| Author | Menezes, Rodrigo C | |
| Author | Silva, Raissa L. O | |
| Author | Arriaga, María B | |
| Author | Ferreira, Isabella B. B | |
| Author | Carmo, Thomas A | |
| Author | Silva, Victor R. da | |
| Author | Otero, Matheus L | |
| Author | Gobatto, André L. N | |
| Author | Agareno, Sydney | |
| Author | Filgueiras Filho, Nivaldo M | |
| Author | Akrami, Kevan M | |
| Author | Andrade, Bruno B | |
| Access date | 2022-10-13T16:57:52Z | |
| Available date | 2022-10-13T16:57:52Z | |
| Document date | 2022 | |
| Citation | MENEZES, Rodrigo C. et al. A prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scale. Frontiers in Pain Research, v. 12, n. 3, p. 1-8, 2022. | en_US |
| ISSN | 2673-561X | en_US |
| URI | https://www.arca.fiocruz.br/handle/icict/55130 | |
| Sponsorship | Pesquisa intramural programa da FIOCRUZ.
Universidade do Estado da Bahia (UNEB).
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq).
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes).
Fogarty International Center and National Institute of ChildHealth & Human Development of theNational Institutos de Saúde.
Fundação de Amparo à Pesquisa do Estado da Bahia (FAPESB). | en_US |
| Language | eng | en_US |
| Publisher | Frontiers Media | en_US |
| Rights | open access | en_US |
| MeSH | Pain | en_US |
| MeSH | Critical Care | en_US |
| MeSH | Pain Management | en_US |
| Subject in Portuguese | Dor | en_US |
| Subject in Portuguese | Cuidados intensivos | en_US |
| Subject in Portuguese | Gerenciamento da dor | en_US |
| Subject in Portuguese | Ferramenta de observação da dor | en_US |
| Subject in Portuguese | Exame de dor | en_US |
| Title | A prospective comparison between multidisciplinary healthcare providers’ clinical examination and a validated pain scale | en_US |
| Type | Article | en_US |
| DOI | 10.3389/fpain.2022.960216 | |
| Abstract | Introduction: Unrecognized pain in the Intensive Care Unit (ICU), due to inadequate assessment and therapeutic management, is associated with increased morbidity and mortality. Despite the availability of validated pain monitoring tools, such as the Critical-Care Pain Observational Tool (CPOT), these scales are not commonly used in clinical practice, with healthcare professionals often relying on their clinical impression. Our study aims to determine the agreement between the pain examination performed by ICU professionals and the CPOT. Methods: Prospective cohort study that included critically ill patients and physicians, nurses and physiotherapists from an ICU in Bahia, Brazil. During bedside clinical rounds, the CPOT score was applied to assess the pain of hospitalized patients, and health professionals were interviewed to ascertain their perception of the patient's pain for a maximum of five consecutive days. Correlations were assessed using the Spearman rank tests. Hierarchical cluster analysis was employed to show the results of CPOT score and pain assessment by healthcare professionals at each study time. And the Kappa statistic was calculated to assess the agreement between the CPOT score vs. the pain assessment by healthcare providers. Results: One hundred one patients were included in the study with median age of 74 years (IQR 61.5-83.5), a predominance of women (55.4%) and a median SAPS 3 score of 45 (IQR 39.5-53.0). The correlation between the professional's pain assessment and the CPOT were mostly statistically significant, ranged from negligible to weak, being the highest index obtained in the evaluation of nurses on day 5 (Kappa index = 0.43, p = 0.005). Physician assessments were significant only in day 1. On the presence of pain, the professionals' assessments and CPOT revealed mild to a moderate agreement. Conclusion: Healthcare professional's pain assessment displayed a weak positive correlation with a validated pain scale and poor agreement amongst members of the ICU team, particularly when the pain was felt to be absent. Thus, this study highlights the importance of routine tools for pain assessment in the ICU for all members of multidisciplinary teams. | en_US |
| Affilliation | Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA. Brasil / Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil. | en_US |
| Affilliation | Universidade Salvador. Faculdade de Medicina. Salvador, BA, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA. Brasil / Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil. | en_US |
| Affilliation | Universidade do Estado da Bahia. Departamento de Ciências da Vida, Salvador, BA, Brasil / Hospital da Cidade. Unidade de Tratamento Intensivo. Salvador, BA, Brasil. | en_US |
| Affilliation | Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil / Universidade Salvador. Faculdade de Medicina. Salvador, BA, Brasil. | en_US |
| Affilliation | Universidade Salvador. Faculdade de Medicina. Salvador, BA, Brasil. | en_US |
| Affilliation | Universidade Salvador. Faculdade de Medicina. Salvador, BA, Brasil. | en_US |
| Affilliation | Hospital da Cidade. Unidade de Tratamento Intensivo. Salvador, BA, Brasil. | en_US |
| Affilliation | Hospital da Cidade. Unidade de Tratamento Intensivo. Salvador, BA, Brasil. | en_US |
| Affilliation | Universidade Salvador. Faculdade de Medicina. Salvador, BA, Brasil / Universidade do Estado da Bahia. Departamento de Ciências da Vida, Salvador, BA, Brasil / Hospital da Cidade. Unidade de Tratamento Intensivo. Salvador, BA, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA. Brasil / Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil / Division of Infectious Diseases and Pulmonary Critical Care and Sleep Medicine. Department of Medicine. University of California. San Diego CA, United States. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA. Brasil / Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil / Universidade Salvador. Faculdade de Medicina. Salvador, BA, Brasil / Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil. | en_US |
| Subject | Pain | en_US |
| Subject | Critical care | en_US |
| Subject | Pain management | en_US |
| Subject | Pain observation tool | en_US |
| Subject | Pain examination | en_US |
| DeCS | Dor | en_US |
| DeCS | Cuidados Críticos | en_US |
