A comparison of postoperative pain scales in neonates
Practical, valid and reliable pain measuring tools in neonates are required in clinical practice for effective pain management and prevention of the evaluator bias. This prospective study was designed to cross-validate three pain scales: CRIES (cry, requires O2, increased vital signs, expression, sl...
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| Veröffentlicht in: | British journal of anaesthesia : BJA 2006-10, Vol.97 (4), p.540-544 |
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| container_title | British journal of anaesthesia : BJA |
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| creator | Suraseranivongse, S. Kaosaard, R. Intakong, P. Pornsiriprasert, S. Karnchana, Y. Kaopinpruck, J. Sangjeen, K. |
| description | Practical, valid and reliable pain measuring tools in neonates are required in clinical practice for effective pain management and prevention of the evaluator bias.
This prospective study was designed to cross-validate three pain scales: CRIES (cry, requires O2, increased vital signs, expression, sleeplessness), CHIPPS (children's and infants' postoperative pain scale) and NIPS (neonatal infant pain scale) in terms of validity, reliability and practicality. The pain scales were translated. Concurrent validity, predictive validity and interrater reliability in postoperative pain were studied in 22 neonates after major surgery. Construct validity and concurrent validity in procedural pain were determined in 24 neonates before and during frenulectomy under topical anaesthesia.
All scales had excellent interrater reliability (intraclass correlation >0.9). Construct validity was determined for all pain scales by the ability to differentiate the group with low pain scores before surgery and high scores during surgery (P0.9) with routine decisions to treat postoperative pain. High sensitivity and specificity (>90%) for postoperative pain from all scales were achieved with the same cut-off point of 4. In terms of practicality, NIPS was the most acceptable (65%).
Based on our findings, we recommended NIPS as a valid, reliable and practical tool. |
| doi_str_mv | 10.1093/bja/ael184 |
| format | Article |
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This prospective study was designed to cross-validate three pain scales: CRIES (cry, requires O2, increased vital signs, expression, sleeplessness), CHIPPS (children's and infants' postoperative pain scale) and NIPS (neonatal infant pain scale) in terms of validity, reliability and practicality. The pain scales were translated. Concurrent validity, predictive validity and interrater reliability in postoperative pain were studied in 22 neonates after major surgery. Construct validity and concurrent validity in procedural pain were determined in 24 neonates before and during frenulectomy under topical anaesthesia.
All scales had excellent interrater reliability (intraclass correlation >0.9). Construct validity was determined for all pain scales by the ability to differentiate the group with low pain scores before surgery and high scores during surgery (P<0.001). The positive correlations among all scales, ranging between r=0.30 and r=0.91, supported concurrent validity. CRIES showed the lowest correlation with other scales with correlation coefficients of r=0.30 and r=0.35. All scales yielded very good agreement (K>0.9) with routine decisions to treat postoperative pain. High sensitivity and specificity (>90%) for postoperative pain from all scales were achieved with the same cut-off point of 4. In terms of practicality, NIPS was the most acceptable (65%).
Based on our findings, we recommended NIPS as a valid, reliable and practical tool.</description><identifier>ISSN: 0007-0912</identifier><identifier>EISSN: 1471-6771</identifier><identifier>DOI: 10.1093/bja/ael184</identifier><identifier>PMID: 16885171</identifier><identifier>CODEN: BJANAD</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Critical Care - methods ; Female ; Humans ; Infant, Newborn ; Labial Frenum - surgery ; Male ; Medical sciences ; Neonatal Nursing - methods ; neonates ; Observer Variation ; pain ; Pain Measurement - methods ; pain, postoperative ; Pain, Postoperative - diagnosis ; pain, procedural ; pain, scale ; postoperative ; Postoperative Care - methods ; procedural ; Prospective Studies ; Reproducibility of Results ; scale ; tools, validity ; validity</subject><ispartof>British journal of anaesthesia : BJA, 2006-10, Vol.97 (4), p.540-544</ispartof><rights>2006 British Journal of Anaesthesia</rights><rights>The Board of Management and Trustees of the British Journal of Anaesthesia 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org 2006</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Oxford University Press(England) Oct 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c491t-e8430f25928961fe9484856ba1590b325e49f8241cb98901a487a761421e5fbb3</citedby><cites>FETCH-LOGICAL-c491t-e8430f25928961fe9484856ba1590b325e49f8241cb98901a487a761421e5fbb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18148793$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16885171$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Suraseranivongse, S.</creatorcontrib><creatorcontrib>Kaosaard, R.</creatorcontrib><creatorcontrib>Intakong, P.</creatorcontrib><creatorcontrib>Pornsiriprasert, S.</creatorcontrib><creatorcontrib>Karnchana, Y.</creatorcontrib><creatorcontrib>Kaopinpruck, J.</creatorcontrib><creatorcontrib>Sangjeen, K.</creatorcontrib><title>A comparison of postoperative pain scales in neonates</title><title>British journal of anaesthesia : BJA</title><addtitle>Br J Anaesth</addtitle><description>Practical, valid and reliable pain measuring tools in neonates are required in clinical practice for effective pain management and prevention of the evaluator bias.
