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Validation Testing of the European Portuguese Critical-Care Pain Observation Tool
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Orientador(es)
Resumo(s)
Aim. The study aim was to validate the Portuguese version of the Critical-Care Pain Observation Tool (CPOT) in the critically ill adult population of Portugal. Methods. A prospective, observational cohort study was conducted to evaluate the CPOT in mechanically ventilated patients who were admitted to an intensive care unit. A consecutive sample of 110 patients was observed at rest pre-procedure, during a nociceptive procedure (NP) which includes turning/positioning and endotracheal or tracheal suctioning and 20 min post-procedure. Two raters participated in the data collection. The discriminative validity, criterion validity, convergent validity and inter-rater reliability of the CPOT were examined. Results. The inter-rater reliability was excellent (0.93 ≤ α ≤ 1.00) at rest and fair to moderate (0.39 ≤ α ≤ 0.60) during the NP. The CPOT could discriminate between
conditions with higher scores during the NP when compared to CPOT scores at rest (p < 0.001).
The optimal CPOT cut-off score was >2, with a sensitivity of 71% and a specificity of 80%, and selfreported pain was the gold standard criterion. Significant correlations (<0.40) were found between CPOT scores, the heart rate and the respiratory rate during the nociceptive procedure. Conclusions. The CPOT appears to be a valid alternative for both ventilated and non-ventilated patients who are unable to communicate.
Descrição
Palavras-chave
Pain assessment Critical care nursing Validation
Contexto Educativo
Citação
Marques R, Araújo F, Fernandes M, Freitas J, Dixe MA, Gélinas C. Validation Testing of the European Portuguese Critical-Care Pain Observation Tool. Healthcare (Basel). 2022 Jun 9;10(6):1075. doi: 10.3390/healthcare10061075. PMID: 35742126; PMCID: PMC9222682.
Editora
MDPI