Monitoring equine visceral pain with a composite pain scale score and correlation with survival after emergency gastrointestinal surgery
Recognition and management of equine pain have been studied extensively in recent decades and this has led to significant advances. However, there is still room for improvement in the ability to identify and treat pain in horses that have undergone emergency gastrointestinal surgery. This study asse...
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| Veröffentlicht in: | The veterinary journal (1997) 2014-04, Vol.200 (1), p.109-115 |
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| container_title | The veterinary journal (1997) |
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| creator | van Loon, Johannes P.A.M. Jonckheer-Sheehy, Valerie S.M. Back, Willem René van Weeren, P. Hellebrekers, Ludo J. |
| description | Recognition and management of equine pain have been studied extensively in recent decades and this has led to significant advances. However, there is still room for improvement in the ability to identify and treat pain in horses that have undergone emergency gastrointestinal surgery. This study assessed the validity and clinical application of the composite pain scale (CPS) in horses after emergency gastrointestinal surgery. Composite pain scores were determined every 4h over 3days following emergency gastrointestinal surgery in 48 horses. Inter-observer reliability was determined and another composite visceral pain score (numerical rating scale, NRS) was determined simultaneously with CPS scores.
CPS scores had higher inter-observer reliability (r=0.87, K=0.84, P |
| doi_str_mv | 10.1016/j.tvjl.2014.01.003 |
| format | Article |
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CPS scores had higher inter-observer reliability (r=0.87, K=0.84, P<0.001), compared to NRS scores (r=0.68, K=0.72, P<0.001). Horses that survived without complications had significantly lower CPS and NRS scores compared to horses that were euthanased or had to undergo re-laparotomy (P<0.001). Breed and the location in the intestinal tract (small or large intestine) did not influence pain scores. In conclusion, the use of the CPS improved objectivity of pain scoring in horses following emergency gastrointestinal surgery. High inter-observer reliability allows for comparisons between different observers. This will be of great benefit in larger veterinary hospitals where several attending clinicians are often involved in the care of each case.</description><identifier>ISSN: 1090-0233</identifier><identifier>EISSN: 1532-2971</identifier><identifier>DOI: 10.1016/j.tvjl.2014.01.003</identifier><identifier>PMID: 24491373</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Colic ; Composite ; Emergency Treatment - veterinary ; Equine ; Gastrointestinal Tract - surgery ; Observer Variation ; Pain ; Pain Management - veterinary ; Pain Measurement - veterinary ; Reproducibility of Results ; Scale ; Sensitivity and Specificity ; Visceral Pain - etiology ; Visceral Pain - physiopathology ; Visceral Pain - veterinary</subject><ispartof>The veterinary journal (1997), 2014-04, Vol.200 (1), p.109-115</ispartof><rights>2014 Elsevier Ltd</rights><rights>Copyright © 2014 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-a6afd61b0076d8c1bfe9157c753acad285ce95c09a0c726f8c3b6a5ce80be97f3</citedby><cites>FETCH-LOGICAL-c400t-a6afd61b0076d8c1bfe9157c753acad285ce95c09a0c726f8c3b6a5ce80be97f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.tvjl.2014.01.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24491373$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Loon, Johannes P.A.M.</creatorcontrib><creatorcontrib>Jonckheer-Sheehy, Valerie S.M.</creatorcontrib><creatorcontrib>Back, Willem</creatorcontrib><creatorcontrib>René van Weeren, P.</creatorcontrib><creatorcontrib>Hellebrekers, Ludo J.</creatorcontrib><title>Monitoring equine visceral pain with a composite pain scale score and correlation with survival after emergency gastrointestinal surgery</title><title>The veterinary journal (1997)</title><addtitle>Vet J</addtitle><description>Recognition and management of equine pain have been studied extensively in recent decades and this has led to significant advances. However, there is still room for improvement in the ability to identify and treat pain in horses that have undergone emergency gastrointestinal surgery. This study assessed the validity and clinical application of the composite pain scale (CPS) in horses after emergency gastrointestinal surgery. Composite pain scores were determined every 4h over 3days following emergency gastrointestinal surgery in 48 horses. Inter-observer reliability was determined and another composite visceral pain score (numerical rating scale, NRS) was determined simultaneously with CPS scores.
