Assessment of acute pain in children: Development of evidence-based guidelines

International Journal of Evidence-Based Healthcare

Volumn 9, Issue 1, 2011, Pages 39-50

  Stapelkamp, Ceilidh ^a   Carter, Bernie ^b   Gordon, Jenny ^c   Watts, Chris ^c  

^a Bazian Ltd   (United Kingdom)

^b UNIVERSITY OF CENTRAL LANCASHIRE   (United Kingdom)

^c ROYAL COLLEGE OF NURSING   (United Kingdom)

Author keywords

Children's health; Evidence based practice; Infant health; Pain management; Systematic review

Indexed keywords

CHILD; COGNITIVE DEFECT; EVIDENCE BASED PRACTICE; HUMAN; INFANT; METHODOLOGY; NEWBORN; ORGANIZATION AND MANAGEMENT; PAIN ASSESSMENT; PRACTICE GUIDELINE; PSYCHOMETRY; REPRODUCIBILITY; REVIEW; STANDARD;

CHILD; COGNITION DISORDERS; EVIDENCE-BASED PRACTICE; HUMANS; INFANT; INFANT, NEWBORN; PAIN MEASUREMENT; PRACTICE GUIDELINES AS TOPIC; PSYCHOMETRICS; REPRODUCIBILITY OF RESULTS;

EID: 79953735463     PISSN: 17441595     EISSN: 17441609     Source Type: Journal    
DOI: 10.1111/j.1744-1609.2010.00199.x     Document Type: Article

References (98)

