Validation Testing of the European Portuguese Critical-Care Pain Observation Tool

Detalhes bibliográficos
Autor(a) principal: Marques, Rita
Data de Publicação: 2022
Outros Autores: Araújo, Filipa, Fernandes, Marisa, Freitas, José, Dixe, Maria dos Anjos, Gélinas, Céline
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.
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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
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dc.publisher.none.fl_str_mv MDPI
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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
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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
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