‐dwelling participants (mean age 77.5 ± 8.1 years, 66.4% female) was carried out. CMP was assessed and classified as none (comparison group), single and multisite (≥2). The BPI severity and interference subscales were used, and falls were recorded over 12 months. Data were analyzed with logistic regression and receiver operating characteristic curves (ROC).ResultsOver half of the participants (154/295, 52.2%) had CMP (41.6% single and 58.4% multisite pain). Participants with CMP were at increased risk of recurrent falls (OR 2.25, 95% CI 1.03–4.88), and this risk was highest in those with multisite CMP (OR 3.43, CI 1.34–8.65). The BPI severity subscale showed good discriminative ability to differentiate between recurrent and non‐fallers with an area under the curve (AUC) of 0.731 (95% CI 0.635–0.826); a mean score of 5.1 had a sensitivity of 93.3% and specificity of 56.7%. The AUC for the BPI interference subscale was 0.724 (95% CI 0.630–0.818), and a cut‐off score of 4.6 had a sensitivity of 84.4% and specificity of 57.8%ConclusionOlder adults with multisite CMP are at greatest risk of recurrent falls. In clinical settings, the BPI could prove useful to discriminate between recurrent and non‐fallers. Geriatr Gerontol Int 2015; 15: 881–888.

U2 - 10.1111/ggi.12357

DO - 10.1111/ggi.12357

M3 - Article

SN - 1444-1586

VL - 15

SP - 881

EP - 888

JO - Geriatrics & Gerontology International

JF - Geriatrics & Gerontology International

IS - 7

ER -

Older adults with chronic musculoskeletal pain are at increased risk of recurrent falls and the brief pain inventory could help identify those most at risk

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