Investigation of the Relationship Between Frailty Status and Pain Type, Pain Localization, and GNRI in Individuals Aged 65 Years and Older With Chronic Pain Presenting to a Pain Clinic
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 393
- 试验地点
- 1
- 主要终点
- primary outcome
研究概览
简要总结
The primary aim of this study is to investigate the relationship between frailty status and pain type, pain localization, and the Geriatric Nutritional Risk Index (GNRI) in individuals aged 65 years and older who present to an pain clinic with chronic pain. The secondary aim is to evaluate the level of interaction among these parameters and to contribute to a holistic approach to pain management in older adults.
详细描述
This study is an observational, cross-sectional investigation to be conducted in individuals aged 65 years and older who present to the algology outpatient clinic with complaints of chronic pain. Participation in the study will be entirely voluntary, and written informed consent will be obtained from all participants. Data collection will be carried out through face-to-face interviews with patients and retrospective review of patient medical records.
Frailty status of the participants will be assessed using the FRAIL Scale, which is widely used in the literature and has proven validity. Alternatively, the Fried Frailty Criteria may be used according to the researcher's preference. Based on these assessments, frailty status will be classified into three categories: robust, prefrail, and frail.
The Geriatric Nutritional Risk Index (GNRI), an objective indicator of nutritional status, will be calculated using participants' serum albumin levels, current body weight, and height according to the following formula:
GNRI = (1.489 × serum albumin [g/L]) + (41.7 × current body weight / ideal body weight).
This score will be analyzed in relation to frailty status to evaluate nutritional risk.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 65 years or older Diagnosis of chronic pain (duration > 3 months)
排除标准
- •Acute pain complaint Pain related to malignancy Severe communication impairment
研究组 & 干预措施
Elderly Chronic Pain Cohort
The Elderly Chronic Pain Cohort consisted of individuals aged 65 years and older who presented to the pain outpatient clinic with complaints of chronic pain and met the study inclusion criteria. All eligible participants were consecutively enrolled during the study period. Frailty status, nutritional risk, and pain-related characteristics were systematically assessed at baseline. Subgroup analyses were performed according to frailty statu
结局指标
主要结局
primary outcome
时间窗: baseline
Frailty status determined according to the Fried Frailty Criteria (Frailty Phenotype). Frailty will be classified as robust (0 criteria), pre-frail (1-2 criteria), or frail (≥3 criteria) based on the presence of unintentional weight loss, exhaustion, low physical activity, slowness, and weakness.
次要结局
- Secondary outcome(baseline)
- Secondary Outcome Measure(baseline)
- Secondary outcome meaaure(Baseline)
- Secondary outcome(Baseline)
- Secondary outcome(During the 3-month follow-up period.)
- Secondary outcome(3 months.)
研究者
Ülkü Sabuncu
Assoc. prof.
Ankara City Hospital Bilkent