REVISTA DESTACADA

Escala comportamentaal de evaluación del dolor en gatos

Descripción: Escala basada en el comportamiento para la evaluación del dolor en gatos con indicación del momento de tratamiento.

TITULO FUENTE ORIGINAL:

Development of a behaviour-based measurement tool with defined intervnetion 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.:

J Small Anim Pract

AÑO:

2014

REFERENCIA:

55(12):622-9

DOI:

10.1111/jsap.12280

FECHA DE PUBLICACIÓN:

30/12/2014

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...
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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.

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ENLACES DE INTERÉS

Editorial: : http://onlinelibrary.wiley.com/doi/10.1111/js[...]