BMC Veterinary Research | |
Validation of the UNESP-Botucatu unidimensional composite pain scale for assessing postoperative pain in cattle | |
Juliana Tabarelli Brondani2  Milena Daolio2  Aline Cristina Sant¿Anna4  Karoline Alves Rodrigues2  Jackson Barros do Amaral1  Stelio Pacca Loureiro Luna2  Flávia Augusta de Oliveira3  | |
[1] Institute of Zootechny, Nova Odessa 13460-000, São Paulo, Brazil;Department of Veterinary Surgery and Anaesthesiology, Faculty of Veterinary Medicine and Animal Science, UNESP ¿ Univ Estadual Paulista, Botucatu, São Paulo 18618-970, Brazil;Department of Anaesthesiology, Faculty of Medicine, UNESP ¿ Univ Estadual Paulista, Botucatu 18618-970, São Paulo, Brazil;Department of Zootechny, FCAV, UNESP ¿ Univ Estadual Paulista, Jaboticabal 14884-900, São Paulo, Brazil | |
关键词: Validity; Responsiveness; Reliability; Orchiectomy; Castration; Cattle; | |
Others : 1223304 DOI : 10.1186/s12917-014-0200-0 |
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received in 2014-02-04, accepted in 2014-08-15, 发布年份 2014 |
【 摘 要 】
Background
The recognition and measurement of pain in cattle are important in determining the necessity for and efficacy of analgesic intervention. The aim of this study was to record behaviour and determine the validity and reliability of an instrument to assess acute pain in 40 cattle subjected to orchiectomy after sedation with xylazine and local anaesthesia. The animals were filmed before and after orchiectomy to record behaviour. The pain scale was based on previous studies, on a pilot study and on analysis of the camera footage. Three blinded observers and a local observer assessed the edited films obtained during the preoperative and postoperative periods, before and after rescue analgesia and 24 hours after surgery. Re-evaluation was performed one month after the first analysis. Criterion validity (agreement) and item-total correlation using Spearman's coefficient were employed to refine the scale. Based on factor analysis, a unidimensional scale was adopted.
Results
The internal consistency of the data was excellent after refinement (Cronbach¿s ? coefficient?=?0.866). There was a high correlation (p?0.001) between the proposed scale and the visual analogue, simple descriptive and numerical rating scales. The construct validity and responsiveness were confirmed by the increase and decrease in pain scores after surgery and rescue analgesia, respectively (p?0.001). Inter- and intra-observer reliability ranged from moderate to very good. The optimal cut-off point for rescue analgesia was?>?4, and analysis of the area under the curve (AUC?=?0.963) showed excellent discriminatory ability.
Conclusion
The UNESP-Botucatu unidimensional pain scale for assessing acute postoperative pain in cattle is a valid, reliable and responsive instrument with excellent internal consistency and discriminatory ability. The cut-off point for rescue analgesia provides an additional tool for guiding analgesic therapy.
【 授权许可】
2014 de Oliveira et al.; licensee BioMed Central Ltd.
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【 参考文献 】
- [1]Anil SS, Anil L, Deen J: Challenges of pain assessment in domestic animals. J Am Vet Med Assoc 2002, 220(3):313-319.
- [2]Watts S, Clarke K: A survey of bovine practitioners' attitudes to pain and analgesia in cattle. Cattle Pract 2000, 10:361-362.
- [3]Whay H, Huxley J: Pain relief in cattle: a practitioner?s perspective. Cattle Pract 2005, 13:81-85.
- [4]Hewson CJ, Dohoo IR, Lemke KA, Barkema HW: Factors affecting Canadian veterinarians' use of analgesics when dehorning beef and dairy calves. Can Vet J 2007, 48(11):1129-1136.
- [5]Fajt VR, Wagner SA, Norby B: Analgesic drug administration and attitudes about analgesia in cattle among bovine practitioners in the United States. J Am Vet Med Assoc 2011, 238(6):755-767.
