Validation of the Critical Care Pain Observation Tool in Critically Ill Patients With Delirium: A Prospective Cohort Study

Critical Care Medicine
Salmaan KanjiErin Rosenberg

Abstract

The 2013 clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the ICU suggest that pain be routinely assessed using a validated pain assessment tool. Currently available tools have only been evaluated in nondelirious critically ill patients, yet delirium can affect as many as 80% of ICU patients. The validated pain assessment tool adopted by our institution is the Critical Care Pain Observation Tool, and the objective of this study was to investigate the validity of this tool in patients with evidence of delirium. Prospective cohort study. Two ICUs within a Canadian tertiary healthcare center. Forty consecutive adult patients deemed delirious on the day of enrollment using the Confusion Assessment Method for ICU. Serial Critical Care Pain Observation Tool assessments were conducted simultaneously by study personnel and objective nurses at baseline and after nonpainful and painful stimuli. Subjective opinions about pain and objective physical variables (including mean arterial pressure, heart rate, respiratory rate, and oxygen saturation) were collected at the same time points. Discriminant validity was described using paired t tests, whereas internal consistency was described usi...Continue Reading

References

Jul 9, 1999·International Journal of Geriatric Psychiatry·A K CookM G Downs
Nov 8, 2002·American Journal of Respiratory and Critical Care Medicine·Curtis N SesslerR K Elswick
Apr 15, 2004·JAMA : the Journal of the American Medical Association·E Wesley ElyRobert S Dittus
Apr 21, 2006·Critical Care Medicine·Gerald ChanquesJean-Jacques Eledjam
Nov 27, 2008·Journal of Advanced Nursing·Céline GélinasKathleen A Puntillo
Feb 4, 2011·Acta Anaesthesiologica Scandinavica·D Nürnberg DamströmG Björling
Jul 27, 2014·Critical Care : the Official Journal of the Critical Care Forum·Gerald ChanquesJesse B Hall

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Citations

Feb 17, 2018·Journal of Intensive Care Medicine·Rima H BouajramJeremiah J Duby
Aug 10, 2019·Nursing in Critical Care·Christian EmsdenMonika Kirsch
Dec 7, 2018·Critical Care Nurse
Jan 18, 2020·AACN Advanced Critical Care·Céline GélinasKathleen A Puntillo
Dec 15, 2016·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Elizabeth BridgesNancy Munro
May 13, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Miriam MottiarMichael Hartwick
Feb 16, 2017·Intensive Care Medicine·Kathleen PuntilloGerald Chanques
Oct 16, 2019·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Keela HerrRenee C B Manworren
Aug 4, 2020·Seminars in Respiratory and Critical Care Medicine·Matthew F MartE Wesley Ely
Dec 22, 2020·Iranian Journal of Nursing and Midwifery Research·Fatemeh KhayerVajihe Atashi
Mar 3, 2020·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Sabrina FedeleMarie-José Roulin
Jun 25, 2021·Journal of Pain Research·Mina F NordnessPratik Pandharipande
Apr 2, 2021·American Journal of Respiratory and Critical Care Medicine·Jonathan D CaseyMatthew W Semler
Aug 17, 2021·International Journal of Nursing Studies·Samira Hamadeh KerbageGeorgina Willetts
Sep 4, 2021·ESMO Open·G B CrawfordUNKNOWN ESMO Guidelines Committee. Electronic address: clinicalguidelines@esmo.org

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