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Validation of the Polish version of the Critical Care Pain Observation Tool (CPOT) to assess pain intensity in adult, intubated intensive care unit patients: the POL-CPOT study
INTRODUCTION: Pain in the critically ill affects nearly 50% of patients. In patients unable to self-report pain, behavioural scales are used. The aim of this study was to validate the Polish version of the Critical Care Pain Observation Tool (CPOT). MATERIAL AND METHODS: The prospective observationa...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040120/ https://www.ncbi.nlm.nih.gov/pubmed/30002708 http://dx.doi.org/10.5114/aoms.2017.69752 |
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author | Kotfis, Katarzyna Zegan-Barańska, Małgorzata Strzelbicka, Marta Safranow, Krzysztof Żukowski, Maciej Ely, E. Wesley |
author_facet | Kotfis, Katarzyna Zegan-Barańska, Małgorzata Strzelbicka, Marta Safranow, Krzysztof Żukowski, Maciej Ely, E. Wesley |
author_sort | Kotfis, Katarzyna |
collection | PubMed |
description | INTRODUCTION: Pain in the critically ill affects nearly 50% of patients. In patients unable to self-report pain, behavioural scales are used. The aim of this study was to validate the Polish version of the Critical Care Pain Observation Tool (CPOT). MATERIAL AND METHODS: The prospective observational cohort study included patients observed during non-nociceptive and nociceptive procedures, at rest, during the intervention, and 15 min after each intervention. Assessments included self-report by patients and CPOT assessment carried out by two blinded observers. RESULTS: A total of 71 patients were included in the study (mean age: 66 years), predominantly males (50/71, 70%), mean APACHE II score 26.04 ±10.56. Results showed an excellent inter-rater correlation (ICC) between raters (ICC scores > 0.97). Self-report NRS (numeric rating scale) scores were available from 58/71 patients (82%). Patients’ self-reported pain and CPOT showed a very strong correlation (Spearman’s R > 0.85, p < 0.0001). The CPOT has high diagnostic value for detection of presence of patients’ self-reported pain (ROC AUC = 0.938 for rater A and 0.951 for rater B, p < 0.0001). CPOT score ≥ 2 is an optimal cut-off to detect pain during a nociceptive procedure. A significantly higher mean CPOT score during a nociceptive procedure as compared to a non-nociceptive procedure or at rest was found (p < 0.0001). CONCLUSIONS: This study shows that the Polish version of the CPOT can be used to assess pain in critically ill patients with no hypnotic, opioid-based analgo-sedation. Polish CPOT scores correlated well with patients’ self-reported presence of pain and showed excellent inter-rater reliability. This makes the Polish version of the CPOT a reliable pain assessment tool. |
format | Online Article Text |
id | pubmed-6040120 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-60401202018-07-12 Validation of the Polish version of the Critical Care Pain Observation Tool (CPOT) to assess pain intensity in adult, intubated intensive care unit patients: the POL-CPOT study Kotfis, Katarzyna Zegan-Barańska, Małgorzata Strzelbicka, Marta Safranow, Krzysztof Żukowski, Maciej Ely, E. Wesley Arch Med Sci Clinical Research INTRODUCTION: Pain in the critically ill affects nearly 50% of patients. In patients unable to self-report pain, behavioural scales are used. The aim of this study was to validate the Polish version of the Critical Care Pain Observation Tool (CPOT). MATERIAL AND METHODS: The prospective observational cohort study included patients observed during non-nociceptive and nociceptive procedures, at rest, during the intervention, and 15 min after each intervention. Assessments included self-report by patients and CPOT assessment carried out by two blinded observers. RESULTS: A total of 71 patients were included in the study (mean age: 66 years), predominantly males (50/71, 70%), mean APACHE II score 26.04 ±10.56. Results showed an excellent inter-rater correlation (ICC) between raters (ICC scores > 0.97). Self-report NRS (numeric rating scale) scores were available from 58/71 patients (82%). Patients’ self-reported pain and CPOT showed a very strong correlation (Spearman’s R > 0.85, p < 0.0001). The CPOT has high diagnostic value for detection of presence of patients’ self-reported pain (ROC AUC = 0.938 for rater A and 0.951 for rater B, p < 0.0001). CPOT score ≥ 2 is an optimal cut-off to detect pain during a nociceptive procedure. A significantly higher mean CPOT score during a nociceptive procedure as compared to a non-nociceptive procedure or at rest was found (p < 0.0001). CONCLUSIONS: This study shows that the Polish version of the CPOT can be used to assess pain in critically ill patients with no hypnotic, opioid-based analgo-sedation. Polish CPOT scores correlated well with patients’ self-reported presence of pain and showed excellent inter-rater reliability. This makes the Polish version of the CPOT a reliable pain assessment tool. Termedia Publishing House 2017-09-01 2018-06 /pmc/articles/PMC6040120/ /pubmed/30002708 http://dx.doi.org/10.5114/aoms.2017.69752 Text en Copyright: © 2017 Termedia & Banach http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Clinical Research Kotfis, Katarzyna Zegan-Barańska, Małgorzata Strzelbicka, Marta Safranow, Krzysztof Żukowski, Maciej Ely, E. Wesley Validation of the Polish version of the Critical Care Pain Observation Tool (CPOT) to assess pain intensity in adult, intubated intensive care unit patients: the POL-CPOT study |
title | Validation of the Polish version of the Critical Care Pain Observation Tool (CPOT) to assess pain intensity in adult, intubated intensive care unit patients: the POL-CPOT study |
title_full | Validation of the Polish version of the Critical Care Pain Observation Tool (CPOT) to assess pain intensity in adult, intubated intensive care unit patients: the POL-CPOT study |
title_fullStr | Validation of the Polish version of the Critical Care Pain Observation Tool (CPOT) to assess pain intensity in adult, intubated intensive care unit patients: the POL-CPOT study |
title_full_unstemmed | Validation of the Polish version of the Critical Care Pain Observation Tool (CPOT) to assess pain intensity in adult, intubated intensive care unit patients: the POL-CPOT study |
title_short | Validation of the Polish version of the Critical Care Pain Observation Tool (CPOT) to assess pain intensity in adult, intubated intensive care unit patients: the POL-CPOT study |
title_sort | validation of the polish version of the critical care pain observation tool (cpot) to assess pain intensity in adult, intubated intensive care unit patients: the pol-cpot study |
topic | Clinical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040120/ https://www.ncbi.nlm.nih.gov/pubmed/30002708 http://dx.doi.org/10.5114/aoms.2017.69752 |
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