A prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scale

Detalhes bibliográficos
Autor(a) principal: Menezes, Rodrigo C
Data de Publicação: 2022
Outros Autores: Silva, Raissa L. O, Arriaga, María B, Ferreira, Isabella B. B, Carmo, Thomas A, Silva, Victor R. da, Otero, Matheus L, Gobatto, André L. N, Agareno, Sydney, Filgueiras Filho, Nivaldo M, Akrami, Kevan M, Andrade, Bruno B
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/55130
Resumo: Pesquisa intramural programa da FIOCRUZ. Universidade do Estado da Bahia (UNEB). Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq). Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes). Fogarty International Center and National Institute of ChildHealth & Human Development of theNational Institutos de Saúde. Fundação de Amparo à Pesquisa do Estado da Bahia (FAPESB).
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spelling Menezes, Rodrigo CSilva, Raissa L. OArriaga, María BFerreira, Isabella B. BCarmo, Thomas ASilva, Victor R. daOtero, Matheus LGobatto, André L. NAgareno, SydneyFilgueiras Filho, Nivaldo MAkrami, Kevan MAndrade, Bruno B2022-10-13T16:57:52Z2022-10-13T16:57:52Z2022MENEZES, Rodrigo C. et al. A prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scale. Frontiers in Pain Research, v. 12, n. 3, p. 1-8, 2022.2673-561Xhttps://www.arca.fiocruz.br/handle/icict/5513010.3389/fpain.2022.960216Pesquisa intramural programa da FIOCRUZ. Universidade do Estado da Bahia (UNEB). Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq). Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes). Fogarty International Center and National Institute of ChildHealth & Human Development of theNational Institutos de Saúde. Fundação de Amparo à Pesquisa do Estado da Bahia (FAPESB).Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA. Brasil / Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil.Universidade Salvador. Faculdade de Medicina. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA. Brasil / Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil.Universidade do Estado da Bahia. Departamento de Ciências da Vida, Salvador, BA, Brasil / Hospital da Cidade. Unidade de Tratamento Intensivo. Salvador, BA, Brasil.Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil / Universidade Salvador. Faculdade de Medicina. Salvador, BA, Brasil.Universidade Salvador. Faculdade de Medicina. Salvador, BA, Brasil.Universidade Salvador. Faculdade de Medicina. Salvador, BA, Brasil.Hospital da Cidade. Unidade de Tratamento Intensivo. Salvador, BA, Brasil.Hospital da Cidade. Unidade de Tratamento Intensivo. Salvador, BA, Brasil.Universidade Salvador. Faculdade de Medicina. Salvador, BA, Brasil / Universidade do Estado da Bahia. Departamento de Ciências da Vida, Salvador, BA, Brasil / Hospital da Cidade. Unidade de Tratamento Intensivo. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA. Brasil / Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil / Division of Infectious Diseases and Pulmonary Critical Care and Sleep Medicine. Department of Medicine. University of California. San Diego CA, United States.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA. Brasil / Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil / Universidade Salvador. Faculdade de Medicina. Salvador, BA, Brasil / Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Introduction: Unrecognized pain in the Intensive Care Unit (ICU), due to inadequate assessment and therapeutic management, is associated with increased morbidity and mortality. Despite the availability of validated pain monitoring tools, such as the Critical-Care Pain Observational Tool (CPOT), these scales are not commonly used in clinical practice, with healthcare professionals often relying on their clinical impression. Our study aims to determine the agreement between the pain examination performed by ICU professionals and the CPOT. Methods: Prospective cohort study that included critically ill patients and physicians, nurses and physiotherapists from an ICU in Bahia, Brazil. During bedside clinical rounds, the CPOT score was applied to assess the pain of hospitalized patients, and health professionals were interviewed to ascertain their perception of the patient's pain for a maximum of five consecutive days. Correlations were assessed using the Spearman rank tests. Hierarchical cluster analysis was employed to show the results of CPOT score and pain assessment by healthcare professionals at each study time. And the Kappa statistic was calculated to assess the agreement between the CPOT score vs. the pain assessment by healthcare providers. Results: One hundred one patients were included in the study with median age of 74 years (IQR 61.5-83.5), a predominance of women (55.4%) and a median SAPS 3 score of 45 (IQR 39.5-53.0). The correlation between the professional's pain assessment and the