Can severe acute pain escape visual analog scale screening in the ED?

Epidural analgesia provides better pain management after live liver donation: A retrospective study

“…1 are by and large below an NRS score of 3, we further examined each time point with respect to the number of patients who reported moderate pain (ie, NRS > 4 out of 10) 36. The NRS cut‐point corresponding to the transition from mild to moderate pain occurs when a patient reports a pain score greater than 4 out of 10; the cut‐point for moderate to severe pain corresponds to an NRS pain score greater than 6 out of 10 31, 32, 37. Table 3 demonstrates that until POD2, significantly more patients in the IV PCA group reported more clinically significant postoperative pain (ie, reported pain scores greater than 4 out of 10) than did patients in the PCEA group.…”

Psychometric Properties of the Pain Numeric Rating Scale When Applied to Multiple Body Regions among Professional Musicians

“…In addition, a study by Milojevic et al suggested that the pain VAS (a continuous alternative of NRS) may fail when screening for severe pain[12]. We could not confirm previously apprised usefulness of the NRS in the accurate assessment of pain severity in routine clinical practice[13].…”

Effects of Two Different Techniques of Postoperative Analgesia Management in Liver Transplant Donors: A Prospective, Randomized, Double-Blind Study

“…Although the mean pain scores depicted in Table 2 are by and large less than a VAS score of 3.5, we further examined each time point with respect to the number of patients who reported moderate pain (ie, VAS >4 of 10). The VAS cut-off point corresponding to the transition from mild to moderate pain occurs when a patient reports a pain score >4 of 10; the cutoff point for moderate to severe pain corresponds with a VAS pain score >6 of 10 [7,8].…”