Person-Centred Pain Measurement in the ICU: A Multicentre Clinimetric Comparison Study of Pain Behaviour Observation Scales in Critically Ill Adult Patients with Burns
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Measures
2.2.1. BPS
2.2.2. CPOT
2.2.3. Clinical Utility Questionnaire
2.3. Data Collection Procedure
2.4. Data Analysis
3. Results
3.1. Characteristics
3.2. Content Validity
3.3. Construct Validity
3.4. Criterion Validity
3.5. Internal Consistency
3.6. Inter-Rater Reliability
3.7. Clinical Usefulness
3.8. Cut-Off Scores
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Type of Pain | BPS | CPOT |
---|---|---|
Background | ||
Mean (SD) | 3.7 (1.2) | 1.0 (1.5) |
Median (IQR) | 3 (3–4) | 0 (0–1) |
Min–Max | 3–11 | 0–8 |
Procedural | ||
Mean (SD) | 3.9 (1.3) | 1.2 (1.7) |
Median (IQR) | 3 (3–5) | 1 (0–2) |
Min–Max | 3–11 | 0–8 |
BPS V | BPS N | CPOT V | CPOT N | |
---|---|---|---|---|
Explained variance | 63% | 68% | 62% | 56% |
Factor | Factor loadings | |||
Facial expression | 0.82 | 0.83 | 0.83 | 0.81 |
Movements | 0.83 | 0.85 | 0.81 | 0.73 |
Muscle tension | NA | NA | 0.82 | 0.80 |
Compliance ventilator | 0.72 | NA | 0.69 | NA |
Vocalisation | NA | 0.79 | NA | 0.64 |
Spearman’s Rho | N Observations | p | |
---|---|---|---|
BP V | 0.81 | 1124 | 0.00 |
BP N | 0.73 | 270 | 0.00 |
PP V | 0.85 | 637 | 0.00 |
PP N | 0.86 | 151 | 0.00 |
Cronbach’s α | |||
---|---|---|---|
BPS | CPOT | ||
Background pain | V | 0.71 | 0.79 |
N | 0.67 | 0.79 | |
Procedural pain | V | 0.71 | 0.83 |
N | 0.67 | 0.87 |
Intraclass Correlation Coefficient Total Scores (95% Confidence Interval) | |||||
---|---|---|---|---|---|
BPS | CPOT | ||||
Overall | Without Facial Burns | With Facial Burns | Overall | Without Facial Burns | With Facial Burns |
0.70 (0.66–0.73) | 0.72 (0.68–0.76) | 0.63 (0.57–0.69) | 0.71 (0.68–0.73) | 0.73 (0.69–0.76) | 0.66 (0.60–0.71) |
Criterion Values of ROC Curve | |||||
---|---|---|---|---|---|
Scale | Cut-Off Score | Sensitivity (%) | 95% CI | Specificity (%) | 95% CI |
BPS | 4 | 54 | 48–60 | 65 | 62–68 |
CPOT | 1 | 55 | 51–58 | 73 | 69–77 |
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de Jong, A.E.E.; Tuinebreijer, W.E.; Hofland, H.W.C.; Van Loey, N.E.E. Person-Centred Pain Measurement in the ICU: A Multicentre Clinimetric Comparison Study of Pain Behaviour Observation Scales in Critically Ill Adult Patients with Burns. Eur. Burn J. 2024, 5, 187-197. https://doi.org/10.3390/ebj5020018
de Jong AEE, Tuinebreijer WE, Hofland HWC, Van Loey NEE. Person-Centred Pain Measurement in the ICU: A Multicentre Clinimetric Comparison Study of Pain Behaviour Observation Scales in Critically Ill Adult Patients with Burns. European Burn Journal. 2024; 5(2):187-197. https://doi.org/10.3390/ebj5020018
Chicago/Turabian Stylede Jong, Alette E. E., Wim E. Tuinebreijer, Helma W. C. Hofland, and Nancy E. E. Van Loey. 2024. "Person-Centred Pain Measurement in the ICU: A Multicentre Clinimetric Comparison Study of Pain Behaviour Observation Scales in Critically Ill Adult Patients with Burns" European Burn Journal 5, no. 2: 187-197. https://doi.org/10.3390/ebj5020018