Validation of the COMFORT Behavior Scale and the FLACC Scale for Pain Assessment in Chinese Children after Cardiac Surgery

Pain assessment scales in newborns: integrative review

“…This scale was specifically developed to assess measures of distress caused by pain in children aged 0-18 years old, admitted to the ICU 1746 - 47 …”

“…, 46 - 47 The COMFORT-B was derived from the original COMFORT scale, excluding the two physiological parameters (heart rate and mean arterial blood pressure), keeping only behavioral indicators: state of alertness, agitation, respiratory reaction, crying, general movements, muscle tone and facial expression. However, the respiratory reaction aspect, considered a physiological component, maintains this scale as a multidimensional one 17…”

“…Essa escala foi especialmente desenvolvida para avaliar medidas de sofrimento causado por dor em crianças de 0 a 18 anos internadas em Unidade de Terapia Intensiva (UTI) 1746 - 47 …”

“…, 46 - 47 A COMFORT-B foi derivada da escala COMFORT original, excluindo os dois parâmetros fisiológicos (frequência cardíaca e pressão arterial média sanguínea), mantendo apenas indicadores comportamentais: alerta, agitação, reação respiratória, choro, movimentos gerais, tônus muscular e expressão facial. No entanto, o aspecto da reação respiratória, considerado um componente fisiológico, mantém essa escala como multidimensional 17…”

The Validity and Reliability of the Arabic Version of FLACC Scale: A Clinical Trial

“…FLACC scale was translated into four languages (Chinese, Thai, Swedish, and Brazilian Portuguese) [9][10][11][12]. SEM (Sound-Eye-Motor) scale has been used in many recent studies [13][14][15][16][17] and Baghdadi study in Syria [18], this scale concentrates on the changes in patient's sound, eyes and movement to evaluate patients relax or pain during treatment [19].…”