CPS scores had higher inter-observer reliability (r=0.87, K=0.84, P<0.001), compared to NRS scores (r=0.68, K=0.72, P<0.001). Horses that survived without complications had significantly lower CPS and NRS scores compared to horses that were euthanased or had to undergo re-laparotomy (P<0.001). Breed and the location in the intestinal tract (small or large intestine) did not influence pain scores. In conclusion, the use of the CPS improved objectivity of pain scoring in horses following emergency gastrointestinal surgery. High inter-observer reliability allows for comparisons between different observers. This will be of great benefit in larger veterinary hospitals where several attending clinicians are often involved in the care of each case.</description><subject>Colic</subject><subject>Composite</subject><subject>Emergency Treatment - veterinary</subject><subject>Equine</subject><subject>Gastrointestinal Tract - surgery</subject><subject>Observer Variation</subject><subject>Pain</subject><subject>Pain Management - veterinary</subject><subject>Pain Measurement - veterinary</subject><subject>Reproducibility of Results</subject><subject>Scale</subject><subject>Sensitivity and Specificity</subject><subject>Visceral Pain - etiology</subject><subject>Visceral Pain - physiopathology</subject><subject>Visceral Pain - veterinary</subject><issn>1090-0233</issn><issn>1532-2971</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcuO1DAQRS0EYh7wAyyQl2wSynaeEhs0GmCkQWxgbVWcSuNWYvfYTlD_AZ-NW92wZGNb5XOvquoy9kZAKUA07_dl2vZzKUFUJYgSQD1j16JWspB9K57nN_RQgFTqit3EuAeAvqrkS3Ylq6oXqlXX7PdX72zywbodp6fVOuKbjYYCzvyA1vFfNv3kyI1fDj7aROdqNDhTPn0gjm7M3yHQjMn6iyKuYbNbNsEpUeC0UNiRM0e-w5iCty5RTNZlIJM7CsdX7MWEc6TXl_uW_fh0__3uS_H47fPD3cfHwlQAqcAGp7ERA0DbjJ0Rw0S9qFvT1goNjrKrDfW1gR7BtLKZOqOGBnOxg4H6dlK37N3Z9xD805qb0Mtp3nlGR36NWtSik5UEEBmVZ9QEH2OgSR-CXTActQB9SkDv9SkBfUpAg9A5gSx6e_Ffh4XGf5K_K8_AhzNAecrNUtDR2LwaGm0gk_To7f_8_wC9y5wh</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>van Loon, Johannes P.A.M.</creator><creator>Jonckheer-Sheehy, Valerie S.M.</creator><creator>Back, Willem</creator><creator>René van Weeren, P.</creator><creator>Hellebrekers, Ludo J.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140401</creationdate><title>Monitoring equine visceral pain with a composite pain scale score and correlation with survival after emergency gastrointestinal surgery</title><author>van Loon, Johannes P.A.M. ; Jonckheer-Sheehy, Valerie S.M. ; Back, Willem ; René van Weeren, P. ; Hellebrekers, Ludo J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-a6afd61b0076d8c1bfe9157c753acad285ce95c09a0c726f8c3b6a5ce80be97f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Colic</topic><topic>Composite</topic><topic>Emergency Treatment - veterinary</topic><topic>Equine</topic><topic>Gastrointestinal Tract - surgery</topic><topic>Observer Variation</topic><topic>Pain</topic><topic>Pain Management - veterinary</topic><topic>Pain Measurement - veterinary</topic><topic>Reproducibility of Results</topic><topic>Scale</topic><topic>Sensitivity and Specificity</topic><topic>Visceral Pain - etiology</topic><topic>Visceral Pain - physiopathology</topic><topic>Visceral Pain - veterinary</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Loon, Johannes P.A.M.</creatorcontrib><creatorcontrib>Jonckheer-Sheehy, Valerie S.M.</creatorcontrib><creatorcontrib>Back, Willem</creatorcontrib><creatorcontrib>René van Weeren, P.</creatorcontrib><creatorcontrib>Hellebrekers, Ludo J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The veterinary journal (1997)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Loon, Johannes P.A.M.</au><au>Jonckheer-Sheehy, Valerie S.M.</au><au>Back, Willem</au><au>René van Weeren, P.</au><au>Hellebrekers, Ludo J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Monitoring equine visceral pain with a composite pain scale score and correlation with survival after emergency gastrointestinal surgery</atitle><jtitle>The veterinary journal (1997)</jtitle><addtitle>Vet J</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>200</volume><issue>1</issue><spage>109</spage><epage>115</epage><pages>109-115</pages><issn>1090-0233</issn><eissn>1532-2971</eissn><abstract>Recognition and management of equine pain have been studied extensively in recent decades and this has led to significant advances. However, there is still room for improvement in the ability to identify and treat pain in horses that have undergone emergency gastrointestinal surgery. This study assessed the validity and clinical application of the composite pain scale (CPS) in horses after emergency gastrointestinal surgery. Composite pain scores were determined every 4h over 3days following emergency gastrointestinal surgery in 48 horses. Inter-observer reliability was determined and another composite visceral pain score (numerical rating scale, NRS) was determined simultaneously with CPS scores.
CPS scores had higher inter-observer reliability (r=0.87, K=0.84, P<0.001), compared to NRS scores (r=0.68, K=0.72, P<0.001). Horses that survived without complications had significantly lower CPS and NRS scores compared to horses that were euthanased or had to undergo re-laparotomy (P<0.001). Breed and the location in the intestinal tract (small or large intestine) did not influence pain scores. In conclusion, the use of the CPS improved objectivity of pain scoring in horses following emergency gastrointestinal surgery. High inter-observer reliability allows for comparisons between different observers. This will be of great benefit in larger veterinary hospitals where several attending clinicians are often involved in the care of each case.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>24491373</pmid><doi>10.1016/j.tvjl.2014.01.003</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The veterinary journal (1997), 2014-04, Vol.200 (1), p.109-115 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Colic Composite Emergency Treatment - veterinary Equine Gastrointestinal Tract - surgery Observer Variation Pain Pain Management - veterinary Pain Measurement - veterinary Reproducibility of Results Scale Sensitivity and Specificity Visceral Pain - etiology Visceral Pain - physiopathology Visceral Pain - veterinary |
| title | Monitoring equine visceral pain with a composite pain scale score and correlation with survival after emergency gastrointestinal surgery |
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