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 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 |
| Related URLs: |
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