Recognition and Assessment of Pain in Cats

Monteiro, Beatriz P.; Steagall, Paulo V.

doi:10.1002/9781118912997.ch26

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…Failure to diagnose pain can lead to oligoanalgesia [1]. On the other hand, states of sedation and dysphoria can lead to a false positive diagnosis of pain, causing animals to receive unnecessary analgesia [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Validation of the Portuguese Version of the Short-Form Glasgow Composite Measure Pain Scale (CMPS-SF) According to COSMIN and GRADE Guidelines

de Lima,

Trindade,

Pinho

et al. 2024

Animals

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We aimed to validate the CMPS-SF according to COSMIN and GRADE guidelines. Four trained evaluators assessed 208 videos (pre-operative-M1, peak of pain-M2, 1 h after the peak of pain and analgesia-M3, and 24 h post-extubation-M4) of 52 dogs, divided into negative controls (n = 10), soft tissue surgeries (n = 22), and orthopedic surgeries (n = 20). The videos were randomized and blinded as to when they were filmed, and were evaluated in two stages, 21 days apart. According to confirmatory analysis, the CMPS-SF is a unidimensional scale. Intra-observer reliability was between 0.80 and 0.99 and inter-observer reliability between 0.73 and 0.86. Criterion validity was confirmed by the correlation between the CMPS-SF and other unidimensional scales (≥0.7). The differences between the scores were M2 ≥ M3 > M4 > M1 (responsiveness), and the scale presented construct validity (higher postoperative pain scores in dogs undergoing surgery versus control). Internal consistency was 0.7 (Cronbach’s α) and 0.77 (McDonald’s ω), and the item-total correlation was between 0.3 and 0.7, except for “A(ii)—Attention to wound”. Specificity and sensitivity were 78–87% and 74–83%, respectively. The cut-off point for rescue analgesia was ≥5 or ≥4 excluding item B(iii) mobility, and the GRADE classification was high, confirming the validity of the scale.

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