A preliminary validation of the Swedish version of the critical-care pain observation tool in adults
Background: Assessing pain in critically ill patients can be complicated, especially for those unable to communicate. A recently developed pain assessment tool, the Critical‐Care Pain Observation Tool (CPOT), has been shown to be a reliable tool for pain assessment in the Intensive Care Unit (ICU)....
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| Veröffentlicht in: | Acta anaesthesiologica Scandinavica 2011-04, Vol.55 (4), p.379-386 |
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| creator | NÜRNBERG DAMSTRÖM, D. SABOONCHI, F. SACKEY, P. V. BJÖRLING, G. |
| description | Background: Assessing pain in critically ill patients can be complicated, especially for those unable to communicate. A recently developed pain assessment tool, the Critical‐Care Pain Observation Tool (CPOT), has been shown to be a reliable tool for pain assessment in the Intensive Care Unit (ICU). The aim of the study was to validate the Swedish version of the CPOT.
Methods: Conscious and unconscious adults were observed during two procedures: one non‐nociceptive procedure (NNP) (arm‐ and face wash) and one nociceptive procedure (NP) (turning). In total, there were 240 patient assessments pre‐, per‐ and post‐procedure performed by two independent staff members at rest, during and 15 min after the different procedures. Measures of interrater reliability, internal consistency and discriminant validity of the CPOT were obtained to examine the properties of the Swedish version of CPOT.
Results: The results provide indications of good agreement between the independent raters (ICC=0.84). There was an adequate discriminant validity of the Swedish version of CPOT established by a significant peak for CPOT scores during the NP (per‐procedure). There was also a consistent pattern of significant correlations between CPOT and the mean artery pressure (ρ=0.32–0.45).
Conclusion: The Swedish version of the CPOT is a suitable instrument for assessing pain in critically ill adults. The overall reliability and validity measures converge with findings from previous studies of the CPOT, but in order to achieve enhanced generalizability of the CPOT, we encourage further evaluation of CPOT in broader groups of critically ill patients. |
| doi_str_mv | 10.1111/j.1399-6576.2010.02376.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_546367</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>856768144</sourcerecordid><originalsourceid>FETCH-LOGICAL-c6966-e7eaddd8d803981344fa5999edd882214f43b05342bd2334a7dec2c99b71a62c3</originalsourceid><addsrcrecordid>eNqNkk2P0zAQhi0EYsvCX0C5ICRQir_i2AcOYYEFaQWHLnAcObFD3aZN1k7a7r_HIaXLBbG-ePz6GXtG8yKUEDwncb1ZzQlTKhVZLuYURxVTFsPDAzQ7XTxEM4wxSTOS0zP0JIRVPDKu1GN0RgmVklIxQ6ZIOm8bt3Fb7W-TnW6c0b1rt0lbJ_3SJou9NS4sk5314S-58q53lW7SSnubdNrFmzJYv5uS-7ZtkqhpMzR9eIoe1boJ9tlxP0ffPn64vviUXn29_HxRXKWVUEKkNrfaGCONxExJwjivdaaUslGL1RJec1bijHFaGsoY17mxFa2UKnOiBa3YOUqnd8PedkMJnXeb2BW02sFRWsfIQsYFE3nkX_2Tf---F9D6nxCWS2CE3w_26whzFeHX_4eXKxAik1mkX05059ubwYYeNi5Utmn01rZDAJmJXEjCxyLkRFa-DcHb-vQywTBaA1YwOgBGB8BoDfhtDTjE1OfHT4ZyY80p8Y8XIvDiCOgQJ1t7va1cuOOYYozgsbe3E7d3jb29dwFQFIsxupuSC709nPK1X0OcSZ7Bjy-XwK9jv0wu4B37BbG35Zo</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>856768144</pqid></control><display><type>article</type><title>A preliminary validation of the Swedish version of the critical-care pain observation tool in adults</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>NÜRNBERG DAMSTRÖM, D. ; SABOONCHI, F. ; SACKEY, P. V. ; BJÖRLING, G.</creator><creatorcontrib>NÜRNBERG DAMSTRÖM, D. ; SABOONCHI, F. ; SACKEY, P. V. ; BJÖRLING, G.</creatorcontrib><description>Background: Assessing pain in critically ill patients can be complicated, especially for those unable to communicate. A recently developed pain assessment tool, the Critical‐Care Pain Observation Tool (CPOT), has been shown to be a reliable tool for pain assessment in the Intensive Care Unit (ICU). The aim of the study was to validate the Swedish version of the CPOT.
