scholarly journals Monitoring Acute Pain in Donkeys with the Equine Utrecht University Scale for Donkeys Composite Pain Assessment (EQUUS-DONKEY-COMPASS) and the Equine Utrecht University Scale for Donkey Facial Assessment of Pain (EQUUS-DONKEY-FAP)

Animals ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 354 ◽  
Author(s):  
Machteld C. van Dierendonck ◽  
Faith A. Burden ◽  
Karen Rickards ◽  
Johannes P.A.M. van Loon
Keyword(s):  
Postoperative Pain ◽  
Acute Pain ◽  
Pain Assessment ◽  
Pain Scale ◽  
Follow Up Study ◽  
Observer Reliability ◽  
Pain Scales ◽  
Different Types ◽  
Good For

Objective pain assessment in donkeys is of vital importance for improving welfare in a species that is considered stoic. This study presents the construction and testing of two pain scales, the Equine Utrecht University Scale for Donkey Composite Pain Assessment (EQUUS-DONKEY-COMPASS) and the Equine Utrecht University Scale for Donkey Facial Assessment of Pain (EQUUS-DONKEY-FAP), in donkeys with acute pain. A cohort follow-up study using 264 adult donkeys (n = 12 acute colic, n = 25 acute orthopaedic pain, n = 18 acute head-related pain, n = 24 postoperative pain, and n = 185 controls) was performed. Both pain scales showed differences between donkeys with different types of pain and their control animals (p < 0.001). The EQUUS-DONKEY-COMPASS and EQUUS-DONKEY-FAP showed high inter-observer reliability (Cronbach’s alpha = 0.97 and 0.94, respectively, both p < 0.001). Sensitivity of the EQUUS-DONKEY-COMPASS was good for colic and orthopaedic pain (83% and 88%, respectively), but poor for head-related and postoperative pain (17% and 21%, respectively). Sensitivity of the EQUUS-DONKEY-FAP was good for colic and head-related pain (75% and 78%, respectively), but moderate for orthopaedic and postoperative pain (40% and 50%, respectively). Specificity was good for all types of pain with both scales (91%–99%). Different types of acute pain in donkeys can be validly assessed by either a composite or a facial expression-based pain scale.

Evaluation of targeted bupivacaine for reducing acute postoperative pain in cats undergoing routine ovariohysterectomy

2019 ◽  
Vol 22 (2) ◽  
pp. 91-99 ◽  
Author(s):  
James Mack Fudge ◽  
Bernie Page ◽  
Amy Mackrell ◽  
Inhyung Lee
Keyword(s):  
Postoperative Pain ◽  
Acute Pain ◽  
Rating Scale ◽  
High Volume ◽  
Pain Scale ◽  
Placebo Control ◽  
Controlled Clinical Trial ◽  
Colorado State University ◽  
Pain Scores ◽  
Pain Scales

Objectives This study sought to determine if bupivacaine targeted at specific, potentially painful sites could enhance postoperative analgesia in routine feline ovariohysterectomies. A secondary objective was to assess the utility of multiple acute pain scales for cats in a high-volume surgery setting. Methods Two hundred and twelve cats were included in a prospective, randomized, double-blinded, placebo-controlled clinical trial. Anesthesia included buprenorphine, ketamine, dexmedetomidine and isoflurane. A ventral midline ovariohysterectomy was performed and cats were administered bupivacaine (2 mg/kg), placebo control (0.9% saline) or sham control (observation only) intraoperatively at the ovarian suspensory ligaments and vessels, uterine body and incisional subcutaneous tissues. Two pain scales were used to assess cats postoperatively. Initially, a multidimensional composite pain scale (MCPS) and a 0–10 numeric pain rating scale (NRS) were used. Subsequently, the MCPS was replaced with a modified Colorado State University Feline Acute Pain Scale (mCSU). Pain scores for the test groups were compared using a one-way ANOVA and a Holm–Bonferroni post hoc analysis when a difference was found ( P <0.05). Results Pain for the bupivacaine group was lower than the control groups at 1 h post-recovery and discharge, attaining significance with higher body weights. The P values were 0.008 and 0.004 for 1 h post-recovery and discharge, respectively. Pain scores between evaluators for the MCPS and NRS correlated poorly with r values for 1 h post-recovery and discharge of −0.08 and 0.22, respectively. Additionally, the MCPS proved difficult to use and time consuming, especially for feral and fractious patients, and was replaced with the mCSU. Conclusions and relevance Targeted bupivacaine reduced early postoperative pain scores following routine feline ovariohysterectomies. The technique used was simple, requiring just over a minute to perform at minimal additional cost. The MCPS was not ideal for use in a high-volume spay setting.

