scholarly journals MP19: Comparison of the psychometric properties of the VAS, FPS-R and CAS in the pediatric emergency department

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S71
Author(s):  
S. Ali ◽  
S. Le May ◽  
A. Plint ◽  
A. Ballard ◽  
C. Khadra ◽  
...  
Keyword(s):  
Emergency Department ◽  
Psychometric Properties ◽  
Acute Pain ◽  
Convergent Validity ◽  
Analogue Scale ◽  
Intraclass Correlation ◽  
Pediatric Emergency ◽  
Rank Test ◽  
Pediatric Emergency Department ◽  
Responsiveness To Change

Introduction: Appropriate pain management relies on the use of valid, reliable and age-appropriate tools that are validated in the setting in which they are intended to be used. The aim of the study was to assess the psychometric properties of pain scales commonly used in children presenting to the pediatric emergency department (PED) with an acute musculoskeletal injury. Methods: Convergent validity was assessed by determining the Spearman’s correlations and the agreement using the Bland-Altman method between the Visual Analogue Scale (VAS), Faces Pain Scale-Revised (FPS-R) and Color Analogue Scale (CAS). Responsiveness to change was determined by performing the Wilcoxon signed-rank test between the pre-post analgesia mean scores. Reliability of the scales was estimated using relative (Spearman’s correlation, Intraclass Correlation Coefficient) and absolute indices (Coefficient of Reliability). Results: A total of 495 participants was included in the analyses. Mean age was 11.9 ±2.7 years and participants were mainly boys (55.3%). Correlation between each pair of scales was 0.79 (VAS/FPS-R), 0.92 (VAS/CAS) and 0.81 (CAS/FPS-R). Limits of agreement (80%CI) were -2.71 to 1.27 (VAS/FPS-R), -1.13 to 1.15 (VAS/CAS) and -1.45 to 2.61 (CAS/FPS-R). Responsiveness to change was demonstrated by significant differences in mean pain scores, among the three scales, between pre- and post-medication administration (p<0.0001). ICC and CR estimates suggested acceptable reliability for the three scales at 0.79 and ±1.49 for VAS, 0.82 and ±1.35 for CAS, and 0.76 and ±1.84 for FPS-R. Conclusion: The scales demonstrated good psychometric properties with a large sample of children with acute pain in the PED. The VAS and CAS showed a stronger convergent validity, while FPS-R was not in agreement with the other scales. Clinically, VAS and CAS scales can be used interchangeably to assess pain intensity of children with acute pain.

scholarly journals Validation of a Modified Triage Scale in a Norwegian Pediatric Emergency Department

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Mette Engan ◽  
Asle Hirth ◽  
Håvard Trønnes
Keyword(s):  
Emergency Department ◽  
Negative Predictive Value ◽  
Resource Utilization ◽  
Predictive Value ◽  
Intraclass Correlation ◽  
Tertiary Hospital ◽  
Pediatric Emergency ◽  
Interrater Agreement ◽  
Pediatric Emergency Department ◽  
Sensitivity Specificity

Objective. Triage is a tool developed to identify patients who need immediate care and those who can safely wait. The aim of this study was to assess the validity and interrater reliability of a modified version of the pediatric South African triage scale (pSATS) in a single-center tertiary pediatric emergency department in Norway. Methods. This prospective, observational study included all patients with medical conditions, referred to the pediatric emergency department of a tertiary hospital in Norway from September 1, 2015, to November 17, 2015. Their assigned triage priority was compared with rate of hospitalization and resource utilization. Validity parameters were sensitivity, specificity, positive and negative predictive value, and percentage of over- and undertriage. Interrater agreement and accuracy of the triage ratings were calculated from triage performed by nurses on written case scenarios. Results. During the study period, 1171 patients arrived at the hospital for emergency assessment. A total of 790 patients (67 %) were triaged and included in the study. The percentage of hospital admission increased with increasing level of urgency, from 30 % of the patients triaged to priority green to 81 % of those triaged to priority red. The sensitivity was 74 %, the specificity was 48 %, the positive predictive value was 52 %, and the negative predictive value was 70 % for predicting hospitalization. The level of over- and undertriage was 52 % and 26 %, respectively. Resource utilization correlated with higher triage priority. The interrater agreement had an intraclass correlation coefficient of 0.99 by Cronbach’s alpha, and the accuracy was 92 %. Conclusions. The modified pSATS had a moderate sensitivity and specificity but showed good correlation with resource utilization. The nurses demonstrated excellent interrater agreement and accuracy when triaging written case scenarios.

Comparison of Oral Ibuprofen and Acetaminophen with Either Analgesic Alone for Pediatric Emergency Department Patients with Acute Pain

2020 ◽  
Vol 58 (5) ◽  
pp. 725-732 ◽  
Author(s):  
Sergey Motov ◽  
Mahlaqa Butt ◽  
Aidin Masoudi ◽  
Wendy Palacios ◽  
Catsim Fassassi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Acute Pain ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Oral Ibuprofen ◽  
Emergency Department Patients

Comparison of the psychometric properties of 3 pain scales used in the pediatric emergency department

Pain ◽  
2018 ◽  
Vol 159 (8) ◽  
pp. 1508-1517 ◽  
Author(s):  
Sylvie Le May ◽  
Ariane Ballard ◽  
Christelle Khadra ◽  
Serge Gouin ◽  
Amy C. Plint ◽  
...  
Keyword(s):  
Emergency Department ◽  
Psychometric Properties ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Pain Scales

Reliability of the Faces, Legs, Activity, Cry, and Consolability Scale in Assessing Acute Pain in the Pediatric Emergency Department

2017 ◽  
Vol 33 (1) ◽  
pp. 14-17 ◽  
Author(s):  
Adam Kochman ◽  
John Howell ◽  
Michael Sheridan ◽  
Maybelle Kou ◽  
Esther Emory Shelton Ryan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Acute Pain ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department

scholarly journals Nebulized ketamine for managing acute pain in the pediatric emergency department: A case series

2021 ◽  
Vol 21 (2) ◽  
pp. 75
Author(s):  
Jessica Zerzan ◽  
AdamJames Rhodes ◽  
MicheleJoy Fagan ◽  
SergeyM Motov
Keyword(s):  
Emergency Department ◽  
Acute Pain ◽  
Case Series ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department
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