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Stroke and central poststroke pain in an elderly population.

D Bowsher1

  • 1Pain Research Institute, University Hospital Aintree, Liverpool, L9 7AL, UK. pri@liv.ac.uk

The Journal of Pain
|November 19, 2003
PubMed
Summary

Many elderly stroke survivors experience central poststroke pain (CPSP), often undiagnosed and untreated. This study highlights the significant prevalence of CPSP in older populations, suggesting a need for improved specialist care access.

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Area of Science:

  • Neurology
  • Geriatrics
  • Pain Medicine

Background:

  • Central poststroke pain (CPSP) is a debilitating condition following a stroke.
  • Prevalence and characteristics of CPSP in elderly populations are not well-documented.
  • Limited data exists on the referral patterns of elderly CPSP patients to specialist care.

Purpose of the Study:

  • To investigate the prevalence of central poststroke pain (CPSP) in an elderly population.
  • To compare the characteristics of CPSP in elderly individuals with younger, hospital-referred patients.
  • To assess the extent to which elderly CPSP patients are referred for specialist care.

Main Methods:

  • A survey administered by nurses to 1,071 elderly subjects (median age 80) using questionnaires.
  • Inclusion criteria: subjects who had experienced completed strokes or transient ischemic attacks.

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  • Comparison with a cohort of 111 hospital-referred CPSP subjects.

    • Main Results:

    • 11% of completed stroke subjects reported symptoms consistent with CPSP.
    • Elderly CPSP patients were older at stroke onset (median 77.5 years) and all had motor deficits.
    • Elderly CPSP patients showed a tendency for non-burning pain, unlike younger patients who reported burning pain.

    Conclusions:

    • A significant number of elderly individuals suffer from undiagnosed central poststroke pain (CPSP).
    • Elderly CPSP patients are often older at stroke onset and present with motor deficits.
    • There is a substantial gap in specialist care referral for elderly CPSP victims, indicating a need for improved healthcare strategies.