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Animals : an open access journal from MDPI2020; 10(2); 354; doi: 10.3390/ani10020354

Monitoring Acute Pain in Donkeys with the Equine Utrecht University Scale for Donkeys Composite Pain Assessment (EQUUS-DONKEY-COMPASS) and the Equine Utrecht University Scale for Donkey Facial Assessment of Pain (EQUUS-DONKEY-FAP).

Abstract: Objective pain assessment in donkeys is of vital importance for improving welfare in a species that is considered stoic. This study presents the construction and testing of two pain scales, the Equine Utrecht University Scale for Donkey Composite Pain Assessment (EQUUS-DONKEY-COMPASS) and the Equine Utrecht University Scale for Donkey Facial Assessment of Pain (EQUUS-DONKEY-FAP), in donkeys with acute pain. A cohort follow-up study using 264 adult donkeys ( = 12 acute colic, = 25 acute orthopaedic pain, = 18 acute head-related pain, = 24 postoperative pain, and = 185 controls) was performed. Both pain scales showed differences between donkeys with different types of pain and their control animals ( < 0.001). The EQUUS-DONKEY-COMPASS and EQUUS-DONKEY-FAP showed high inter-observer reliability (Cronbach's alpha = 0.97 and 0.94, respectively, both < 0.001). Sensitivity of the EQUUS-DONKEY-COMPASS was good for colic and orthopaedic pain (83% and 88%, respectively), but poor for head-related and postoperative pain (17% and 21%, respectively). Sensitivity of the EQUUS-DONKEY-FAP was good for colic and head-related pain (75% and 78%, respectively), but moderate for orthopaedic and postoperative pain (40% and 50%, respectively). Specificity was good for all types of pain with both scales (91%-99%). Different types of acute pain in donkeys can be validly assessed by either a composite or a facial expression-based pain scale.
Publication Date: 2020-02-22 PubMed ID: 32098391PubMed Central: PMC7070438DOI: 10.3390/ani10020354Google Scholar: Lookup
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  • Journal Article

Summary

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The research paper discusses the creation and testing of two pain scales, the Equine Utrecht University Scale for Donkey Composite Pain Assessment (EQUUS-DONKEY-COMPASS) and the Equine Utrecht University Scale for Donkey Facial Assessment of Pain (EQUUS-DONKEY-FAP), developed for objective pain assessment in donkeys. The paper shows that these two scales can be used to effectively identify different types of acute pain in donkeys, with notable differences observed between donkeys suffering from different types of pain and their healthy counterparts.

Study Design and Participants

  • The study is a cohort follow-up study, and it involved 264 adult donkeys.
  • The donkeys were suffering from different types of acute pain: colic (12 donkeys), orthopaedic pain (25 donkeys), head-related pain (18 donkeys), postoperative pain (24 donkeys). The control group consisted of 185 donkeys without any acute pain.

Reliability and Sensitivity of the Scales

  • Both EQUUS-DONKEY-COMPASS and EQUUS-DONKEY-FAP scales demonstrated high inter-observer reliability, meaning multiple researchers could use these scales and produce consistent results. Cronbach’s alpha, a measure of internal consistency reliability, was reported to be 0.97 and 0.94 for the two scales respectively.
  • However, their sensitivity varied depending on the type of pain. Sensitivity refers to the ability of these scales to correctly identify donkeys that are in pain. The EQUUS-DONKEY-COMPASS scale had good sensitivity for donkeys with colic and orthopaedic pain, but did not perform well for head-related and postoperative pain. The EQUUS-DONKEY-FAP scale showed good sensitivity for colic and head-related pain but only moderate sensitivity for orthopaedic and postoperative pain.

Specificity and Validity

  • The specificity of both the scales, which is the ability to correctly identify donkeys that are not in pain, was high for all types of pain (91%-99%).
  • The study concludes that both the composite and facial expression-based pain scales can validly assess different types of acute pain in donkeys. This implies the tools are useful in measuring exactly what they are intended to measure – acute pain in donkeys.

Cite This Article

APA
van Dierendonck MC, Burden FA, Rickards K, van Loon JPAM. (2020). Monitoring Acute Pain in Donkeys with the Equine Utrecht University Scale for Donkeys Composite Pain Assessment (EQUUS-DONKEY-COMPASS) and the Equine Utrecht University Scale for Donkey Facial Assessment of Pain (EQUUS-DONKEY-FAP). Animals (Basel), 10(2), 354. https://doi.org/10.3390/ani10020354

Publication

ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 10
Issue: 2
PII: 354

Researcher Affiliations

van Dierendonck, Machteld C
  • Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 114, 3584 CM Utrecht, The Netherlands.
  • Department of Nutrition, Genetics and Ethology, Veterinary Faculty, Ghent University, Heidestraat 19, 9820 Merelbeke-Ghent, Belgium.
  • Department of Veterinary Sciences, Faculty of Pharmaceutical, Biomedical and Veterinary Sciences, Antwerp University, Universiteitsplein 1, 2610 Wilrijk-Antwerp, Belgium.
Burden, Faith A
  • The Donkey Sanctuary, Sidmouth, Devon EX10 0NU, UK.
Rickards, Karen
  • The Donkey Sanctuary, Sidmouth, Devon EX10 0NU, UK.
van Loon, Johannes P A M
  • Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 114, 3584 CM Utrecht, The Netherlands.

