Parallel assessment of prolonged neonatal distress by empathy-based and item-based scales
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Parallel assessment of prolonged neonatal distress by empathy-based and item-based scales. / Garten, Lars; Deindl, Philipp; Schmalisch, Gerd; Metze, Boris; Bührer, Christoph.
in: EUR J PAIN, Jahrgang 14, Nr. 8, 01.09.2010, S. 878-81.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Parallel assessment of prolonged neonatal distress by empathy-based and item-based scales
AU - Garten, Lars
AU - Deindl, Philipp
AU - Schmalisch, Gerd
AU - Metze, Boris
AU - Bührer, Christoph
N1 - Copyright 2010 European Federation of International Association for the Study of Pain Chapters. Published by Elsevier Ltd. All rights reserved.
PY - 2010/9/1
Y1 - 2010/9/1
N2 - OBJECTIVE: To evaluate the association between the empathy-based Faces Pain Scale-Revised (FPS-R) and the item-based Neonatal Pain, Agitation and Sedation Scale (N-PASS) when used to assess prolonged distress in term and preterm infants.METHOD: Sequential prospective psychometric evaluations of distress, at 4-h intervals during a 48-h time period. FPS-R and N-PASS were employed in parallel by the nurses in charge in 44 term and preterm newborn infants.RESULTS: During the overall 48-h observation period, median FPS-R declined from 6/10 to 2/10 (p<0.001) while N-PASS did not change significantly. FPS-R and N-PASS showed strong correlation during the first 12h of observation (R(s)=0.786, p<0.001). During each of the following 12-h observation periods, the strength of this association decreased (12-24h: R(s)=0.781; 24-36 h: R(s)=0.675; 36-48 h: R(s)=0.658) while remaining significant (p<0.001). However, when used to categorize infants as being in distress or not, the rate of agreement between FPS-R and N-PASS showed little variation (0-12h: 79.6%, 12-24h: 88.6%; 24-36 h: 89.4%, 36-48 h: 84.9%).CONCLUSIONS: In newborn infants serially assessed over 48 h, there is a progressive divergence between FPS-R and N-PASS. There is, however, reason to extend the use of the FPS-R also to the neonatal arena, as the rate of agreement between N-PASS and FPS-R to categorize an infant as being in distress or not remains stable. Preference of item- or empathy-based assessment may be a question of personal philosophy rather than medical science.
AB - OBJECTIVE: To evaluate the association between the empathy-based Faces Pain Scale-Revised (FPS-R) and the item-based Neonatal Pain, Agitation and Sedation Scale (N-PASS) when used to assess prolonged distress in term and preterm infants.METHOD: Sequential prospective psychometric evaluations of distress, at 4-h intervals during a 48-h time period. FPS-R and N-PASS were employed in parallel by the nurses in charge in 44 term and preterm newborn infants.RESULTS: During the overall 48-h observation period, median FPS-R declined from 6/10 to 2/10 (p<0.001) while N-PASS did not change significantly. FPS-R and N-PASS showed strong correlation during the first 12h of observation (R(s)=0.786, p<0.001). During each of the following 12-h observation periods, the strength of this association decreased (12-24h: R(s)=0.781; 24-36 h: R(s)=0.675; 36-48 h: R(s)=0.658) while remaining significant (p<0.001). However, when used to categorize infants as being in distress or not, the rate of agreement between FPS-R and N-PASS showed little variation (0-12h: 79.6%, 12-24h: 88.6%; 24-36 h: 89.4%, 36-48 h: 84.9%).CONCLUSIONS: In newborn infants serially assessed over 48 h, there is a progressive divergence between FPS-R and N-PASS. There is, however, reason to extend the use of the FPS-R also to the neonatal arena, as the rate of agreement between N-PASS and FPS-R to categorize an infant as being in distress or not remains stable. Preference of item- or empathy-based assessment may be a question of personal philosophy rather than medical science.
KW - Empathy
KW - Female
KW - Humans
KW - Infant
KW - Infant, Newborn
KW - Infant, Premature
KW - Male
KW - Pain
KW - Pain Measurement
KW - Psychometrics
U2 - 10.1016/j.ejpain.2010.01.004
DO - 10.1016/j.ejpain.2010.01.004
M3 - SCORING: Journal article
C2 - 20189853
VL - 14
SP - 878
EP - 881
JO - EUR J PAIN
JF - EUR J PAIN
SN - 1090-3801
IS - 8
ER -