Methods: Conscious and unconscious adults were observed during two procedures: one non‐nociceptive procedure (NNP) (arm‐ and face wash) and one nociceptive procedure (NP) (turning). In total, there were 240 patient assessments pre‐, per‐ and post‐procedure performed by two independent staff members at rest, during and 15 min after the different procedures. Measures of interrater reliability, internal consistency and discriminant validity of the CPOT were obtained to examine the properties of the Swedish version of CPOT.
Results: The results provide indications of good agreement between the independent raters (ICC=0.84). There was an adequate discriminant validity of the Swedish version of CPOT established by a significant peak for CPOT scores during the NP (per‐procedure). There was also a consistent pattern of significant correlations between CPOT and the mean artery pressure (ρ=0.32–0.45).
Conclusion: The Swedish version of the CPOT is a suitable instrument for assessing pain in critically ill adults. The overall reliability and validity measures converge with findings from previous studies of the CPOT, but in order to achieve enhanced generalizability of the CPOT, we encourage further evaluation of CPOT in broader groups of critically ill patients.</description><identifier>ISSN: 0001-5172</identifier><identifier>ISSN: 1399-6576</identifier><identifier>EISSN: 1399-6576</identifier><identifier>DOI: 10.1111/j.1399-6576.2010.02376.x</identifier><identifier>PMID: 21288226</identifier><identifier>CODEN: AANEAB</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Adults ; Aged ; Analgesics - therapeutic use ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Caring sciences ; Conscious Sedation ; Critical Care ; Critical Care - methods ; Critical Illness ; Critical-Care pain observation tool ; critically ill patients ; Discriminant Analysis ; Female ; Humans ; INTERDISCIPLINARY RESEARCH AREAS ; Language ; Male ; Medical sciences ; Middle Aged ; Nurses ; Nursing ; Observer Variation ; Omvårdnad ; pain ; Pain - diagnosis ; Pain - drug therapy ; pain assessment tool ; Pain Measurement ; Pain Measurement - methods ; Pain Threshold ; Reproducibility of Results ; Sweden ; TVÄRVETENSKAPLIGA FORSKNINGSOMRÅDEN ; Vårdvetenskap</subject><ispartof>Acta anaesthesiologica Scandinavica, 2011-04, Vol.55 (4), p.379-386</ispartof><rights>2011 The Authors. Acta Anaesthesiologica Scandinavica © 2011 The Acta Anaesthesiologica Scandinavica Foundation</rights><rights>2015 INIST-CNRS</rights><rights>2011 The Authors. Acta Anaesthesiologica Scandinavica © 2011 The Acta Anaesthesiologica Scandinavica Foundation.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6966-e7eaddd8d803981344fa5999edd882214f43b05342bd2334a7dec2c99b71a62c3</citedby><cites>FETCH-LOGICAL-c6966-e7eaddd8d803981344fa5999edd882214f43b05342bd2334a7dec2c99b71a62c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1399-6576.2010.02376.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1399-6576.2010.02376.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23933109$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21288226$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-66585$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-349$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-314$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:122128244$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>NÜRNBERG DAMSTRÖM, D.</creatorcontrib><creatorcontrib>SABOONCHI, F.</creatorcontrib><creatorcontrib>SACKEY, P. V.</creatorcontrib><creatorcontrib>BJÖRLING, G.</creatorcontrib><title>A preliminary validation of the Swedish version of the critical-care pain observation tool in adults</title><title>Acta anaesthesiologica Scandinavica</title><addtitle>Acta Anaesthesiol Scand</addtitle><description>Background: Assessing pain in critically ill patients can be complicated, especially for those unable to communicate. A recently developed pain assessment tool, the Critical‐Care Pain Observation Tool (CPOT), has been shown to be a reliable tool for pain assessment in the Intensive Care Unit (ICU). The aim of the study was to validate the Swedish version of the CPOT.