scholarly journals The Quality of Pain Treatment in Community-Dwelling Persons with Dementia

2015 ◽  
Vol 5 (3) ◽  
pp. 470-481 ◽  
Author(s):  
Jiwen Li ◽  
A. Lynn Snow ◽  
Nancy Wilson ◽  
Melinda A. Stanley ◽  
Robert O. Morgan ◽  
...  
Keyword(s):  
Pain Assessment ◽  
Medical Records ◽  
Pain Treatment ◽  
Pain Scale ◽  
Veterans Affairs ◽  
Community Dwelling ◽  
Pain Scales ◽  
Pain Care

Background/Aims: Despite pervasive and debilitating pain among elders, it is underassessed and undertreated; and cognitive impairment can add challenges. We assessed the quality of pain care for community-dwelling elderly patients with dementia. Methods: We phone interviewed 203 Veterans Affairs primary care outpatients with dementia and pain and reviewed medical records to score 15 quality indicators of pain assessment and management. Results: Pain assessment was documented for 98%, and a standard pain scale was used for 94%. Modified pain scales were rarely used. Though 70% self-reported pain of ‘quite bad' or worse, charts documented no pain in 64%. When pain was identified, treatment was offered to 80%; but only 59% had a follow-up assessment within 6 months. Nonpharmacological interventions were underused. Conclusion: Community-dwelling elders with dementia are underdiagnosed and undertreated for pain.

scholarly journals Acute pain in cats: Recent advances in clinical assessment

2018 ◽  
Vol 21 (1) ◽  
pp. 25-34 ◽  
Author(s):  
Paulo V Steagall ◽  
Beatriz P Monteiro
Keyword(s):  
Acute Pain ◽  
Pain Assessment ◽  
Pain Scale ◽  
Treatment Standards ◽  
Future Directions ◽  
Recent Advances ◽  
Pain Scales ◽  
Species Specific ◽  
Pain Recognition ◽  
Development And Validation

Practical relevance: Pain assessment has gained much attention in recent years as a means of improving pain management and treatment standards. It has become an elemental part of feline practice with ultimate benefit to feline health and welfare. Currently pain assessment involves mostly the investigation of sensory-discriminative (intensity, location and duration) and affective-motivational (emotional) domains of pain. Specific behaviors associated with acute pain have been identified and constitute the basis for its assessment in cats. Recent advances: The publication of pain scales with reported validation – the UNESP-Botucatu multidimensional composite pain scale and the Glasgow feline composite measure pain scale – and species-specific studies have advanced our knowledge on the subject. Facial expressions have also been shown to be different between painful and non-painful cats, and very recently the Feline Grimace Scale has been validated as a tool for acute pain assessment. Clinical challenges: Despite recent advances, several challenges still exist. For instance, the effects of disease and sedation on pain scoring/ assessment are unknown. Also, specific painful conditions (eg, dental pain) have not been systematically investigated. The development and validation of instruments for pain assessment by cat owners is warranted, as these tools are currently lacking. Aims: This article reviews the use, advantages, disadvantages and limitations of the two validated pain scales, and presents a practical, stepwise approach to feline pain recognition and assessment using a dynamic and interactive process. The authors also offer perspectives regarding current challenges and future directions.

scholarly journals Objective Assessment of Acute Pain in Foals Using a Facial Expression-Based Pain Scale

Animals ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 1610
Author(s):  
Johannes van Loon ◽  
Nicole Verhaar ◽  
Els van den Berg ◽  
Sarah Ross ◽  
Janny de Grauw
Keyword(s):  
Facial Expression ◽  
Acute Pain ◽  
Pain Assessment ◽  
Objective Assessment ◽  
Diagnostic Procedures ◽  
Pain Scale ◽  
Video Recordings ◽  
Pain Scores ◽  
Flunixin Meglumine ◽  
Pain Scales

Pain assessment is very important for monitoring welfare and quality of life in horses. To date, no studies have described pain scales for objective assessment of pain in foals. Studies in other species have shown that facial expression can be used in neonatal animals for objective assessment of acute pain. The aim of the current study was to adapt a facial expression-based pain scale for assessment of acute pain in mature horses for valid pain assessment in foals. The scale was applied to fifty-nine foals (20 patients and 39 healthy controls); animals were assessed from video recordings (30–60 s) by 3 observers, who were blinded for the condition of the animals. Patients were diagnosed with acute health problems by means of clinical examination and additional diagnostic procedures. EQUUS-FAP FOAL (Equine Utrecht University Scale for Facial Assessment of Pain in Foals) showed good inter- and intra-observer reliability (Cronbach’s alpha = 0.95 and 0.98, p < 0.001). Patients had significantly higher pain scores compared to controls (p < 0.001) and the pain scores decreased after treatment with NSAIDs (meloxicam or flunixin meglumine IV) (p < 0.05). Our results indicate that a facial expression-based pain scale could be useful for the assessment of acute pain in foals. Further studies are needed to validate this pain scale.

