Validation of the COMFORT Behavior scale and the FLACC scale for pain assessment in Chinese children after cardiac surgery

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses
Jinbing BaiMonique van Dijk

Abstract

Appropriate pain assessment plays a key role in understanding the pain status of critically ill children. However, the utility of the face, legs, activity, cry, consolability (FLACC) scale and the COMFORT Behavior (COMFORT-B) scale have not been extensively explored for children after cardiac surgery in China. A repeated-observation study was conducted to evaluate the concurrent validity and the sensitivity and specificity of the COMFORT-B and FLACC scales for pain assessment after cardiac surgery in 0-7-year-old patients. Patients were assessed with the observational visual analog scale (VASobs), FLACC scale, and COMFORT-B scale simultaneously at 18 fixed time periods for 3 days. Correlations among pain assessments were computed to calculate concurrent validity. Receiver operating characteristic curve analyses identified the FLACC and COMFORT-B scores that could best discriminate pain and no pain based on the VASobs. Multiple regression analyses were performed with FLACC and COMFORT-B pain scores as dependent variables and disease-related treatment characteristics as predictor variables for conducting the analysis. A total of 170 children (98 boys and 72 girls) were included. Significantly positive correlations, ranging from 0...Continue Reading

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Citations

Sep 18, 2012·Journal of Clinical Nursing·Jinbing Bai, Lily Hsu
Aug 11, 2015·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Jinbing Bai, Nan Jiang
Dec 17, 2014·Revista paulista de pediatria : orgão oficial da Sociedade de Pediatria de São Paulo·Gleicia Martins de MeloViviane Martins da Silva
Jun 25, 2014·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Duygu Sönmez Düzkaya, Sema Kuğuoğlu
Aug 21, 2013·Pain·Jinbing Bai
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Nov 24, 2020·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Bianca U Devsam, Sharon Kinney

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