- [6]Lorena SERS, Luna SPL, Lascelles BDX, Corrente JE: Attitude of Brazilian veterinarians in the recognition and treatment of pain in horses and cattle. Vet Anaest Analg 2013, 40(4):410-418.
- [7]Raekallio M, Heinonen K, Kuussaari J, Vainio O: Pain alleviation in animals: attitudes and practices of Finnish veterinarians. Vet J 2003, 165:131-135.
- [8]Anil L, Anil SS, Deen J: Pain detection and amelioration in animals on the farm: issues and options. J Appl Anim Welfare Sci 2005, 8(4):261-278.
- [9]Hewson CJ, Dohoo IR, Lemke KA, Barkema HW: Canadian veterinarians' use of analgesics in cattle, pigs, and horses in 2004 and 2005. Can Vet J 2007, 48(2):155-164.
- [10]Firth AM, Haldane SL: Development of a scale to evaluate postoperative pain in dogs. J Am Vet Med Assoc 1999, 214(5):651-659.
- [11]Holton L, Reid J, Scott EM, Pawson P, Nolan A: Development of a behaviour-based scale to measure acute pain in dogs. Vet Rec 2001, 148(17):525-531.
- [12]Morton CM, Reid J, Scott EM, Holton LL, Nolan AM: Application of a scaling model to establish and validate an interval-level pain scale for assessment of acute pain in dogs. Am J Vet Res 2005, 66(12):2154-2166.
- [13]Murrell JC, Psatha EP, Scott EM, Reid J, Hellebrekers LJ: Application of a modified form of the Glasgow pain scale in a veterinary teaching centre in the Netherlands. Vet Rec 2008, 162(13):405-410.
- [14]Brondani JT, Luna SPL, Minto BW, Santos BPR, Beier SL, Matsubara LM, Padovani CR: Validity and responsiveness of a multidimensional composite scale to assess postoperative pain in cats. Arq Bras Med Vet Zoo 2012, 64(6):1529-1538.
- [15]Brondani JT, Luna SPL, Minto BW, Santos BPR, Beier SL, Matsubara LM, Padovani CR: Reliability and cut-off point related to the analgesic intervention of a multidimensional composite scale to assess postoperative pain in cats. Arq Bras Med Vet Zoo 2013, 65(1):153-162.
- [16]Brondani JT, Mama KR, Luna SPL, Wright BD, Niyom S, Ambrosio J, Vogel PR, Padovani CR: Validation of the English version of the UNESP-Botucatu multidimensional composite pain scale for assessing postoperative pain in cats. BMC Vet Res 2013, 9:1-15. BioMed Central Full Text
- [17]Bussiéres G, Jacques C, Lainay O, Beauchamp G, Leblond A, Cadore JL, Desmaizieres LM, Cuvelliez SG, Troncy E: Development of a composite orthopaedic pain scale in horses. Res Vet Sci 2008, 85(2):294-306.
- [18]Graubner C, Gerber V, Doherr M, Spadavecchia C: Clinical application and reliability of a post-abdominal surgery pain assessment scale (PASPAS) in horses. Vet J 2011, 188(2):178-183.
- [19]Sutton GA, Dahan R, Turner D, Paltiel O: A behaviour-based pain scale for horses with acute colic: scale construction. Vet J 2013, 196:394-401.
- [20]Sutton GA, Paltiel O, Soffer M, Turner D: Validation of two behaviour-based pain scales for horses with acute colic. Vet J 2013, 197(3):646-650.
- [21]Flower F, Weary D: Effect of hoof pathologies on subjective assessments of dairy cow gait. J Dairy Sci 2006, 89:139-146.
- [22]Crellin D, Sullivan TP, Babl E, O¿Sullivan R, Hutchinson A: Analysis of the validation of existing behavioral pain and distress scales for use in the procedural setting. Pediat Anest 2007, 17:720-733.
- [23]Figueiredo KMOB, Lima KC, Guerra RO: Instrumentos de avaliação do equilíbrio corporal em idosos. [Instruments for the assessment of physical balance in the elderly]. Rev Bras Cineantropom Desempenho Hum 2007, 9(4):408-413.
