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Perceived pain and satisfaction with medical rehabilitation after hospital discharge

Sealy Center on Aging, University of Texas Medical Branch at Galveston, Texas, USA

Kenneth J Ottenbacher

Sealy Center on Aging, University of Texas Medical Branch at Galveston and Division of Rehabilitation Sciences, University of Texas Medical Branch, Texas, USA

Pamela M Smith

David Smith

IT Health Track, Buffalo, New York and Glenn V Ostir Sealy Center on Aging and Division of Geriatrics, Department of Medicine, University of Texas Medical Branch at Galveston and Division of Rehabilitation Sciences, University of Texas Medical Branch, Texas, USA

Objective: To examine the association between pain and satisfaction with medical rehabilitation in patients with hip or knee replacement approximately 90 days after discharge from inpatient medical rehabilitation.

Design: A cross-sectional design.

Participants: The sample included 2507 patients with hip or knee replacement using information from the IT Health Track medical outcome database.

Main outcome measure: Satisfaction with medical rehabilitation.

Results: The average age was 70.2 years, 66.5% were female, and 88.5% were non-Hispanic white. Pain scores were significantly and inversely associated with satisfaction with medical rehabilitation after adjustment for possible confounding factors. In patients with hip replacement each one-point increase in pain score was associated with a 10% decreased odds ratio (OR) of being satisfied with medical rehabilitation (OR 0.90, 95% confidence interval (CI) 0.84, 0.96). In patients with knee replacement, each one-point increase in pain score was associated with a 9% decreased odds ratio (OR 0.91, 95% CI 0.87, 0.96) of being satisfied with medical rehabilitation.

Conclusion: Our data indicate that postoperative pain from hip or knee replacement is associated with reduced satisfaction with medical rehabilitation. Better postoperative pain control may improve a patient's level of satisfaction.

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