Document Detail


A revised measure of acute pain in infants.
MedLine Citation:
PMID:  7561228     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute pain in infants is not assessed or managed optimally. The objectives of the study were (a) to adapt a behavioral pain assessment measure (Children's Hospital of Eastern Ontario Pain Scale, CHEOPS) for use with infants, and (b) to establish the reliability and validity of the measure in a study of infants undergoing immunization. Ninety-six healthy 4- to 6-month-old infants were randomized to receive either the local anesthetic cream Eutectic Mixture of Local Anesthetics (EMLA) (N = 49), or a placebo (N = 47) prior to immunization. The infant's behavioral response was videotaped immediately before and following the immunization. Postprocedural pain scores were assessed from the videotape and were significantly lower in infants who received EMLA (P = 0.01). Pain scores were also significantly correlated with visual analogue scale (VAS) scores assessed during vaccination. Five independent raters also independently rated ten infants to determine interrater reliability. Agreement between raters' scores was high (intraclass correlation coefficient, 0.95). Results from this study suggest that this measure has beginning construct and concurrent validity and interrater reliability when used in a research study. Further testing of the measure in the clinical setting is required.
Authors:
A Taddio; I Nulman; B S Koren; B Stevens; G Koren
Related Documents :
12745828 - Measuring sensitivity moment-by-moment: microanalytic look at the transmission of attac...
20853398 - Measuring infant attachment security in rhesus macaques (macaca mulatta): adaptation of...
11273388 - Taxonic structure of infant reactivity: evidence from a taxometric perspective.
3126528 - Salivary caffeine and neonatal behavior: assay modification and functional significance.
24356758 - Vascular endothelial growth factor and insulin-like growth factor-1 in preterm infants ...
11386438 - Airway obstruction due to a rudimentary premaxilla in holoprosencephaly.
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of pain and symptom management     Volume:  10     ISSN:  0885-3924     ISO Abbreviation:  J Pain Symptom Manage     Publication Date:  1995 Aug 
Date Detail:
Created Date:  1995-11-13     Completed Date:  1995-11-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8605836     Medline TA:  J Pain Symptom Manage     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  456-63     Citation Subset:  IM    
Affiliation:
Division of Clinical Pharmacology, Hospital for Sick Children, Toronto, Ontario, Canada.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acute Disease
Double-Blind Method
Humans
Infant*
Pain Measurement / methods*
Vaccination / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Pain, coping, and adjustment in patients with burns: preliminary findings from a prospective study.
Next Document:  Differential effects of hypnotic suggestion on multiple dimensions of pain.