Conflict of Interest Statement

The authors declare no conflict of interest.

References

This article includes 25 references
  1. Ashley FH, Waterman-Pearson AE, Whay HR. Behavioural assessment of pain in horses and donkeys: application to clinical practice and future studies.. Equine Vet J 2005 Nov;37(6):565-75.
    doi: 10.2746/042516405775314826pubmed: 16295937google scholar: lookup
  2. Robertson S. The importance of assessing pain in horses and donkeys.. Equine Vet J 2006 Jan;38(1):5-6.
    doi: 10.2746/042516406775374379pubmed: 16411578google scholar: lookup
  3. Gleerup KB, Lindegaard C. Recognition and quantification of pain in horses: A tutorial review.. Equine Vet. Educ. 2016;28:47–57.
    doi: 10.1111/eve.12383google scholar: lookup
  4. de Grauw JC, van Loon JP. Systematic pain assessment in horses.. Vet J 2016 Mar;209:14-22.
    doi: 10.1016/j.tvjl.2015.07.030pubmed: 26831169google scholar: lookup
  5. van Loon JPAM, Van Dierendonck MC. Objective pain assessment in horses (2014-2018).. Vet J 2018 Dec;242:1-7.
    doi: 10.1016/j.tvjl.2018.10.001pubmed: 30503538google scholar: lookup
  6. Pritchard JC, Lindberg AC, Main DC, Whay HR. Assessment of the welfare of working horses, mules and donkeys, using health and behaviour parameters.. Prev Vet Med 2005 Jul 12;69(3-4):265-83.
  7. Regan FH, Hockenhull J, Pritchard JC, Waterman-Pearson AE, Whay HR. Behavioural repertoire of working donkeys and consistency of behaviour over time, as a preliminary step towards identifying pain-related behaviours.. PLoS One 2014;9(7):e101877.
  8. Regan FH, Hockenhull J, Pritchard JC, Waterman-Pearson AE, Whay HR. Identifying behavioural differences in working donkeys in response to analgesic administration.. Equine Vet J 2016 Jan;48(1):33-8.
    doi: 10.1111/evj.12356pubmed: 25256702google scholar: lookup
  9. Burden F, Thiemann A. Donkeys Are Different.. J. Equine Vet. Sci. 2015;35:376–382.
  10. Bussières G, Jacques C, Lainay O, Beauchamp G, Leblond A, Cadoré JL, Desmaizières LM, Cuvelliez SG, Troncy E. Development of a composite orthopaedic pain scale in horses.. Res Vet Sci 2008 Oct;85(2):294-306.
    doi: 10.1016/j.rvsc.2007.10.011pubmed: 18061637google scholar: lookup
  11. 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 May;188(2):178-83.
    doi: 10.1016/j.tvjl.2010.04.029pubmed: 20627635google scholar: lookup
  12. van Loon JP, Van Dierendonck MC. Monitoring acute equine visceral pain with the Equine Utrecht University Scale for Composite Pain Assessment (EQUUS-COMPASS) and the Equine Utrecht University Scale for Facial Assessment of Pain (EQUUS-FAP): A scale-construction study.. Vet J 2015 Dec;206(3):356-64.
    doi: 10.1016/j.tvjl.2015.08.023pubmed: 26526526google scholar: lookup
  13. Dalla Costa E, Minero M, Lebelt D, Stucke D, Canali E, Leach MC. Development of the Horse Grimace Scale (HGS) as a pain assessment tool in horses undergoing routine castration.. PLoS One 2014;9(3):e92281.
  14. Gleerup KB, Forkman B, Lindegaard C, Andersen PH. An equine pain face.. Vet Anaesth Analg 2015 Jan;42(1):103-14.
    doi: 10.1111/vaa.12212pmc: PMC4312484pubmed: 25082060google scholar: lookup
  15. Grint NJ, Murrell JC, Whay HR. Investigating the opinions of donkey owners and veterinary surgeons towards pain and analgesia in donkeys.. Equine Vet. Educ. 2015;27:365–371.
    doi: 10.1111/eve.12330google scholar: lookup
  16. VanDierendonck MC, van Loon JP. Monitoring acute equine visceral pain with the Equine Utrecht University Scale for Composite Pain Assessment (EQUUS-COMPASS) and the Equine Utrecht University Scale for Facial Assessment of Pain (EQUUS-FAP): A validation study.. Vet J 2016 Oct;216:175-7.
    doi: 10.1016/j.tvjl.2016.08.004pubmed: 27687948google scholar: lookup
  17. Svendsen E.D. The professional handbook of the donkey. 4th ed. Whittet Books Limited; Yatesbury, UK: 2008.
  18. van Loon JP, Van Dierendonck MC. Monitoring equine head-related pain with the Equine Utrecht University scale for facial assessment of pain (EQUUS-FAP).. Vet J 2017 Feb;220:88-90.
    doi: 10.1016/j.tvjl.2017.01.006pubmed: 28190503google scholar: lookup
  19. van Loon JPAM, Van Dierendonck MC. Pain assessment in horses after orthopaedic surgery and with orthopaedic trauma.. Vet J 2019 Apr;246:85-91.
    doi: 10.1016/j.tvjl.2019.02.001pubmed: 30902195google scholar: lookup
  20. Abass MM, Rizk AZ, Mosbah EM, Zaghloul AE. Anaesthetic and cardiopulmonary evaluation following xylazine-diazepam-ketamine-propofol administration with or without local infiltration analgesia using mepivacaine during inguinal castration in donkeys.. Alex. J. Vet. Sci. 2018;56:62–68.
    doi: 10.5455/ajvs.290678google scholar: lookup
  21. Abass M, Picek S, Garzón JFG, Kühnle C, Zaghlou A, Bettschart-Wolfensberger R. Local mepivacaine before castration of horses under medetomidine isoflurane balanced anaesthesia is effective to reduce perioperative nociception and cytokine release.. Equine Vet J 2018 Nov;50(6):733-738.
    doi: 10.1111/evj.12947pmc: PMC6175468pubmed: 29660154google scholar: lookup
  22. Lindegaard C, Thomsen MH, Larsen S, Andersen PH. Analgesic efficacy of intra-articular morphine in experimentally induced radiocarpal synovitis in horses.. Vet Anaesth Analg 2010 Mar;37(2):171-85.
  23. Wathan J, Burrows AM, Waller BM, McComb K. EquiFACS: The Equine Facial Action Coding System.. PLoS One 2015;10(8):e0131738.
  24. Tuyttens FAM, de Graaf S, Heerkens JLT, Jacobs L, Nalon E, Ott S, Stadig L, van Laer E, Ampe B. Observer bias in animal behaviour research: Can we believe what we score, if we score what we believe?. Anim. Behav. 2014;90:273–280.
  25. McLennan KM. Why Pain Is Still a Welfare Issue for Farm Animals, and How Facial Expression Could Be the Answer.. Agriculture 2018;8:127.

