Agreement among anesthesiologists regarding postoperative pain assessment in dogs

Autor: Erik H. Hofmeister, Jane E. Quandt, Cynthia M. Trim, Benjamin M. Brainard, Michele Barletta, Molly K. Shepard
Rok vydání: 2017
Předmět:
Zdroj: Veterinary anaesthesia and analgesia. 45(5)
ISSN: 1467-2995
Popis: Objective To establish evidence for the validity and reliability of three commonly used pain scales in dogs when assessed by video by specialists in anesthesia. Study design Mixed-method test–retest observational study. Subjects A group of six American College of Veterinary Anesthesia and Analgesia board-certified specialists and 31 postoperative dogs. Methods The evaluators scored 31 dogs using a visual analogue scale (VAS), numeric rating scale (NRS), and Glasgow pain scale (GPS). The evaluators individually scored the dogs using all three scales together and subsequently, at 3 month intervals, using each of the scales apart. Then, all evaluators in one room reviewed 23 of the videos. A camera was positioned for video and audio recording of discussion about the videos. Intra- and interobserver reliability was determined using a two-way random model intra-class correlation coefficient (ICC). Results Linear regression indicated a strong correlation among all scales when assigned together (VAS versus NRS, p Conclusions and clinical relevance The preferred use of the VAS and NRS over the use of the GPS should be cautiously considered for research applications when experts are observers. Revisions of the GPS to clarify descriptors and remove or modify items that may not be associated with pain in dogs should be considered.
Databáze: OpenAIRE