Validation of the Unesp-Botucatu composite scale to assess acute postoperative abdominal pain in sheep (USAPS)
| Autor: | Maria Alice Pires Moreira, Nuno Emanuel de Oliveira Figueiredo da Silva, Stelio Pacca Loureiro Luna, Marilda Onghero Taffarel, Renan Denadai, Pedro Henrique Esteves Trindade, Alice Rodrigues de Oliveira, Paula Barreto da Rocha |
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| Přispěvatelé: | Universidade Estadual Paulista (Unesp), State University of Maringá, Urutai Campus |
| Rok vydání: | 2020 |
| Předmět: |
Models
Anatomic Swine Youden's J statistic Video Recording Social Sciences law.invention 0403 veterinary science Randomized controlled trial law Medicine and Health Sciences Psychology Medicine Prospective Studies Laparoscopy Prospective cohort study Pain Measurement Mammals Observer Variation Analgesics Pain Postoperative Multidisciplinary Animal Behavior medicine.diagnostic_test Pharmaceutics Area under the curve Drugs Eukaryota Ruminants 04 agricultural and veterinary sciences Pain scale Vertebrates Models Animal Female Brazil Research Article medicine.medical_specialty 040301 veterinary sciences Science Analgesic Pain Surgical and Invasive Medical Procedures Signs and Symptoms Drug Therapy Cronbach's alpha Bovines Pain Management Animals Sheep Domestic Pharmacology Behavior Sheep business.industry Organisms 0402 animal and dairy science Biology and Life Sciences 040201 dairy & animal science Abdominal Pain Amniotes Physical therapy Cattle Clinical Medicine Analgesia business Zoology |
| Zdroj: | PLoS ONE, Vol 15, Iss 10, p e0239622 (2020) PLoS ONE Scopus Repositório Institucional da UNESP Universidade Estadual Paulista (UNESP) instacron:UNESP |
| ISSN: | 1932-6203 |
| Popis: | Made available in DSpace on 2021-06-25T10:36:44Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-10-01 A scale with robust statistical validation is essential to diagnose pain and improve decision making for analgesia. This blind, randomised, prospective and opportunist study aimed to develop an ethogram to evaluate behaviour and validate a scale to assess acute ovine postoperative pain. Elective laparoscopy was performed in 48 healthy sheep, filmed at one preoperative and three postoperative moments, before and after rescue analgesia and 24 hours after. The videos were randomised and assessed twice by four evaluators, with a one-month interval between evaluations. Statistical analysis was performed using R software and differences were considered significant when p 0.80 with the numerical, simple descriptive, and visual analogue scales, and a correlation of 0.48 with the facial expression scale. According to the mixed linear model, the scale was responsive, due to the increase and decrease in pain scores of all items after surgery and analgesic intervention, respectively. All items on the scale demonstrated an acceptable Spearman item-total correlation (0.56-0.76), except for appetite (0.25). The internal consistency was excellent (Cronbach's α = 0.81) and all items presented specificity > 0.72 and sensitivity between 0.61-0.90, except for appetite. According to the Youden index, the cut-off point was ≥ 4 out of 12, with a diagnostic uncertainty zone of 4 to 5. The area under the curve > 0.95 demonstrated the excellent discriminatory capacity of the instrument. In conclusion, the Unesp-Botucatu pain scale in sheep submitted to laparoscopy is valid, reliable, specific, sensitive, with excellent internal consistency, accuracy, discriminatory capacity, and a defined cut-off point. Department of Veterinary Surgery and Animal Reproduction School of Veterinary Medicine and Animal Science São Paulo State University (Unesp) Department of Veterinary Medicine State University of Maringá Goiano Federal Institute Urutai Campus Department of Veterinary Medicine Department of Veterinary Surgery and Animal Reproduction School of Veterinary Medicine and Animal Science São Paulo State University (Unesp) |
| Databáze: | OpenAIRE |
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