• Pain Res Manag · May 2010

    Comparative Study

    Postoperative self-report of pain in children: interscale agreement, response to analgesic, and preference for a faces scale and a visual analogue scale.

    • Clément de Tovar, Carl L von Baeyer, Chantal Wood, Jean-Pierre Alibeu, Malik Houfani, and Charles Arvieux.
    • Department of Anaestesiology, CHU Cavale Blanche, Brest, France.
    • Pain Res Manag. 2010 May 1;15(3):163-8.

    ObjectiveTo augment available validation data for the Faces Pain Scale - Revised (FPS-R) and to assess interscale agreement and preference in comparison with the Coloured Analogue Scale (CAS) in pediatric acute pain.MethodThe present prospective, multicentre study included 131 inpatients five to 15 years of age (mean age 8.8 years; 56% male) seen in postoperative recovery. They provided CAS and FPS-R pain scores before and after administration of analgesic medication. Nurses and physicians used the same tools as observational scales. Children and health care providers indicated which scale they preferred.ResultsFPS-R scores for the intensity of postoperative pain correlated highly with the corresponding CAS scores in all age groups (0.66 DiscussionThese results support the use of the FPS-R for most children five years of age or older in the postoperative period. Further research is needed to identify young children, particularly those younger than seven years of age, who have difficulty with self-report tools, and to establish methods for training them in the reliable use of these measures.

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