This prospective study was designed to cross-validate three pain scales: CRIES (cry, requires O2, increased vital signs, expression, sleeplessness), CHIPPS (children's and infants' postoperative pain scale) and NIPS (neonatal infant pain scale) in terms of validity, reliability and practicality. The pain scales were translated. Concurrent validity, predictive validity and interrater reliability in postoperative pain were studied in 22 neonates after major surgery. Construct validity and concurrent validity in procedural pain were determined in 24 neonates before and during frenulectomy under topical anaesthesia.
All scales had excellent interrater reliability (intraclass correlation >0.9). Construct validity was determined for all pain scales by the ability to differentiate the group with low pain scores before surgery and high scores during surgery (P<0.001). The positive correlations among all scales, ranging between r=0.30 and r=0.91, supported concurrent validity. CRIES showed the lowest correlation with other scales with correlation coefficients of r=0.30 and r=0.35. All scales yielded very good agreement (K>0.9) with routine decisions to treat postoperative pain. High sensitivity and specificity (>90%) for postoperative pain from all scales were achieved with the same cut-off point of 4. In terms of practicality, NIPS was the most acceptable (65%).
Based on our findings, we recommended NIPS as a valid, reliable and practical tool.</description><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Critical Care - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Labial Frenum - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neonatal Nursing - methods</subject><subject>neonates</subject><subject>Observer Variation</subject><subject>pain</subject><subject>Pain Measurement - methods</subject><subject>pain, postoperative</subject><subject>Pain, Postoperative - diagnosis</subject><subject>pain, procedural</subject><subject>pain, scale</subject><subject>postoperative</subject><subject>Postoperative Care - methods</subject><subject>procedural</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>scale</subject><subject>tools, validity</subject><subject>validity</subject><issn>0007-0912</issn><issn>1471-6771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90c9LHDEUB_AglrpqL_4BZRD0UBjNyyST5CiitbBQDy2Il5DJvoGss5NpMiP2vzcySxekeEoOH96P7yPkBOgFUF1dNmt7abEDxffIAriEspYS9smCUipLqoEdkMOU1pSCZFp8JgdQKyVAwoKIq8KFzWCjT6EvQlsMIY1hwGhH_4zFYH1fJGc7TEX-9Rh6O2I6Jp9a2yX8sn2PyO_bm1_Xd-Xy5_cf11fL0nENY4mKV7RlQjOla2hRc8WVqBsLQtOmYgK5bhXj4BqtNAXLlbSyBs4ARds01RE5n-sOMfyZMI1m45PDrrN5kimZvAZTXKgMT9_BdZhin2czoGUuKbTO6NuMXAwpRWzNEP3Gxr8GqHlL0uQkzZxkxl-3Fadmg6sd3UaXwdkW2LeA2mh759POKcjb6GrnwjR83LCcnU8jvvyTNj6ZWlZSmLuHRwMParm8VczcZ89nj_kAzx6jSc5j73DlI7rRrIL_X5tX_p-ndA</recordid><startdate>20061001</startdate><enddate>20061001</enddate><creator>Suraseranivongse, S.</creator><creator>Kaosaard, R.</creator><creator>Intakong, P.</creator><creator>Pornsiriprasert, S.</creator><creator>Karnchana, Y.</creator><creator>Kaopinpruck, J.</creator><creator>Sangjeen, K.</creator><general>Elsevier Ltd</general><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>6I.</scope><scope>AAFTH</scope><scope>BSCLL</scope><scope>IQODW</scope><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>K9.