Ali Bayram1, Mustafa Şahin2, Serkan Altıparmak2, Aykut Kuru2. 1. Department of ENT, Kayseri City Training and Research Hospital, Şeker Mah. Muhsinyazıcıoğlu Bulvarı No:77 Kocasinan, 38080, Kayseri, Turkey. dralibayram@gmail.com. 2. Department of ENT, Kayseri City Training and Research Hospital, Şeker Mah. Muhsinyazıcıoğlu Bulvarı No:77 Kocasinan, 38080, Kayseri, Turkey.
Abstract
PURPOSE: To assess the validity of simplified pain scales, including the Simplified Faces Pain Scale (S-FPS) and Simplified Concrete Ordinal Scale (S-COS) in preschool-age children who underwent adenotonsillectomy (T&A) by comparing the values of simplified pain scales with the Faces Pain Scale-Revised (FPS-R) and the Faces, Legs, Activity, Cry, Consolability (FLACC) observational pain scale. METHODS: The present study consisted of 100 pediatric patients between the ages of 3 and 6 years old who had T&A. A two-step pain assessment approach with S-FPS and S-COS and FPS-R and FLACC pain scales was performed with children with the help of their parents or caregivers at the 1st, 6th and 12th hours, and over the 7 days after surgery. RESULTS: The mean scores of S-FPS and S-COS were higher than the mean FPS-R scores for each time point for all age groups. The total number of children reporting no pain was higher for FPS-R than S-FPS and S-COS for each age group and the difference was significant for 3-, 4- and 5- year olds. S-FPS, S-COS and FPS-R showed a moderate correlation with FLACC in all age groups, whereas the correlation values were not significantly different between the tests. CONCLUSION: In the present study, we found that S-FPS and S-COS were valid options for estimating pain in preschool children including 3- and 4-year-olds who underwent T&A.
PURPOSE: To assess the validity of simplified pain scales, including the Simplified Faces Pain Scale (S-FPS) and Simplified Concrete Ordinal Scale (S-COS) in preschool-age children who underwent adenotonsillectomy (T&A) by comparing the values of simplified pain scales with the Faces Pain Scale-Revised (FPS-R) and the Faces, Legs, Activity, Cry, Consolability (FLACC) observational pain scale. METHODS: The present study consisted of 100 pediatric patients between the ages of 3 and 6 years old who had T&A. A two-step pain assessment approach with S-FPS and S-COS and FPS-R and FLACC pain scales was performed with children with the help of their parents or caregivers at the 1st, 6th and 12th hours, and over the 7 days after surgery. RESULTS: The mean scores of S-FPS and S-COS were higher than the mean FPS-R scores for each time point for all age groups. The total number of children reporting no pain was higher for FPS-R than S-FPS and S-COS for each age group and the difference was significant for 3-, 4- and 5- year olds. S-FPS, S-COS and FPS-R showed a moderate correlation with FLACC in all age groups, whereas the correlation values were not significantly different between the tests. CONCLUSION: In the present study, we found that S-FPS and S-COS were valid options for estimating pain in preschool children including 3- and 4-year-olds who underwent T&A.
Authors: Anthony S Emmott; Nicholas West; Guohai Zhou; Dustin Dunsmuir; Carolyne J Montgomery; Gillian R Lauder; Carl L von Baeyer Journal: J Pain Date: 2017-01-06 Impact factor: 5.820
Authors: Clément de Tovar; Carl L von Baeyer; Chantal Wood; Jean-Pierre Alibeu; Malik Houfani; Charles Arvieux Journal: Pain Res Manag Date: 2010 May-Jun Impact factor: 3.037
Authors: Andrew J Redmann; Yu Wang; James Furstein; Charles M Myer; Alessandro de Alarcón Journal: Int J Pediatr Otorhinolaryngol Date: 2016-11-24 Impact factor: 1.675