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

Calvo, G., Holden, E., Reid, J., Scott, E.M. , Firth, A., Bell, A., Robertson, S. and Nolan, A.M. (2014) Development of a behaviour-based measurement tool with defined intervention level for assessing acute pain in cats. Journal of Small Animal Practice, 55(12), pp. 622-629. (doi:10.1111/jsap.12280)

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Abstract

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.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Scott, Professor E Marian and Reid, Ms Jacqueline and Bell, Mr Andrew and Calvo, Ms Gillian and Firth, Dr Ava
Authors: Calvo, G., Holden, E., Reid, J., Scott, E.M., Firth, A., Bell, A., Robertson, S., and Nolan, A.M.
College/School:College of Science and Engineering > School of Mathematics and Statistics > Statistics
College of Medical Veterinary and Life Sciences > School of Veterinary Medicine
Journal Name:Journal of Small Animal Practice
Publisher:Wiley-Blackwell Publishing Ltd.
ISSN:0022-4510
ISSN (Online):1748-5827
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