scholarly journals Prevalence and Contributing Factors Associated With Postoperative Pain in Pediatric Patients: A Cross-Sectional Follow-up Study

2021 ◽  
Vol 23 ◽  
pp. 100159
Author(s):  
Zemenay Ayinie Mekonnen ◽  
Debas Yaregal Melesse ◽  
Habitamu Getinet Kassahun ◽  
Tesera Dereje Flatie ◽  
Misganaw Mengie Workie ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Pediatric Patients ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Follow Up Study

scholarly journals An Evaluation of Survival of Space Maintainers: A Six-year Follow-up Study

2005 ◽  
Vol 6 (1) ◽  
pp. 74-84 ◽  
Author(s):  
Ozlem Tulunoglu ◽  
Tezer Ulusu ◽  
Yasemin Genç
Keyword(s):  
Survival Time ◽  
Success Rate ◽  
Median Survival ◽  
Median Survival Time ◽  
Age Groups ◽  
Age Group ◽  
Follow Up Study ◽  
Different Types ◽  
Lost To Follow Up

Abstract The aim of this study was to evaluate the median survival time of fixed and removable space maintainers related to age groups, gender, and their distribution in upper and lower dental arches. The adherence of patients to a periodic recall program and the success rate of different types of space maintainers related to different arches were also evaluated. This study included 663 patients aged between 4-15 years old that were treated between the years of 1997 and 2002. The patients were categorized into four main groups: lost to follow-up, failed, successful, and censored at the end of study. Three hundred forty-five space maintainers were considered lost to follow-up, 83 were considered failed, 206 successful, and 20 censored-at-end. The overall median survival time of the appliances was 6.51 months. Median survival time was 7.25 months in the 4-6 age group, 6.35 months in the 7-12 age group, and 7.0 months in the 13+ age groups. Median survival time was 5.76 months in girls and 7.11 months in boys. Median survival time of space maintainers was 7.17 months for maxilla and 6.69 months in the mandible. Median survival time was 5.25 months for space maintainers fabricated in both arches. Citation Tulunoglu Ö, Ulusu T, Genç Y. An Evaluation of Survival of Space Maintainers: A Six-year Follow-up Study J Contemp Dent Pract 2005 February;(6)1:074-084.

The Effectiveness of Continuing Education in Postoperative Pain Management: Results From a Follow-Up Study

2008 ◽  
Vol 39 (6) ◽  
pp. 281-288 ◽  
Author(s):  
Ilario Guardini ◽  
Renato Talamini ◽  
Francesca Fiorillo ◽  
Moreno Lirutti ◽  
Alvisa Palese
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Continuing Education ◽  
Postoperative Pain Management ◽  
Follow Up Study

Results of a follow-up study of occlusion status in Ukrainian schoolchildren

2016 ◽  
Vol 69 (6) ◽  
pp. 725-728 ◽  
Author(s):  
Maryna Ivanivna Dmytrenko ◽  
Oleh Nesterenko
Keyword(s):  
Permanent Dentition ◽  
Mixed Dentition ◽  
Follow Up Study ◽  
Early Stages ◽  
Significant Difference ◽  
Different Types ◽  
Dental Crowding

Introduction. Dental crowding complicates sagittal, vertical and transversal types of malocclusion and it is accompanied by aesthetic, functional and morphological disorders even on the early stages of occlusion formation. Aim of the study. The aim of the study is to carry out follow up study of occlusion state of one schoolchildren group in period from temporary to permanent dentition in order to determine in age aspect frequency and mechanism of development of malocclusions, complicated by dental crowding. Materials and methods. Follow up study of occlusion state in 434 schoolchildren of Poltava aged from 6 to 11 years old (girls – 246 (56,68%), boys – 188 (43,32%) was performed during six years. Results. The follow-up of one contingent of children confirms high (79,96%) prevalence of malocclusion in mixed dentition, which increases during permanent dentition to an average of 84,33%, that is to 4,37%. Orthodontic pathology in permanent dentition becomes more expressed and severe. Malocclusions complicated by dental crowding are the most widespread types, their frequency doubles within six years, mixed dentition – 33,54% permanent dentition – 68,67%. (Rχ2 lower than 0,05). There is no statistically significant difference in factors of dental crowding presence in different types of malocclusion (Рχ2> 0,05). Conclusions. Frequency of the sagittal, vertical and transversal forms of malocclusion complicated by dental crowding was 33.54% in mixed dentition , and in six years it increased by 68,67% in permanent dentition.

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