REVISTA

Desarrollo de una herramienta de evaluación del dolor agudo en gatos basada en el comportamiento

Descripción: Desarrollar una herramienta de medida de escala de dolor en gatos basada en el comportamiento, para evaluar el dolor agudo, y derivar una puntuación de intervención.

TITULO FUENTE ORIGINAL:

Development of a behaviour‐based measurement tool with defined intervention level for assessing acute pain in cats

AUTORES:

Calvo G , Holden E , Reid J , Scott EM , Firth A , Bell A , Robertson S , Nolan AM

REVISTA ABREV.:

Journal of small animal practice

AÑO:

2014

REFERENCIA:

55 (12): 622-9

DOI:

10.1111 / jsap.12280

RESUMEN ORIGINAL:

OBJECTIVES:
To develop a composite measure pain scale tool to assess acute pain in cats and derive an intervention score.
METHODS:
To develop the prototype composite measure pain scale-feline, words describing painful cats were collected, grouped into behavioural categories and ranked. To assess prototype validity two observers independently assigned composite measure pain...
+ Leer más

OBJECTIVES:
To develop a composite measure pain scale tool to assess acute pain in cats and derive an intervention score.

METHODS:
To develop the prototype composite measure pain scale-feline, words describing painful cats were collected, grouped into behavioural categories and ranked. To assess prototype validity two observers independently assigned composite measure pain scale-feline and numerical rating scale scores to 25 hospitalised cats before and after analgesic treatment. Following interim analysis the prototype was revised (revised composite measure pain scale-feline). To determine intervention score, two observers independently assigned revised composite measure pain scale-feline and numerical rating scale scores to 116 cats. A further observer, a veterinarian, stated whether analgesia was necessary.

RESULTS:
Mean ± sd decrease in revised composite measure pain scale-feline and numerical rating scale scores following analgesia were 2 · 4 ± 2 · 87 and 1 · 9 ± 2 · 34, respectively (95% confidence interval for mean change in revised composite measure pain scale-feline between 1 · 21 and 3 · 6). Changes in revised composite measure pain scale-feline and numerical rating scale were significantly correlated (r = 0 · 8) (P < 0001). Intervention level score of ≥4/16 was derived for revised composite measure pain scale-feline (26 · 7% misclassification) and ≥3/10 for numerical rating scale (14 · 5% misclassification).

CLINICAL SIGNIFICANCE:
A valid instrument with a recommended analgesic intervention level has been developed to assess acute clinical pain in cats that should be readily applicable in practice.

- Leer menos