- [24]Alexandre NMC, Coluci MZO: Validade de conteúdo nos processos de construção e adaptação de instrumentos de medidas. [Content validity in the development and adaptation processes of measurement instruments]. Ciência & Saúde Coletiva 2011, 16(7):3061-3068.
- [25]Flecknell P: Analgesia from a veterinary perspective. Brit J Anaest 2008, 101(1):121-124.
- [26]Robertson IS, Kent JE, Molony V: Effect of different methods of castration on behavior and plasma cortisol in calves of three ages. Res Vet Sci 1994, 56(1):8-17.
- [27]Molony V, Kent JE, Robertson IS: Assessment of acute and chronic pain after different methods of castration of calves. Appl Anim Behav Sci 1995, 46:33-48.
- [28]Molony V, Kent JE: Assessment of acute pain in farm animals using behavioral and physiological measurements. J Anim Sci 1997, 75(1):266-272.
- [29]Fischer A, Knight T, Cosgrove G, Death A, Anderson C, Duganzich D, Mathews L: Effects of surgical or banding castration on stress responses and behaviour of bulls. Aust Vet J 2001, 79(4):279-284.
- [30]Ting STL, Earley B, Hughes JML, Crowe MA: Effect of ketoprofen, lidocaine local anesthesia, and combined xylazine and lidocaine caudal epidural anesthesia during castration of beef cattle on stress responses, immunity, growth, and behavior. J Anim Sci 2003, 81(5):1281-1293.
- [31]Ting STL, Earley B, Crowe MA: Effect of repeated ketoprofen administration during surgical castration of bulls on cortisol, immunological function, feed intake, growth, and behavior. J Anim Sci 2003, 81(5):1253-1264.
- [32]Currah JM, Hendrick SH, Stookey JM: The behavioral assessment and alleviation of pain associated with castration in beef calves treated with flunixin meglumine and caudal lidocaine epidural anesthesia with epinephrine. Can Vet J 2009, 50(4):375-382.
- [33]González LA, Schwartzkopf-Genswein KS, Caulkett NA, Janzen E, McAllister TA, Fierheller E, Schaefer AL, Haley DB, Stookey JM, Hendrick S: Pain mitigation after band castration of beef calves and its effects on performance, behavior, Escherichia coli, and salivary cortisol. J Anim Sci 2010, 88(2):802-810.
- [34]Millman ST: Behavioral responses of cattle to pain and implications for diagnosis, management, and animal welfare. Vet Clin N Am-Food A 2013, 29(1):47-58.
- [35]Pereira LV, Sousa FAEF: Estimação em categorias dos descritores da dor pós-operatória. [Estimation in categories of postoperative pain descriptors]. Rev latino-am enfermagem 1998, 6(4):41-48.
- [36]Von Baeyer CL, Spagrud LJ: Systematic review of observational (behavioral) measures of pain for children and adolescents aged 3 to 18 years. Pain 2007, 127(1¿2):140-150.
- [37]Holton LL, Scott EM, Nolan AM, Reid J, Welsh E, Flaherty D: Comparison of three methods used for assessment of pain in dogs. J Am Vet Med Assoc 1998, 212(1):61-66.
- [38]Riebold TW: Ruminants. In Veterinary Anesthesia and Analgesia. Edited by Tranquilli WJ, Thurmon JC, Grimm KA. Blackwell Publishing, Oxford; 2007:731-746.
- [39]Suraseranivongse S, Santawat U, Kraiprasit K, Petcharatana S, Prakkamodom S, Muntraporn N: Cross-validation of a composite pain scale for preschool children within 24 hours of surgery. Brit J Anaest 2001, 87(3):400-405.
- [40]Cohen J: Weighted kappa: nominal scale agreement with provision for scaled disagreement or partial credit. Psychol Bull 1968, 70:213-220.
- [41]Altman D: Some common problems in medical research. In Practical Statistics for Medical Research. Chapman & Hall, London; 1991:404-408.
