Validation Testing of the European Portuguese Critical-Care Pain Observation Tool
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.8/8492 |
Resumo: | Aim. The study aim was to validate the Portuguese version of the Critical-Care Pain Observation Tool (CPOT) in the critically ill adult population of Portugal. Methods. A prospective, observational cohort study was conducted to evaluate the CPOT in mechanically ventilated patients who were admitted to an intensive care unit. A consecutive sample of 110 patients was observed at rest pre-procedure, during a nociceptive procedure (NP) which includes turning/positioning and endotracheal or tracheal suctioning and 20 min post-procedure. Two raters participated in the data collection. The discriminative validity, criterion validity, convergent validity and inter-rater reliability of the CPOT were examined. Results. The inter-rater reliability was excellent (0.93 ≤ α ≤ 1.00) at rest and fair to moderate (0.39 ≤ α ≤ 0.60) during the NP. The CPOT could discriminate between conditions with higher scores during the NP when compared to CPOT scores at rest (p < 0.001). The optimal CPOT cut-off score was >2, with a sensitivity of 71% and a specificity of 80%, and selfreported pain was the gold standard criterion. Significant correlations (<0.40) were found between CPOT scores, the heart rate and the respiratory rate during the nociceptive procedure. Conclusions. The CPOT appears to be a valid alternative for both ventilated and non-ventilated patients who are unable to communicate. |
id |
RCAP_846a9304540cd68da643f3244cbbadd8 |
---|---|
oai_identifier_str |
oai:iconline.ipleiria.pt:10400.8/8492 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Validation Testing of the European Portuguese Critical-Care Pain Observation ToolPain assessmentCritical care nursingValidationAim. The study aim was to validate the Portuguese version of the Critical-Care Pain Observation Tool (CPOT) in the critically ill adult population of Portugal. Methods. A prospective, observational cohort study was conducted to evaluate the CPOT in mechanically ventilated patients who were admitted to an intensive care unit. A consecutive sample of 110 patients was observed at rest pre-procedure, during a nociceptive procedure (NP) which includes turning/positioning and endotracheal or tracheal suctioning and 20 min post-procedure. Two raters participated in the data collection. The discriminative validity, criterion validity, convergent validity and inter-rater reliability of the CPOT were examined. Results. The inter-rater reliability was excellent (0.93 ≤ α ≤ 1.00) at rest and fair to moderate (0.39 ≤ α ≤ 0.60) during the NP. The CPOT could discriminate between conditions with higher scores during the NP when compared to CPOT scores at rest (p < 0.001). The optimal CPOT cut-off score was >2, with a sensitivity of 71% and a specificity of 80%, and selfreported pain was the gold standard criterion. Significant correlations (<0.40) were found between CPOT scores, the heart rate and the respiratory rate during the nociceptive procedure. Conclusions. The CPOT appears to be a valid alternative for both ventilated and non-ventilated patients who are unable to communicate.MDPIIC-OnlineMarques, RitaAraújo, FilipaFernandes, MarisaFreitas, JoséDixe, Maria dos AnjosGélinas, Céline2023-05-23T10:00:20Z2022-06-092022-06-09T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.8/8492engMarques R, Araújo F, Fernandes M, Freitas J, Dixe MA, Gélinas C. Validation Testing of the European Portuguese Critical-Care Pain Observation Tool. Healthcare (Basel). 2022 Jun 9;10(6):1075. doi: 10.3390/healthcare10061075. PMID: 35742126; PMCID: PMC9222682.https://doi.org/10.3390/healthcare100610752227-9032922268235742126info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-09-26T18:25:30Zoai:iconline.ipleiria.pt:10400.8/8492Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-09-26T18:25:30Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Validation Testing of the European Portuguese Critical-Care Pain Observation Tool |
title |
Validation Testing of the European Portuguese Critical-Care Pain Observation Tool |
spellingShingle |
Validation Testing of the European Portuguese Critical-Care Pain Observation Tool Marques, Rita Pain assessment Critical care nursing Validation |
title_short |
Validation Testing of the European Portuguese Critical-Care Pain Observation Tool |
title_full |
Validation Testing of the European Portuguese Critical-Care Pain Observation Tool |
title_fullStr |
Validation Testing of the European Portuguese Critical-Care Pain Observation Tool |
title_full_unstemmed |
Validation Testing of the European Portuguese Critical-Care Pain Observation Tool |
title_sort |
Validation Testing of the European Portuguese Critical-Care Pain Observation Tool |
author |
Marques, Rita |
author_facet |
Marques, Rita Araújo, Filipa Fernandes, Marisa Freitas, José Dixe, Maria dos Anjos Gélinas, Céline |
author_role |
author |
author2 |
Araújo, Filipa Fernandes, Marisa Freitas, José Dixe, Maria dos Anjos Gélinas, Céline |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
IC-Online |
dc.contributor.author.fl_str_mv |
Marques, Rita Araújo, Filipa Fernandes, Marisa Freitas, José Dixe, Maria dos Anjos Gélinas, Céline |
dc.subject.por.fl_str_mv |
Pain assessment Critical care nursing Validation |
topic |
Pain assessment Critical care nursing Validation |
description |
Aim. The study aim was to validate the Portuguese version of the Critical-Care Pain Observation Tool (CPOT) in the critically ill adult population of Portugal. Methods. A prospective, observational cohort study was conducted to evaluate the CPOT in mechanically ventilated patients who were admitted to an intensive care unit. A consecutive sample of 110 patients was observed at rest pre-procedure, during a nociceptive procedure (NP) which includes turning/positioning and endotracheal or tracheal suctioning and 20 min post-procedure. Two raters participated in the data collection. The discriminative validity, criterion validity, convergent validity and inter-rater reliability of the CPOT were examined. Results. The inter-rater reliability was excellent (0.93 ≤ α ≤ 1.00) at rest and fair to moderate (0.39 ≤ α ≤ 0.60) during the NP. The CPOT could discriminate between conditions with higher scores during the NP when compared to CPOT scores at rest (p < 0.001). The optimal CPOT cut-off score was >2, with a sensitivity of 71% and a specificity of 80%, and selfreported pain was the gold standard criterion. Significant correlations (<0.40) were found between CPOT scores, the heart rate and the respiratory rate during the nociceptive procedure. Conclusions. The CPOT appears to be a valid alternative for both ventilated and non-ventilated patients who are unable to communicate. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-09 2022-06-09T00:00:00Z 2023-05-23T10:00:20Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.8/8492 |
url |
http://hdl.handle.net/10400.8/8492 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Marques R, Araújo F, Fernandes M, Freitas J, Dixe MA, Gélinas C. Validation Testing of the European Portuguese Critical-Care Pain Observation Tool. Healthcare (Basel). 2022 Jun 9;10(6):1075. doi: 10.3390/healthcare10061075. PMID: 35742126; PMCID: PMC9222682. https://doi.org/10.3390/healthcare10061075 2227-9032 9222682 35742126 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
MDPI |
publisher.none.fl_str_mv |
MDPI |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
mluisa.alvim@gmail.com |
_version_ |
1817547292141420544 |