• Intensive Crit Care Nurs · Oct 2014

    Validation of the use of the Critical-Care Pain Observation Tool (CPOT) with brain surgery patients in the neurosurgical intensive care unit.

    • Christine Echegaray-Benites, Oxana Kapoustina, and Céline Gélinas.
    • McGill University, Ingram School of Nursing, Montréal, Québec, Canada; Centre for Nursing Research and Lady Davis Institute, Jewish General Hospital, Montréal, Québec, Canada; McGill University Health Centre (MUHC), Montréal, Québec, Canada.
    • Intensive Crit Care Nurs. 2014 Oct 1; 30 (5): 257-65.

    UnlabelledMany critically ill patients are unable to self-report their pain. In such situations, the use of valid behavioral pain scales is recommended.ObjectiveTo validate the use of the Critical-Care Pain Observation Tool (CPOT) with brain surgery adults in the neurosurgical intensive care unit.DesignRepeated-measure within subject prospective design.SettingsForty-three elective brain surgery patients of a Canadian university hospital participated.MethodParticipants were video recorded and scored with the CPOT before, during and after a non-nociceptive (non-invasive blood pressure using cuff inflation) and a nociceptive (turning) procedure for a total of six assessments. Self-reports of pain were also obtained.ResultsDiscriminant validation was supported with higher mean CPOT scores during the nociceptive procedure compared with the non-nociceptive one. More participants reported higher pain intensity during turning compared with cuff inflation. Criterion validation was supported with a moderate positive correlation between self-reports of pain intensity and CPOT scores during turning. Interrater and intrarater reliability of CPOT scores through the viewing of participants' videos by two trained raters was supported with high Intraclass Correlation Coefficients.ConclusionThe CPOT appears to be valid for the detection of pain in elective brain surgery patients in the neurosurgical intensive care unit.Copyright © 2014. Published by Elsevier Ltd.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…