- [42]Brondani JT, Loureiro Luna SP, Padovani CR: Refinement and initial validation of a multidimensional composite scale for use in assessing acute postoperative pain in cats. Am J Vet Res 2011, 72(2):174-183.
- [43]Kaiser H: The varimax criterion for analytic rotation in factor analysis. Psychometrika 1958, 23:187-200.
- [44]Cronbach L: Coefficient alpha and the internal structure of tests. Psychometrika 1951, 16:297-333.
- [45]Jensen M: Questionnaire validation: a brief guide for readers of the research literature. Clin J Pain 2003, 19:345-352.
- [46]Bartko J: Measurement and reliability: statistical thinking considerations. Schizophrenia Bull 1991, 17(3):483-489.
- [47]Deyo R, Diehr P, Patrick D: Reproducibility and responsiveness of health status measures. Control Clin Trials 1991, 12:142S-158S.
- [48]Streiner D, Cairney J: What's under the ROC? An introduction to receiver operating characteristics curves. Can J Psychiatry 2007, 52(2):121-128.
- [49]Webster H, Morin D, Jarrell V, Shipley C, Brown L, Green A, Wallace R, Constable P: Effects of local anesthesia and flunixin meglumine on the acute cortisol response, behavior, and performance of young dairy calves undergoing surgical castration. J Dairy Sci 2013, 96(10):6285-6300.
- [50]White BJ, Coetzee JF, Renter DG, Babcock AH, Thomson DU, Andresen D: Evaluation of two-dimensional accelerometers to monitor behavior of beef calves after castration. Am J Vet Res 2008, 69(8):1005-1012.
- [51]Pauly C, White BJ, Coetzee JF, Robert B, Baldridge S, Renter DG: Evaluation of analgesic protocol effect on calf behavior after concurrent castration and dehorning. Int J Appl Res Vet Med 2012, 10(1):54-61.
- [52]Sutherland M, Ballou M, Davis B, Brooks T: Effect of castration and dehorning singularly or combined on the behavior and physiology of Holstein calves. J Anim Sci 2013, 91:935-942.
- [53]Coetzee J: Assessment and management of pain associated with castration in cattle. Vet Clin N Am-Food A 2013, 29:75-101.
- [54]Langford DJ, Bailey AL, Chanda ML, Clarke SE, Drummond TE, Echols S, Glick S, Ingrao J, Klassen-Ross T, LaCroix-Fralish ML, Matsumiva L, Sorge RE, Sotocinal SG, Tabaka JM, Wong D, van den Maagdenberg AMJM, Ferrari MD, Craig KD, Mogil JS: Coding facial expressions of pain in the laboratory mouse. Nat Methods 2010, 7:447-449.
- [55]Ishihara I, Bertone AL, Rajala-Schultz PJ: Association between subjective lameness grade and kinetic gait parameters in horses with experimentally induced forelimb lameness. Am J Vet Res 2005, 66(10):1805-1815.
- [56]Evans R, Horstman C, Conzemius M: Accuracy and optimization of force platform gait analysis in Labradors with cranial cruciate disease evaluated at a walking gait. Vet Surg 2005, 34(5):445-449.
- [57]Pasquali L: Psicometria: [Psychometrics]. Rev Esc Enferm USP 2009, 43:992-999.
- [58]Gauvain-Piquard A, Rodary C, Rezvani A, Serbouti S: The development of the DEGRR: a scale to assess pain in young children with cancer. Eur J Pain 1999, 3:165-176.
- [59]Reid J, Nolan A: A comparison of the postoperative analgesic and sedative efects of flunixin and papaveretum in the dog. J Small Anim Pract 1991, 32:603-608.
- [60]DeVon HA, Block ME, Moyle-Wright P, Ernst DM, Hayden SJ, Lazzara DJ, Savoy SM, Kostas-Polston E: A psychometric toolbox for testing validity and reliability. J Nurs Scholarship 2007, 39(2):155-164.