AAAPT: Assessment of the Acute Pain Trajectory.
AAAPT: Assessment of the Acute Pain Trajectory.
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DOI：
10.1093/pm/pnaa440
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发表时间：
2021-03-18
期刊：
影响因子：
--
通讯作者：
Rabbitts JA
中科院分区：
文献类型：
--
作者：
Bayman EO;Oleson JJ;Rabbitts JA
定义和对比急性疼痛轨迹与总体疼痛测量，总结适当的线性和非线性统计分析的疼痛轨迹在患者水平，并提出分类个体疼痛轨迹的方法。急性疼痛轨迹的临床应用也进行了讨论。2016年，一个由镇痛、麻醉和成瘾临床试验翻译、创新、机会和网络（action）、美国疼痛学会（APS）和美国疼痛医学学会（AAPM）组成的专家小组建立了一项倡议，旨在创建一个疼痛分类，名为action -APS-AAPM疼痛分类（AAAPT），用于急性疼痛的多维分类。AAAPT小组委托本报告进一步详细分析个体急性疼痛轨迹，作为全面疼痛评估的重要组成部分。急性疼痛轨迹分析可以采用线性混合模型和非线性模型（如回归样条和多项式模型）。另外，对个体疼痛轨迹进行分类的方法（例如，使用随机斜率法的50%置信区间或使用潜在类分析）可以应用于临床环境，以确定解决疼痛（例如，快速减轻或缓慢减轻）或持续疼痛的不同轨迹。每种方法都有优点和缺点，可以指导选择。对急性疼痛轨迹的评估可以指导治疗，并根据预期的症状恢复进行调整。急性疼痛轨迹也可以作为治疗结果的衡量标准，为进一步的管理提供信息。将轨迹方法应用于急性疼痛评估，可以更全面地测量急性疼痛，这是准确分类和治疗疼痛的基石。
Define and contrast acute pain trajectories vs. the aggregate pain measurements, summarize appropriate linear and nonlinear statistical analyses for pain trajectories at the patient level, and present methods to classify individual pain trajectories. Clinical applications of acute pain trajectories are also discussed. In 2016, an expert panel involving the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION), American Pain Society (APS), and American Academy of Pain Medicine (AAPM) established an initiative to create a pain taxonomy, named the ACTTION-APS-AAPM Pain Taxonomy (AAAPT), for the multidimensional classification of acute pain. The AAAPT panel commissioned the present report to provide further details on analysis of the individual acute pain trajectory as an important component of comprehensive pain assessment. Linear mixed models and nonlinear models (e.g., regression splines and polynomial models) can be applied to analyze the acute pain trajectory. Alternatively, methods for classifying individual pain trajectories (e.g., using the 50% confidence interval of the random slope approach or using latent class analyses) can be applied in the clinical context to identify different trajectories of resolving pain (e.g., rapid reduction or slow reduction) or persisting pain. Each approach has advantages and disadvantages that may guide selection. Assessment of the acute pain trajectory may guide treatment and tailoring to anticipated symptom recovery. The acute pain trajectory can also serve as a treatment outcome measure, informing further management. Application of trajectory approaches to acute pain assessments enables more comprehensive measurement of acute pain, which forms the cornerstone of accurate classification and treatment of pain.
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影响因子：
5.4
作者：
Gudicha DW;Schmittmann VD;Vermunt JK
通讯作者：
Vermunt JK
影响因子：
8.8
作者：
Bayman EO;Parekh KR;Keech J;Selte A;Brennan TJ
通讯作者：
Brennan TJ
影响因子：
9.8
作者：
Gerbershagen, H. J.;Rothaug, J.;Meissner, W.
通讯作者：
Meissner, W.
影响因子：
4
作者：
Chapman, C. Richard;Donaldson, Gary W.;Bradshaw, David H.
通讯作者：
Bradshaw, David H.
DOI：
10.1016/j.pmn.2016.10.002
发表时间：
2017-02
期刊：
Pain management nursing : official journal of the American Society of Pain Management Nurses
影响因子：
--
作者：
Griffioen MA;Greenspan JD;Johantgen M;Von Rueden K;O'Toole RV;Dorsey SG;Renn CL
通讯作者：
Renn CL