Validation of the Italian version of the Critical Pain Observation Tool in brain-injured critically ill adults

Validation of the Italian version of the Critical Pain Observation Tool in brain-injured critically ill adults

Authors

  • Francesco Sulla Parma University, Parma, Italy http://orcid.org/0000-0002-0871-4943
  • Nilson De Souza Ramos Polyfunctinal Intensive Care Unit, Fondazione Poliambulanza Istituto Ospedaliero Multidisciplinare, Brescia, Italy
  • Noemi Terzi Ospedale Molinette, Torino, Italy
  • Tania Trenta Polyfunctional Intensive Care Unit, Azienda Ospedaliero-Universitaria Policlinico di Modena, Modena, Italy
  • Mariella Uneddu Intensive Care unit, Montecatone Rehabilitation Institute, Imola, Italy
  • Melanny Alessandra Zaldivar Cruces RSA, Fondazione Pasotti Cottinelli, Brescia, Italy
  • Leopoldo Sarli University of Parma, Parma, Italy

Keywords:

CPOT, Pain measurement, behavioural rating scale, intensive care unit, validation study, brain injury

Abstract

Background and aim: Pain in intensive care units (ICUs) is a frequent and often undermanaged problem. Brain-injured patients are often unable to reliably self-report their pain, calling forth the need to use behavioural scales such as the Critical-Care Pain Observation Tool (CPOT). This study aimed to test the reliability and validity of the Italian CPOT use with brain-injured ICU adults. Method: A sample of 50 adults critical care patients was included. Each patient was assessed by two independent observers at three predefined times – at rest; during mobilization for hygiene; 20 minutes later – using the CPOT, PAINAD, and NRS. Results: A good correlation was found between independent observers scores during painful procedure, establishing interrater reliability of CPOT. Criterion validation was supported by a strong correlation between CPOT and PAINAD scores, and a moderate relation between CPOT and NRS scores. The CPOT was able to discriminate between patients undergoing painful versus non-painful procedures. However, PAINAD performed better in this sample, as revealed by the comparison between the two AUC of ROC curves. Conclusions: The Italian CPOT use was found reliable and valid in this patient group.

Author Biographies

Francesco Sulla, Parma University, Parma, Italy

Department of Surgical Sciences

Leopoldo Sarli, University of Parma, Parma, Italy

Department of Surgical Sciences

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Published

30-11-2017

Issue

Section

Original article: Evidences in Intensive Care Units

How to Cite

1.
Validation of the Italian version of the Critical Pain Observation Tool in brain-injured critically ill adults. Acta Biomed [Internet]. 2017 Nov. 30 [cited 2024 Jun. 13];88(5-S):48-54. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/6858

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