Assessing pain behaviors in healthy subjects using the Critical-Care Pain Observation Tool (CPOT): a pilot study

The Journal of Pain : Official Journal of the American Pain Society
Yannick Tousignant-LaflammeSerge Marchand

Abstract

The Critical-Care Pain Observation Tool (CPOT) is a behavioral scale recommended by experts for pain assessment in critically ill patients unable to verbally communicate. The main goal of this study was to determine the relationship between self-reports of pain intensity and the CPOT score, and establish the sensibility and the specificity of the CPOT to different levels of pain intensity in healthy subjects. A total of 18 healthy subjects participated in the study (mean age = 37.8 years). All subjects underwent a 2 minutes noxious cold pressor test (CPT) at 7°C. Verbal pain ratings were obtained with a visual analog scale (0-100) while pain behaviors were videotaped. Afterwards, 2 independent evaluators quantified pain behaviors using the CPOT. Interrater reliability was supported with an ICC of 0.963 (95%CI [0.904-0.986]). A moderate positive correlation between the CPOT scores and self-reports of pain intensity during the CPT was found (r = 0.52, p = 0.028). Such result indicates that subjects reporting high level of pain showed a higher number or more intense pain behaviors. A cut-off score >2.5/8 on the CPOT led to a sensibility of 64% and a specificity of 86%. Results from this pilot study support that an increase of CPOT...Continue Reading

References

Feb 6, 2004·Critical Care Medicine·Kathleen A PuntilloLorie R Wild
Oct 27, 2004·The Journal of Pain : Official Journal of the American Pain Society·Miriam KunzStefan Lautenbacher
Feb 21, 2006·Journal of Pain and Symptom Management·Keela HerrSheila Decker
May 30, 2006·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Keela HerrUNKNOWN American Society for Pain Management Nursing
Oct 4, 2006·Journal of Clinical Gastroenterology·Yannick Tousignant-LaflammeSerge Marchand
Nov 6, 2007·The Journal of Pain : Official Journal of the American Pain Society·Denise LiChristine Miaskowski
Jun 17, 2008·Critical Care : the Official Journal of the Critical Care Forum·Curtis N SesslerMichael Ae Ramsay
Jul 26, 2008·Brain Research·Yannick Tousignant-LaflammeSerge Marchand
May 9, 2009·Pain·Miriam KunzStefan Lautenbacher

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Citations

Feb 6, 2014·Dimensions of Critical Care Nursing : DCCN·Paul ButtesCheryl Stout
May 23, 2013·Critical Care Nursing Clinics of North America·Kristen Hershey
Dec 10, 2013·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Kathleen Marie Keane
Jan 11, 2012·Journal of Intensive Care Medicine·Pierre N Azzam, Abdulkader Alam
Jun 2, 2018·The International Journal of Clinical and Experimental Hypnosis·Maurizio VaraniniEnrica L Santarcangelo
Apr 25, 2021·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Shoko Yamada, Yuko Ikematsu

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