Validation of the Polish version of the Critical Care Pain Observation Tool (CPOT) to assess pain intensity in adult, intubated intensive care unit patients: the POL-CPOT study

Archives of Medical Science : AMS
Katarzyna KotfisPOL-CPOT Study Group

Abstract

Pain in the critically ill affects nearly 50% of patients. In patients unable to self-report pain, behavioural scales are used. The aim of this study was to validate the Polish version of the Critical Care Pain Observation Tool (CPOT). The prospective observational cohort study included patients observed during non-nociceptive and nociceptive procedures, at rest, during the intervention, and 15 min after each intervention. Assessments included self-report by patients and CPOT assessment carried out by two blinded observers. A total of 71 patients were included in the study (mean age: 66 years), predominantly males (50/71, 70%), mean APACHE II score 26.04 ±10.56. Results showed an excellent inter-rater correlation (ICC) between raters (ICC scores > 0.97). Self-report NRS (numeric rating scale) scores were available from 58/71 patients (82%). Patients' self-reported pain and CPOT showed a very strong correlation (Spearman's R > 0.85, p < 0.0001). The CPOT has high diagnostic value for detection of presence of patients' self-reported pain (ROC AUC = 0.938 for rater A and 0.951 for rater B, p < 0.0001). CPOT score ≥ 2 is an optimal cut-off to detect pain during a nociceptive procedure. A significantly higher mean CPOT score during ...Continue Reading

Citations

Jan 18, 2020·AACN Advanced Critical Care·Céline GélinasKathleen A Puntillo
Aug 10, 2019·Nursing in Critical Care·Christian EmsdenMonika Kirsch
Feb 20, 2021·Frontiers in Physiology·Heloísa Alonso-MatieloCamila Squarzoni Dale
Feb 26, 2021·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Agnes K PaceJill M Eckert
May 1, 2021·International Journal of Environmental Research and Public Health·Sabina KrupaWioletta Mędrzycka-Dąbrowska

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Methods Mentioned

BETA
Sedation

Clinical Trials Mentioned

NCT03024528

Software Mentioned

Statistica
CPOT
POL
Excel
CPOT Observation

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