Methods: Conscious and unconscious adults were observed during two procedures: one non‐nociceptive procedure (NNP) (arm‐ and face wash) and one nociceptive procedure (NP) (turning). In total, there were 240 patient assessments pre‐, per‐ and post‐procedure performed by two independent staff members at rest, during and 15 min after the different procedures. Measures of interrater reliability, internal consistency and discriminant validity of the CPOT were obtained to examine the properties of the Swedish version of CPOT.
Results: The results provide indications of good agreement between the independent raters (ICC=0.84). There was an adequate discriminant validity of the Swedish version of CPOT established by a significant peak for CPOT scores during the NP (per‐procedure). There was also a consistent pattern of significant correlations between CPOT and the mean artery pressure (ρ=0.32–0.45).
Conclusion: The Swedish version of the CPOT is a suitable instrument for assessing pain in critically ill adults. The overall reliability and validity measures converge with findings from previous studies of the CPOT, but in order to achieve enhanced generalizability of the CPOT, we encourage further evaluation of CPOT in broader groups of critically ill patients.</description><subject>Adult</subject><subject>Adults</subject><subject>Aged</subject><subject>Analgesics - therapeutic use</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Caring sciences</subject><subject>Conscious Sedation</subject><subject>Critical Care</subject><subject>Critical Care - methods</subject><subject>Critical Illness</subject><subject>Critical-Care pain observation tool</subject><subject>critically ill patients</subject><subject>Discriminant Analysis</subject><subject>Female</subject><subject>Humans</subject><subject>INTERDISCIPLINARY RESEARCH AREAS</subject><subject>Language</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Observer Variation</subject><subject>Omvårdnad</subject><subject>pain</subject><subject>Pain - diagnosis</subject><subject>Pain - drug therapy</subject><subject>pain assessment tool</subject><subject>Pain Measurement</subject><subject>Pain Measurement - methods</subject><subject>Pain Threshold</subject><subject>Reproducibility of Results</subject><subject>Sweden</subject><subject>TVÄRVETENSKAPLIGA FORSKNINGSOMRÅDEN</subject><subject>Vårdvetenskap</subject><issn>0001-5172</issn><issn>1399-6576</issn><issn>1399-6576</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkk2P0zAQhi0EYsvCX0C5ICRQir_i2AcOYYEFaQWHLnAcObFD3aZN1k7a7r_HIaXLBbG-ePz6GXtG8yKUEDwncb1ZzQlTKhVZLuYURxVTFsPDAzQ7XTxEM4wxSTOS0zP0JIRVPDKu1GN0RgmVklIxQ6ZIOm8bt3Fb7W-TnW6c0b1rt0lbJ_3SJou9NS4sk5314S-58q53lW7SSnubdNrFmzJYv5uS-7ZtkqhpMzR9eIoe1boJ9tlxP0ffPn64vviUXn29_HxRXKWVUEKkNrfaGCONxExJwjivdaaUslGL1RJec1bijHFaGsoY17mxFa2UKnOiBa3YOUqnd8PedkMJnXeb2BW02sFRWsfIQsYFE3nkX_2Tf---F9D6nxCWS2CE3w_26whzFeHX_4eXKxAik1mkX05059ubwYYeNi5Utmn01rZDAJmJXEjCxyLkRFa-DcHb-vQywTBaA1YwOgBGB8BoDfhtDTjE1OfHT4ZyY80p8Y8XIvDiCOgQJ1t7va1cuOOYYozgsbe3E7d3jb29dwFQFIsxupuSC709nPK1X0OcSZ7Bjy-XwK9jv0wu4B37BbG35Zo</recordid><startdate>201104</startdate><enddate>201104</enddate><creator>NÜRNBERG DAMSTRÖM, D.</creator><creator>SABOONCHI, F.</creator><creator>SACKEY, P. V.</creator><creator>BJÖRLING, G.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><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>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8X</scope><scope>DF4</scope></search><sort><creationdate>201104</creationdate><title>A preliminary validation of the Swedish version of the critical-care pain observation tool in adults</title><author>NÜRNBERG DAMSTRÖM, D. ; SABOONCHI, F. ; SACKEY, P. V. ; BJÖRLING, G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6966-e7eaddd8d803981344fa5999edd882214f43b05342bd2334a7dec2c99b71a62c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Aged</topic><topic>Analgesics - therapeutic use</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Caring sciences</topic><topic>Conscious Sedation</topic><topic>Critical Care</topic><topic>Critical Care - methods</topic><topic>Critical Illness</topic><topic>Critical-Care pain observation tool</topic><topic>critically ill patients</topic><topic>Discriminant