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                  <mods:namePart>Moreno-Casbas, Teresa</mods:namePart>
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                  <mods:namePart>Ramírez-Expósito, María Jesús</mods:namePart>
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                  <mods:namePart>Martínez-Martos, Jose Manuel</mods:namePart>
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                  <mods:namePart>Carrera-González, María Del Pilar</mods:namePart>
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               <mods:identifier type="citation">J Clin Med . 2021 Apr 1;10(7):1424.</mods:identifier>
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               <mods:abstract>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 &lt; 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.</mods:abstract>
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               <mods:subject>
                  <mods:topic>Biomarkers</mods:topic>
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               <mods:subject>
                  <mods:topic>Dementia</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Nursing</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Pain</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Pain Assessment in Advanced Dementia (PAINAD)</mods:topic>
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                  <mods:title>Correlation between biomarkers of pain in saliva and PAINAD Scale in elderly people with cognitive impairment and inability to communicate</mods:title>
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