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Tytuł pozycji:

Behaviour-based pain scales: Validity and interrater reliability of BPS-NI and PAINAD-G on general wards.

Tytuł:
Behaviour-based pain scales: Validity and interrater reliability of BPS-NI and PAINAD-G on general wards.
Autorzy:
Wandrey JD; Department of Anaesthesiology and Operative Intensive Care, Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Behnel N; Department of Anaesthesiology and Operative Intensive Care, Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Weidner E; Department of Anaesthesiology and Operative Intensive Care, Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Dummin U; Department of Anaesthesiology and Operative Intensive Care, Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
von Dincklage F; Department of Anaesthesiology and Operative Intensive Care, Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.; Department of Anesthesia, Critical Care, Emergency and Pain Medicine, Ferdinand-Sauerbruch-Strasse, Universitätsmedizin Greifswald, Greifswald, Germany.
Tafelski S; Department of Anaesthesiology and Operative Intensive Care, Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Źródło:
European journal of pain (London, England) [Eur J Pain] 2023 Feb; Vol. 27 (2), pp. 201-211. Date of Electronic Publication: 2022 Nov 16.
Typ publikacji:
Journal Article; Validation Study
Język:
English
Imprint Name(s):
Publication: 2012- : Chichester, UK : Wiley
Original Publication: London ; Philadelphia : Saunders, c1997-
MeSH Terms:
Pain*/diagnosis
Pain Measurement*/methods
Humans ; Dementia/complications ; Patients' Rooms ; Reproducibility of Results
References:
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Entry Date(s):
Date Created: 20221103 Date Completed: 20230124 Latest Revision: 20230501
Update Code:
20240105
DOI:
10.1002/ejp.2051
PMID:
36326568
Czasopismo naukowe
Background: Measuring pain intensity in patients unable to communicate is a challenge on general wards. Observation-based pain scoring tools have been used for patients with dementia or in critically ill intensive care unit (ICU) patients. However, there is no established or validated assessment tool for non-ICU patients without dementia related cognitive deficiencies who cannot communicate. The "Behavioural Pain Scale Non-Intubated" (BPS-NI) and the "Pain Assessment In Advanced Dementia-German" (PAINAD-G) are potential tools to fill this gap.
Methods: This study was performed with verbal non-ICU patients on general wards at Charité Berlin. Two assessors independently rated pain intensity using the BPS-NI and the PAINAD-G along with patients' self-ratings on the Numeric Rating Scale (NRS). The interrater-reliability of BPS-NI and PAINAD-G was calculated and ROC-analyses were performed to identify cut-off values for medium and intense pain for each score. Effectiveness was calculated using percentage agreement. In total, 126 patients were included into analysis.
Results: The BPS-NI showed substantial congruence in interrater-reliability (Cohens-Kappa 0.71), whereas the PAINAD-G showed moderate congruence (Kappa 0.48). Based on ROC-analyses, for medium pain levels a cut-off 4 (BPS-NI) or 2 (PAINAD-G) and for severe pain levels cut-off 5 (BPS-NI) and 3 (PAINAD-G) would result in good accordance with self-reported NRS for pain.
Conclusion: The BPS-NI shows a good validity in measuring pain intensity in patients on general wards and may possibly be used for patients unable to communicate. Using defined cut-off values for BPS-NI and PAINAD-G, clinically relevant pain intensities in patients can reliably be detected.
Significance: Measuring the pain intensity in patients unable to communicate is a common challenge on general wards. This study assessed reliability and applicability BPS-NI and the PAINAD-G in a general ward setting. Furthermore, it provides cut-off values in order to estimate pain intensity and support analgesic response.
(© 2022 The Authors. European Journal of Pain published by John Wiley & Sons Ltd on behalf of European Pain Federation - EFIC ®.)
Comment in: Eur J Pain. 2023 May;27(5):655-656. (PMID: 36655554)

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