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Cross-sectional study
Clinically significant pain is experienced by just over a third of all hospitalised patients, affecting around a half of surgical and a quarter of medical admissions
  1. Elizabeth Manias
  1. Faculty of Health, Deakin University, School of Nursing and Midwifery, Burwood, The University of Melbourne, Melbourne School of Health Sciences, Royal Melbourne Hospital, Department of Medicine, Parkville, Victoria, Australia
  1. Correspondence to: Professor Elizabeth Manias, Faculty of Health, Deakin University, School of Nursing and Midwifery, 221 Burwood Highway, Burwood, VIC 3125, Australia; emanias{at}

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Implications for practice and research

  • Greater attention should be placed on assessing pain independently of vital signs, when there is evidence of pain that needs to be relieved.

  • Future research needs to examine the development and implementation of minimum standards for clinicians assessing and responding to pain in hospitalised patients.


Despite advancements in pain control, patients’ experience of pain continues to be a major problem. There have been no hospitalwide studies conducted on pain levels of whole populations of patients admitted to different clinical settings and monitored across time. This study involved examining patients’ intensity of pain at different times during their inpatient stay. The authors explored clinically significant pain (CSP), which they defined as patients' pain scores that were in …

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