Clinical utility of PPPM and FPS-R to quantify post-tonsillectomy pain in children
Clinical utility of PPPM and FPS-R to quantify post-tonsillectomy pain in children
复制标题
DOI：
10.1016/j.ijporl.2013.11.027
复制
发表时间：
2014-02-01
影响因子：
1.5
通讯作者：
Tamashiro, Edwin
中科院分区：
文献类型：
--
作者：
de Azevedo, Carolina Brotto;Carenzi, Lucas Rodrigues;Tamashiro, Edwin
目的：由于疼痛是儿童中难以评估的主观且难以评估的参数，因此我们旨在评估两种疼痛量表 - 父母术后疼痛量表 (PPPM) 和修订版面部疼痛量表 (FPS-R) 与镇痛剂摄入量在儿科人群扁桃体切除术后疼痛评估中的对应关系。方法：通过 PPPM 监测接受扁桃体切除术（有或没有腺样体切除术）的 4-10 岁儿童 (n = 174) 的疼痛，并通过 PPPM 监测他们的疼痛。手术后 7 天以上的 FPS-R。每天还记录镇痛药（对乙酰氨基酚或安乃近）的摄入量。对疼痛量表进行线性回归和相关分析，对镇痛给药进行泊松回归模型。为了评估性别线性回归和具有随机效应的逻辑回归的影响。结果：PPPM 和 FPS-R 呈现显着正相关（tau = 0.5；R-2 = 0.36；p < 0.001）。 PPPM 和 FPS-R 还显示出与术后 7 天镇痛药的使用显着相关 (p < 0.0001)。两种量表均未观察到性别对疼痛水平的影响。结论：我们的数据表明，PPPM 和 FPS-R 是量化儿童扁桃体切除术后疼痛的等效疼痛量表，并且是扁桃体切除术后临床研究的有用工具。 (C) 2013 Elsevier Ireland Ltd. 保留所有权利。
Objectives: As pain is a subjective and difficult parameter to assess in children, we aimed to evaluate the correspondence of two pain scales - parents' post-operative pain measure (PPPM) and faces pain scale-revised (FPS-R) with analgesic intake in the assessment of post-tonsillectomy pain in a pediatric population.Methods: Children aged 4-10 years (n = 174) undergoing tonsillectomy with or without adenoidectomy had their pain monitored by PPPM and FPS-R over 7 days following surgery. The amount of analgesic (acetaminophen or dipyrone) intake was also recorded each day. Linear regression and correlation analysis were performed for pain scales and Poisson regression model for analgesic administration. To evaluate influence of gender linear regression and logistic regression with random effects were performed.Results: PPPM and FPS-R presented a significant positive correlation (tau = 0.5; R-2 = 0.36; p < 0.001). PPPM and FPS-R also showed a significant correlation with analgesic use over the 7 post-operative days (p < 0.0001). No influence of gender was observed in pain levels by both scales.Conclusions: Our data demonstrate that PPPM and FPS-R are equivalent pain scales to quantify post-tonsillectomy pain in children and are useful tools in post-tonsillectomy clinical research. (C) 2013 Elsevier Ireland Ltd. All rights reserved.