CPOT were mostly statistically significant, ranged from negligible to weak, being the highest index obtained in the evaluation of nurses on day 5 (Kappa index = 0.43, p = 0.005). Physician assessments were significant only in day 1. On the presence of pain, the professionals' assessments and CPOT revealed mild to a moderate agreement. Conclusion: Healthcare professional's pain assessment displayed a weak positive correlation with a validated pain scale and poor agreement amongst members of the ICU team, particularly when the pain was felt to be absent. Thus, this study highlights the importance of routine tools for pain assessment in the ICU for all members of multidisciplinary teams.engFrontiers MediaPainCritical CarePain ManagementDorCuidados intensivosGerenciamento da dorFerramenta de observação da dorExame de dorPainCritical carePain managementPain observation toolPain examinationDorCuidados CríticosA prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scaleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/55130/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALMenezes, Rodrigo C. - A prospective comparison between multidisciplinary....pdfMenezes, Rodrigo C. - A prospective comparison between 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dc.title.en_US.fl_str_mv A prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scale
title A prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scale
spellingShingle A prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scale
Menezes, Rodrigo C
Pain
Critical Care
Pain Management
Dor
Cuidados intensivos
Gerenciamento da dor
Ferramenta de observação da dor
Exame de dor
Pain
Critical care
Pain management
Pain observation tool
Pain examination
Dor
Cuidados Críticos
title_short A prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scale
title_full A prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scale
title_fullStr A prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scale
title_full_unstemmed A prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scale
title_sort A prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scale
author Menezes, Rodrigo C
author_facet Menezes, Rodrigo C
Silva, Raissa L. O
Arriaga, María B
Ferreira, Isabella B. B
Carmo, Thomas A
Silva, Victor R. da
Otero, Matheus L
Gobatto, André L. N
Agareno, Sydney
Filgueiras Filho, Nivaldo M
Akrami, Kevan M
Andrade, Bruno B
author_role author
author2 Silva, Raissa L. O
Arriaga, María B
Ferreira, Isabella B. B
Carmo, Thomas A
Silva, Victor R. da
Otero, Matheus L
Gobatto, André L. N
Agareno, Sydney
Filgueiras Filho, Nivaldo M
Akrami, Kevan M
Andrade, Bruno B
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Menezes, Rodrigo C
Silva, Raissa L. O
Arriaga, María B
Ferreira, Isabella B. B
Carmo, Thomas A
Silva, Victor R. da
Otero, Matheus L
Gobatto, André L. N
Agareno, Sydney
Filgueiras Filho, Nivaldo M
Akrami, Kevan M
Andrade, Bruno B
dc.subject.mesh.en_US.fl_str_mv Pain
Critical Care
Pain Management
topic Pain
Critical Care
Pain Management
Dor
Cuidados intensivos
Gerenciamento da dor
Ferramenta de observação da dor
Exame de dor
Pain
Critical care
Pain management
Pain observation tool
Pain examination
Dor
Cuidados Críticos
dc.subject.other.en_US.fl_str_mv Dor
Cuidados intensivos
Gerenciamento da dor
Ferramenta de observação da dor
Exame de dor
dc.subject.en.en_US.fl_str_mv Pain
Critical care
Pain management
Pain observation tool
Pain examination
dc.subject.decs.en_US.fl_str_mv Dor
Cuidados Críticos
description Pesquisa intramural programa da FIOCRUZ. Universidade do Estado da Bahia (UNEB). Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq). Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes). Fogarty International Center and National Institute of ChildHealth & Human Development of theNational Institutos de Saúde. Fundação de Amparo à Pesquisa do Estado da Bahia (FAPESB).
publishDate 2022
dc.date.accessioned.fl_str_mv 2022-10-13T16:57:52Z
dc.date.available.fl_str_mv 2022-10-13T16:57:52Z
dc.date.issued.fl_str_mv 2022
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv MENEZES, Rodrigo C. et al. A prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scale. Frontiers in Pain Research, v. 12, n. 3, p. 1-8, 2022.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/55130
dc.identifier.issn.en_US.fl_str_mv 2673-561X
dc.identifier.doi.none.fl_str_mv 10.3389/fpain.2022.960216
identifier_str_mv MENEZES, Rodrigo C. et al. A prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scale. Frontiers in Pain Research, v. 12, n. 3, p. 1-8, 2022.
2673-561X
10.3389/fpain.2022.960216
url https://www.arca.fiocruz.br/handle/icict/55130
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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collection Repositório Institucional da FIOCRUZ (ARCA)
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