Analysis</topic><topic>Female</topic><topic>Humans</topic><topic>INTERDISCIPLINARY RESEARCH AREAS</topic><topic>Language</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Observer Variation</topic><topic>Omvårdnad</topic><topic>pain</topic><topic>Pain - diagnosis</topic><topic>Pain - drug therapy</topic><topic>pain assessment tool</topic><topic>Pain Measurement</topic><topic>Pain Measurement - methods</topic><topic>Pain Threshold</topic><topic>Reproducibility of Results</topic><topic>Sweden</topic><topic>TVÄRVETENSKAPLIGA FORSKNINGSOMRÅDEN</topic><topic>Vårdvetenskap</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NÜRNBERG DAMSTRÖM, D.</creatorcontrib><creatorcontrib>SABOONCHI, F.</creatorcontrib><creatorcontrib>SACKEY, P. V.</creatorcontrib><creatorcontrib>BJÖRLING, G.</creatorcontrib><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>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Högskolan i Jönköping</collection><collection>SWEPUB Sophiahemmet Högskola</collection><jtitle>Acta anaesthesiologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>NÜRNBERG DAMSTRÖM, D.</au><au>SABOONCHI, F.</au><au>SACKEY, P. V.</au><au>BJÖRLING, G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A preliminary validation of the Swedish version of the critical-care pain observation tool in adults</atitle><jtitle>Acta anaesthesiologica Scandinavica</jtitle><addtitle>Acta Anaesthesiol Scand</addtitle><date>2011-04</date><risdate>2011</risdate><volume>55</volume><issue>4</issue><spage>379</spage><epage>386</epage><pages>379-386</pages><issn>0001-5172</issn><issn>1399-6576</issn><eissn>1399-6576</eissn><coden>AANEAB</coden><abstract>Background: Assessing pain in critically ill patients can be complicated, especially for those unable to communicate. A recently developed pain assessment tool, the Critical‐Care Pain Observation Tool (CPOT), has been shown to be a reliable tool for pain assessment in the Intensive Care Unit (ICU). The aim of the study was to validate the Swedish version of the CPOT.
Methods: Conscious and unconscious adults were observed during two procedures: one non‐nociceptive procedure (NNP) (arm‐ and face wash) and one nociceptive procedure (NP) (turning). In total, there were 240 patient assessments pre‐, per‐ and post‐procedure performed by two independent staff members at rest, during and 15 min after the different procedures. Measures of interrater reliability, internal consistency and discriminant validity of the CPOT were obtained to examine the properties of the Swedish version of CPOT.
Results: The results provide indications of good agreement between the independent raters (ICC=0.84). There was an adequate discriminant validity of the Swedish version of CPOT established by a significant peak for CPOT scores during the NP (per‐procedure). There was also a consistent pattern of significant correlations between CPOT and the mean artery pressure (ρ=0.32–0.45).
Conclusion: The Swedish version of the CPOT is a suitable instrument for assessing pain in critically ill adults. The overall reliability and validity measures converge with findings from previous studies of the CPOT, but in order to achieve enhanced generalizability of the CPOT, we encourage further evaluation of CPOT in broader groups of critically ill patients.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21288226</pmid><doi>10.1111/j.1399-6576.2010.02376.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Adults Aged Analgesics - therapeutic use Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Caring sciences Conscious Sedation Critical Care Critical Care - methods Critical Illness Critical-Care pain observation tool critically ill patients Discriminant Analysis Female Humans INTERDISCIPLINARY RESEARCH AREAS Language Male Medical sciences Middle Aged Nurses Nursing Observer Variation Omvårdnad pain Pain - diagnosis Pain - drug therapy pain assessment tool Pain Measurement Pain Measurement - methods Pain Threshold Reproducibility of Results Sweden TVÄRVETENSKAPLIGA FORSKNINGSOMRÅDEN Vårdvetenskap |
| title | A preliminary validation of the Swedish version of the critical-care pain observation tool in adults |
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