Citations

This article has been cited 8 times.
  1. Seganfreddo S, Fornasiero D, De Santis M, Mutinelli F, Normando S, Contalbrigo L. A Pilot Study on Behavioural and Physiological Indicators of Emotions in Donkeys.. Animals (Basel) 2023 Apr 25;13(9).
    doi: 10.3390/ani13091466pubmed: 37174503google scholar: lookup
  2. Maśko M, Wierzbicka M, Zdrojkowski Ł, Jasiński T, Sikorska U, Pawliński B, Domino M. Comparison of Donkey, Pony, and Horse Dorsal Profiles and Head Shapes Using Geometric Morphometrics.. Animals (Basel) 2022 Apr 5;12(7).
    doi: 10.3390/ani12070931pubmed: 35405919google scholar: lookup
  3. Peterson EW, Segabinazzi LGTM, Gilbert RO, Bergfelt DR, French HM. Evaluation of Stress Accompanying Immunocontraceptive Vaccination in Donkeys.. Animals (Basel) 2022 Feb 13;12(4).
    doi: 10.3390/ani12040457pubmed: 35203165google scholar: lookup
  4. Straticò P, Carluccio A, Varasano V, Guerri G, Suriano R, Robbe D, Cerasoli I, Petrizzi L. Analgesic Effect of Butorphanol during Castration in Donkeys under Total Intravenous Anaesthesia.. Animals (Basel) 2021 Aug 9;11(8).
    doi: 10.3390/ani11082346pubmed: 34438803google scholar: lookup
  5. van Loon JPAM, Macri L. Objective Assessment of Chronic Pain in Horses Using the Horse Chronic Pain Scale (HCPS): A Scale-Construction Study.. Animals (Basel) 2021 Jun 18;11(6).
    doi: 10.3390/ani11061826pubmed: 34207290google scholar: lookup
  6. de Oliveira MGC, de Paula VV, Mouta AN, Lima IO, de Macêdo LB, Nunes TL, Trindade PHE, Luna SPL. Validation of the Donkey Pain Scale (DOPS) for Assessing Postoperative Pain in Donkeys.. Front Vet Sci 2021;8:671330.
    doi: 10.3389/fvets.2021.671330pubmed: 34179164google scholar: lookup
  7. Orth EK, Navas González FJ, Iglesias Pastrana C, Berger JM, Jeune SSL, Davis EW, McLean AK. Development of a Donkey Grimace Scale to Recognize Pain in Donkeys (Equus asinus) Post Castration.. Animals (Basel) 2020 Aug 13;10(8).
    doi: 10.3390/ani10081411pubmed: 32823676google scholar: lookup
  8. Merkies K, Paraschou G, McGreevy PD. Morphometric Characteristics of the Skull in Horses and Donkeys-A Pilot Study.. Animals (Basel) 2020 Jun 8;10(6).
    doi: 10.3390/ani10061002pubmed: 32521777google scholar: lookup