</scope><scope>7X8</scope></search><sort><creationdate>20061001</creationdate><title>A comparison of postoperative pain scales in neonates</title><author>Suraseranivongse, S. ; Kaosaard, R. ; Intakong, P. ; Pornsiriprasert, S. ; Karnchana, Y. ; Kaopinpruck, J. ; Sangjeen, K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c491t-e8430f25928961fe9484856ba1590b325e49f8241cb98901a487a761421e5fbb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Critical Care - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Labial Frenum - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neonatal Nursing - methods</topic><topic>neonates</topic><topic>Observer Variation</topic><topic>pain</topic><topic>Pain Measurement - methods</topic><topic>pain, postoperative</topic><topic>Pain, Postoperative - diagnosis</topic><topic>pain, procedural</topic><topic>pain, scale</topic><topic>postoperative</topic><topic>Postoperative Care - methods</topic><topic>procedural</topic><topic>Prospective Studies</topic><topic>Reproducibility of Results</topic><topic>scale</topic><topic>tools, validity</topic><topic>validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Suraseranivongse, S.</creatorcontrib><creatorcontrib>Kaosaard, R.</creatorcontrib><creatorcontrib>Intakong, P.</creatorcontrib><creatorcontrib>Pornsiriprasert, S.</creatorcontrib><creatorcontrib>Karnchana, Y.</creatorcontrib><creatorcontrib>Kaopinpruck, J.</creatorcontrib><creatorcontrib>Sangjeen, K.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of anaesthesia : BJA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Suraseranivongse, S.</au><au>Kaosaard, R.</au><au>Intakong, P.</au><au>Pornsiriprasert, S.</au><au>Karnchana, Y.</au><au>Kaopinpruck, J.</au><au>Sangjeen, K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of postoperative pain scales in neonates</atitle><jtitle>British journal of anaesthesia : BJA</jtitle><addtitle>Br J Anaesth</addtitle><date>2006-10-01</date><risdate>2006</risdate><volume>97</volume><issue>4</issue><spage>540</spage><epage>544</epage><pages>540-544</pages><issn>0007-0912</issn><eissn>1471-6771</eissn><coden>BJANAD</coden><abstract>Practical, valid and reliable pain measuring tools in neonates are required in clinical practice for effective pain management and prevention of the evaluator bias.
This prospective study was designed to cross-validate three pain scales: CRIES (cry, requires O2, increased vital signs, expression, sleeplessness), CHIPPS (children's and infants' postoperative pain scale) and NIPS (neonatal infant pain scale) in terms of validity, reliability and practicality. The pain scales were translated. Concurrent validity, predictive validity and interrater reliability in postoperative pain were studied in 22 neonates after major surgery. Construct validity and concurrent validity in procedural pain were determined in 24 neonates before and during frenulectomy under topical anaesthesia.
All scales had excellent interrater reliability (intraclass correlation >0.9). Construct validity was determined for all pain scales by the ability to differentiate the group with low pain scores before surgery and high scores during surgery (P<0.001). The positive correlations among all scales, ranging between r=0.30 and r=0.91, supported concurrent validity. CRIES showed the lowest correlation with other scales with correlation coefficients of r=0.30 and r=0.35. All scales yielded very good agreement (K>0.9) with routine decisions to treat postoperative pain. High sensitivity and specificity (>90%) for postoperative pain from all scales were achieved with the same cut-off point of 4. In terms of practicality, NIPS was the most acceptable (65%).
Based on our findings, we recommended NIPS as a valid, reliable and practical tool.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>16885171</pmid><doi>10.1093/bja/ael184</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Critical Care - methods Female Humans Infant, Newborn Labial Frenum - surgery Male Medical sciences Neonatal Nursing - methods neonates Observer Variation pain Pain Measurement - methods pain, postoperative Pain, Postoperative - diagnosis pain, procedural pain, scale postoperative Postoperative Care - methods procedural Prospective Studies Reproducibility of Results scale tools, validity validity |
| title | A comparison of postoperative pain scales in neonates |
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