客观地评估小的急性疼痛,使用基于面部表情的疼痛尺度
Johannes P A M van Loon1,2, Pedro Henrique Esteves Trindade3,4, Gustavo Venâncio da Silva4
1Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
Equine veterinary journal
|January 31, 2025
概括
马匹乌得勒支大学用于评估小马面部疼痛的尺度 (EQUUS-FAP FOAL) 有效地评估年轻马的急性疼痛. 这种经过验证的尺度在区分小的疼痛水平方面表现出高的可靠性和准确性.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 动物福利 动物福利
- 马类科学 马类科学
背景情况:
- 面部表情分析是一种公认的方法来评估小的疼痛.
- 之前的试点研究奠定了马匹乌特勒支大学尺度用于子面部疼痛评估 (EQUUS-FAP FOAL) 的基础.
研究的目的:
- 验证和扩展EQUUS-FAP FOAL之前的试点发现.
- 确认EQUUS-FAP FOAL在评估小子急性疼痛时的可靠性和准确性.
主要方法:
- 一项前性,盲目的病例控制研究,涉及100只小子 (38名患者,62名对照) 使用视频录像.
- 通过Intra Class Correlation (ICC) 评估观察者间和观察者内部的可靠性;使用曼·惠特尼U测试和威尔科克森治疗前/后签名等级测试的组之间比较的疼痛得分.
- 使用多层二项逻辑回归和通过接收器操作特征 (ROC) 分析评估诊断准确度,对尺度项目进行统计权重.
主要成果:
- 埃奎斯-FAP FOAL表现出卓越的观察者间和观察者内部可靠性 (ICC 0.85和0.90).
- 经历疼痛的小比对照群的得分明显高 (中位数为7对2.5),在止痛治疗后下降 (p <0.05).
- 该尺度实现了高灵敏度 (88.2%) 和特异性 (87.9%),用于检测疼痛,ROC曲线下的面积为94.9%.
结论:
- 马-FAP小是一种可靠和有效的工具,用于评估年幼小的急性疼痛.
- 该尺度的诊断性能仍然很强,无论单个项目的统计权重是否存在.
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