Clinical application and reliability of a post abdominal surgery pain assessment scale (PASPAS) in horses.
Abstract: The aim of this study was to refine a multi-dimensional scale based on physiological and behavioural parameters, known as the post abdominal surgery pain assessment scale (PASPAS), to quantify pain after laparotomy in horses. After a short introduction, eight observers used the scale to assess eight horses at multiple time points after laparotomy. In addition, a single observer was used to test the correlation of each parameter with the total pain index in 34 patients, and the effect of general anaesthesia on PASPAS was investigated in a control group of eight horses. Inter-observer variability was low (coefficient of variation 0.3), which indicated good reliability of PASPAS. The correlation of individual parameters with the total pain index differed between parameters. PASPAS, which was not influenced by general anaesthesia, was a useful tool to evaluate pain in horses after abdominal surgery and may also be useful to investigate analgesic protocols or for teaching purposes.
Copyright © 2010 Elsevier Ltd. All rights reserved.
Publication Date: 2010-07-16 PubMed ID: 20627635DOI: 10.1016/j.tvjl.2010.04.029Google Scholar: Lookup
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Summary
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The research is about enhancing a multi-dimensional measurement tool, known as the post abdominal surgery pain assessment scale (PASPAS), that is used to evaluate post-laparotomy pain in horses. The study assesses the reliability and usefulness of the PASPAS, finding that it is a reliable tool that doesn’t get affected by general anaesthesia, making it helpful for assessing post-surgery pain and possibly for examining pain relief methods.
Research Methodology
- The study was initiated with an introductory phase to familiarise eight observers with the PASPAS tool.
- These observers were then given the task to evaluate the pain levels of eight horses after laparotomy at multiple time intervals using the PASPAS scale.
- In order to test the correlation between each parameter and the total pain index, a single observer closely examined the pain levels of 34 patients.
- To find out PASPAS’s susceptibility to general anaesthesia, its effect was examined on a control group comprising eight horses.
Findings
- The study found minimal variation among the eight observers (coefficient of variation 0.3), suggesting that the PASPAS tool provided reliable outputs.
- However, the correlation between individual parameters of the PASPAS scale and the total pain index varied across parameters.
- Findings confirmed that the PASPAS scale was not affected by general anaesthesia, leading to its efficacy in accurately measuring horses’ pain levels after undergoing a laparotomy procedure.
Implications
- Because of its reliability and resistance to general anaesthesia, PASPAS can prove to be a significant tool in assessing pain in horses after their abdominal surgery.
- It can potentially be utilized in the investigation of various pain management protocols for horses.
- PASPAS may also serve an educational purpose, offering hands-on experience to students in the facets of pain diagnosis and management in animals, particularly horses.
Cite This Article
APA
Graubner C, Gerber V, Doherr M, Spadavecchia C.
(2010).
Clinical application and reliability of a post abdominal surgery pain assessment scale (PASPAS) in horses.
Vet J, 188(2), 178-183.
https://doi.org/10.1016/j.tvjl.2010.04.029 Publication
Researcher Affiliations
- Equine Clinic, Vetsuisse Faculty, University of Berne, Switzerland. claudia.graubner@knp.unibe.ch
MeSH Terms
- Abdomen / surgery
- Animals
- Behavior, Animal
- Female
- Horse Diseases / pathology
- Horse Diseases / surgery
- Horses
- Laparotomy / veterinary
- Male
- Observer Variation
- Pain Measurement / veterinary
- Pain, Postoperative / diagnosis
- Pain, Postoperative / veterinary
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