header

How Well Do Intensive Care Teams Assess Pain? Prospective Evaluation of the Correlation between Pain Assessments by the Health Professionals and a Validated Scale

18 Pages Posted: 17 Dec 2021 Publication Status: Under Review

See all articles by Raissa L. O. Silva

Raissa L. O. Silva

affiliation not provided to SSRN

María B. Arriaga

Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative; Oswaldo Cruz Foundation (FIOCRUZ) - Laboratório de Inflamação e Biomarcadores

Rodrigo C. Menezes

Instituto de Pesquisa Clínica e Translacional

Isabella B. B. Ferreira

Bahiana School of Medicine and Public Health

Thomas A. Carmo

affiliation not provided to SSRN

Matheus L. Otero

affiliation not provided to SSRN

Victor R. da Silva

affiliation not provided to SSRN

André L. N. Gobatto

affiliation not provided to SSRN

Sydney Agareno

affiliation not provided to SSRN

Kevan M. Akrami

affiliation not provided to SSRN

Nivaldo M. Filgueiras Filho

affiliation not provided to SSRN

Bruno B. Andrade

Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative; Oswaldo Cruz Foundation (FIOCRUZ) - Laboratório de Inflamação e Biomarcadores

Abstract

Objective: To determine the daily agreement between bedside pain assessments made by physicians, nurses and physiotherapists with the Critical Care Observation Tool (CPOT) in critically ill patients.

Methods: Prospective, observational, cohort study in a general ICU in Brazil. 101 patients were included, who were followed for a maximum of 5 days. The patient's pain levels were accessed with CPOT and compared with the evaluation of the health team in a 11-point numerical rating scale.

Results: The overall perception of pain by the health team correlated significantly and weakly with CPOT (Physician: r0.33 95% CI 0.23 - 0.42; p < 0.001); Nurses r0.33 95% CI 0.23 - 0.43 p < 0.001; Physiotherapist r0.33 95% CI 0.23 - 0.43 p < 0.001). Physiotherapists suffered less daily variation in correlation with CPOT, in contrast to physicians and nurses. Health team assessments tended to agree with the CPOT when pain was absent, however a wide variability occurred when pain was present.

Conclusions: There is a lack of agreement between CPOT and health team assessments, and between interprofessional assessments in the presence of pain.

Funding Information: The clinical study received no funding to be performed. The work of BBA is supported by the intramural research program of the Oswaldo Cruz Foundation. BBA is a senior scientist from the Brazilian National Council for Scientific and Technological Development (CNPq).

Declaration of Interests: The authors declare that they have no competing interests.

Ethics Approval Statement: This research was approved by the Research Ethics Committee of the Federal University of Bahia under the number 2.249.687 and CAAE 73835317.5.0000.5577 and was conducted in compliance with the Helsinki declaration. All patients, or their family members, when necessary, provided written consent.

Keywords: pain, Critical Care, Pain Management, Critical-Care Pain Observation Tool

Suggested Citation

Silva, Raissa L. O. and Arriaga, María B. and Menezes, Rodrigo C. and Ferreira, Isabella B. B. and Carmo, Thomas A. and Otero, Matheus L. and da Silva, Victor R. and Gobatto, André L. N. and Agareno, Sydney and Akrami, Kevan M. and Filgueiras Filho, Nivaldo M. and Andrade, Bruno B., How Well Do Intensive Care Teams Assess Pain? Prospective Evaluation of the Correlation between Pain Assessments by the Health Professionals and a Validated Scale. Available at SSRN: https://ssrn.com/abstract=3987980 or http://dx.doi.org/10.2139/ssrn.3987980

Raissa L. O. Silva

affiliation not provided to SSRN ( email )

No Address Available

María B. Arriaga

Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative ( email )

Oswaldo Cruz Foundation (FIOCRUZ) - Laboratório de Inflamação e Biomarcadores ( email )

Salvador
Brazil

Rodrigo C. Menezes

Instituto de Pesquisa Clínica e Translacional ( email )

Isabella B. B. Ferreira

Bahiana School of Medicine and Public Health ( email )

Thomas A. Carmo

affiliation not provided to SSRN ( email )

No Address Available

Matheus L. Otero

affiliation not provided to SSRN ( email )

No Address Available

Victor R. Da Silva

affiliation not provided to SSRN ( email )

No Address Available

André L. N. Gobatto

affiliation not provided to SSRN ( email )

No Address Available

Sydney Agareno

affiliation not provided to SSRN ( email )

No Address Available

Kevan M. Akrami

affiliation not provided to SSRN ( email )

No Address Available

Nivaldo M. Filgueiras Filho

affiliation not provided to SSRN ( email )

No Address Available

Bruno B. Andrade (Contact Author)

Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative ( email )

Oswaldo Cruz Foundation (FIOCRUZ) - Laboratório de Inflamação e Biomarcadores ( email )

Salvador
Brazil

Do you have a job opening that you would like to promote on SSRN?

Paper statistics

Downloads
44
Abstract Views
312
PlumX Metrics