Correlation between Biomarkers of Pain in Saliva and PAINAD Scale in Elderly People with Cognitive Impairment and Inability to Communicate

The pain assessment in advanced dementia (PAINAD) appears to be a clinically useful tool. However, the salivary determination of tumor necrosis factor receptor type II (sTNF-RII) and secretory IgA (sIgA) as pain biomarkers is still incipient. The aim was to correlate the PAINAD score with sTNF-RII and sIgA biomarker levels in the saliva of patients with advanced dementia. In this regard, a cross-sectional study was conducted. The sample consisted of 75 elderly patients with a clinical diagnosis of dementia and a global deterioration scale (GDS) score of 5 to 7. The PAINAD scale was determined by a previously trained professional and the collection of salivary samples was performed using the passive secretion method. Human sTNF-RII and sIgA using ELISA kits. The results showed a correlation between the PAINAD scale (numeric, binary, and recoded) and sTNF-RII and sIgA (p < 0.001). No association between the sociodemographic and clinical variables and the PAINAD scale was found (p > 0.05). Between 97.3% and 96.2% of patients with pain on the PAINAD scale also showed pain based on the sTNF-RII levels; in all of them, sIgA levels did not fit the logistic models. Therefore, the correlation highlights the usefulness of this scale and confirms the usefulness of sTNF-RII and sIgA as biomarkers of pain.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

Journal of clinical medicine - 10(2021), 7 vom: 01. Apr.

Sprache:

Englisch

Beteiligte Personen:

Cantón-Habas, Vanesa [VerfasserIn]
Rich-Ruiz, Manuel [VerfasserIn]
Moreno-Casbas, María Teresa [VerfasserIn]
Ramírez-Expósito, María Jesús [VerfasserIn]
Martínez-Martos, Jose Manuel [VerfasserIn]
Carrera-González, María Del Pilar [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers
Dementia
Journal Article
Nursing
Pain
Pain assessment in advanced dementia (PAINAD)

Anmerkungen:

Date Revised 02.05.2021

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/jcm10071424

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM324692463