Entwicklung eines fremdbeobachtungsbogens zur beurteilung des postoperativen schmerzes bei sauglingen

Translated title of the contribution: Development of an observational scale for the assessment of postoperative pain in infants

W. Büttner, W. Finke, M. Hilleke, S. Reckert, L. Vsianska, Ansgar Brambrink

Research output: Contribution to journalArticle

53 Scopus citations

Abstract

In a prospective trial in 139 infants ASA classification I -II 13 observational items were scaled during the first postoperative hour (13 assessments). The items were drawn from the literature and chosen for economic purpose. Factor analyses (Principal component, Kaiser Criterion, Scree-test) were used for the elimination of useless items and for the identification of suitable ones. The discriminative properties of single items and different subsets of items to detect an analgetic demand were tested in discriminant analyses and variance analyses with repeated measurements. Due to insufficient variance four items had to be eliminated: 'nasolabial folding', 'colour of the face', 'sweating of the head', and 'muscle tone'. The factor analysis if the remaining 9 items resulted in a one factorial solution. Neither the corrected item-scale-correlations nor the inter-item-correlations showed advantageous properties of single items compared with the others. For economic reasons two 5-item scales were chosen for further evaluation in regard to sensitivity, specifity and validity. The items 'crying', 'facial expression', 'positioning of the legs', 'positioning of the trunc' and 'motoric restlessness' built the Children's and Infants Postoperative Pain Scale (CHIPPS) whereas an Infants Postoperative Pain Scale (IPPS) contained the items 'crying', 'facial expression', 'positioning of the arms', 'positioning of the trunc' and 'motoric restlessness'. The latter five items had shown the highest factor loadings. The two systems had a high intern consistencY with α>090 (p

Original languageGerman
Pages (from-to)353-361
Number of pages9
JournalAnasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie
Volume33
Issue number6
Publication statusPublished - Jun 1998
Externally publishedYes

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Keywords

  • Pain assessment
  • Postoperative analgesia
  • Postoperative paininfants

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Büttner, W., Finke, W., Hilleke, M., Reckert, S., Vsianska, L., & Brambrink, A. (1998). Entwicklung eines fremdbeobachtungsbogens zur beurteilung des postoperativen schmerzes bei sauglingen. Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie, 33(6), 353-361.