1. Royal College of Nursing. The Recognition and Assessment of Acute Pain in Children - Technical Report. London: Royal College of Nursing, 2000.
2. SIGN. A Guideline Developers' Handbook. Section 6: Forming Guideline Recommendations. Vol. SIGN Publication No. 50. Edinburgh: Scottish Intercollegiate Guidelines Network, 2006.
3. Blauer T, Gerstmann D. A simultaneous comparison of three neonatal pain scales during common NICU procedures. Clin J Pain 1998; 14: 39-47.
4. van DM, de Boer JB, Koot HM, Tibboel D, Passchier J, Duivenvoorden HJ. The reliability and validity of the COMFORT scale as a postoperative pain instrument in 0 to 3-year-old infants. Pain 2000; 84: 367-77.
5. Krechel SW, Bildner J. CRIES: a new neonatal postoperative pain measurement score. Initial testing of validity and reliability. Paediatr Anaesth 1995; 5: 53-61.
6. McNair C, Ballantyne M, Dionne K et al. Postoperative pain assessment in the neonatal intensive care unit. Arch Dis Child Fetal Neonatal Ed 2004; 89: F537-41.
7. Craig KD, Hadjistavropoulos HD, Grunau RV, Whitfield MF. A comparison of two measures of facial activity during pain in the newborn child. J Pediatr Psychol 1994; 19: 305-18.
8. Grunau RE, Oberlander T, Holsti L, Whitfield MF. Bedside application of the neonatal facial coding system in pain assessment of premature neonates. Pain 1998; 76: 277-86.
9. Pereira AL, Guinsburg R, de Almeida MF, Monteiro AC, dos Santos AM, Kopelman BI. Validity of behavioral and physiologic parameters for acute pain assessment of term newborn infants. Sao Paulo Med J 1999; 117: 72-80.
10. Peters JW, Koot HM, Grunau RE et al. Neonatal Facial Coding System for assessing postoperative pain in infants: item reduction is valid and feasible. Clin J Pain 2003; 19: 353-63.
11. Marceau J. Pilot study of a pain assessment tool in the neonatal intensive care unit. J Paediatr Child Health 2003; 39: 598-601.
12. Lawrence J, Alcock D, McGrath P, Kay J, MacMurray SB, Dulberg C. The development of a tool to assess neonatal pain. Neonatal Netw J Neonatal Nurs 1993; 12: 59-66.
13. Hodgkinson K, Bear M, Thorn J, Van BS. Measuring pain in neonates: evaluating an instrument and developing a common language. Aust J Adv Nurs 1994; 12: 17-22.
14. Spence K, Gillies D, Harrison D, Johnston L, Nagy S. A reliable pain assessment tool for clinical assessment in the neonatal intensive care unit. J Obstet Gynecol Neonatal Nurs 2005; 34: 80-6.
15. Ballantyne M, Stevens B, McAllister M, Dionne K, Jack A. Validation of the premature infant pain profile in the clinical setting. Clin J Pain 1999; 15: 297-303.
16. Gilbert CA, Lilley CM, Craig KD et al. Postoperative pain expression in preschool children: validation of the child facial coding system. Clin J Pain 1999; 15: 192-200.
17. Stewart B, Lancaster G, Lawson J, Williams K, Daly J. Validation of the alder hey Triage pain score. Arch Dis Child 2004; 89: 625-30.
18. Suominen P, Caffin C, Linton S et al. The cardiac analgesic assessment scale (CAAS): a pain assessment tool for intubated and ventilated children after cardiac surgery. Paediatr Anaesth 2004; 14: 336-43.
19. Stevens B. Development and testing of a pediatric pain management sheet. Pediatr Nurs 1990; 16: 543-8.
20. Suraseranivongse S, Montapaneewat T, Manon J, Chainchop P, Petcharatana S, Kraiprasit K. Cross-validation of a self-report scale for postoperative pain in school-aged children. J Med Assoc Thai 2005; 88: 412-18.
21. Fradet C, McGrath PJ, Kay J, Adams S, Luke B. A prospective survey of reactions to blood tests by children and adolescents. Pain 1990; 40: 53-60.
22. McGrath PA, Johnson G, Goodman JT, Schillinger J, Dunn J, Chapman J. CHEOPS: a behavioral scale for rating postoperative pain in children. Adv Pain Res Ther 1985; 9: 395-402.
23. Suraseranivongse S, Santawat U, Kraiprasit K, Petcharatana S, Prakkamodom S, Muntraporn N. Cross-validation of a composite pain scale for preschool children within 24 h of surgery. Br J Anaesth 2001; 87: 400-5.
24. Tyler DC, Tu A, Douthit J, Chapman CR. Toward validation of pain measurement tools for children: a pilot study. Pain 1993; 52: 301-9.
25. Peden V, Choonara I, Vater M. Validating the Derbyshire Children's Hospital Pain Tool in children aged 6-12 years. J Child Health Care 2005; 9: 59-71.
26. Peden V, Vater M, Choonara I. Validating the Derbyshire Children's Hospital Pain Tool: a pilot study. Paediatr Anaesth 2003; 13: 109-13.
27. Keck JF, Gerkensmeyer JE, Joyce BA, Schade JG. Reliability and validity of the faces and word descriptor scales to measure procedural pain. J Pediatr Nurs 1996; 11: 368-74.
28. Bosenberg A, Thomas J, Lopez T, Kokinsky E, Larsson LE. Validation of a six-graded faces scale for evaluation of postoperative pain in children. Paediatr Anaesth 2003; 13: 708-13.
29. Bulloch B, Tenenbein M. Validation of 2 pain scales for use in the pediatric emergency department. Pediatrics 2002; 110: e33.
30. Chambers CT, Finley GA, McGrath PJ, Walsh TM. The parents' postoperative pain measure: replication and extension to 2-6-year-old children. Pain 2003; 105: 437-43.
31. Chambers CT, Reid GJ, McGrath PJ, Finley GA. Development and preliminary validation of a postoperative pain measure for parents. Pain 1996; 68: 307-13.
32. Finley GA, Chambers CT, McGrath PJ, Walsh TM. Construct validity of the parents' postoperative pain measure. Clin J Pain 2003; 19: 329-34.
33. Hartrick CT, Kovan JP. Pain assessment following general anesthesia using the toddler preschooler postoperative pain scale: a comparative study. J Clin Anesth 2002; 14: 411-15.
34. Manworren RC, Hynan LS. Clinical validation of FLACC: preverbal patient pain scale. Pediatr Nurs 2003; 29: 140-6.
35. Merkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs 1997; 23: 293-7.
36. Willis MH, Merkel SI, Voepel-Lewis T, Malviya S. FLACC Behavioral Pain Assessment Scale: a comparison with the child's selfreport. Pediatr Nurs 2003; 29: 195-8.
37. Joyce BA, Schade JG, Keck JF et al. Reliability and validity of preverbal pain assessment tools. Issues Compr Pediatr Nurs 1994; 17: 121-35.
38. Aradine CR, Beyer JE, Tompkins JM. Children's pain perception before and after analgesia: a study of instrument construct validity and related issues. J Pediatr Nurs 1988; 3: 11-23.
39. Beyer JE, Aradine CR. Patterns of pediatric pain intensity: a methodological investigation of a self-report scale. Clin J Pain 1987; 21: 130-41.
40. Beyer JE, Knott CB. Construct validity estimation for the African-American and Hispanic versions of the Oucher Scale. J Pediatr Nurs 1998; 13: 20-31.
41. Yeh C-H. Development and validation of the Asian version of the oucher: a pain intensity scale for children. J Pain 2005; 6: 526-34.
42. Tarbell SE, Cohen IT, Marsh JL. The Toddler-Preschooler Postoperative Pain Scale: an observational scale for measuring postoperative pain in children aged 1-5. Preliminary report. Pain 1992; 50: 273-80.
43. Soetenga D, Frank J, Pellino TA. Assessment of the validity and reliability of the University of Wisconsin Children's Hospital Pain scale for preverbal and nonverbal children. Pediatr Nurs 1999; 25: 670-6.
44. Romsing J, Hertel S, Moller-Sonnergaard J, Rasmussen M. Postoperative pain in Danish children: self-report measures of pain intensity. J Pediatr Nurs 1996; 11: 119-24.
45. Romsing J, Moller-Sonnergaard J, Hertel S, Rasmussen M. Postoperative pain in children: comparison between ratings of children and nurses. J Pain Symptom Manage 1996; 11: 42-6.
46. Tesler MD, Savedra MC, Holzemer WL, Wilkie DJ, Ward JA, Paul SM. The word-graphic rating scale as a measure of children's and adolescents' pain intensity. Res Nurs Health 1991; 14: 361- 71.
47. Spagrud LJ, Piira T, von Baeyer CL. Pain control. Children's self-report of pain intensity: the faces pain scale-revised. Am J Nurs 2003; 103: 62-4.
48. Boughton K, Blower C, Chartrand C, Dircks P, Stone T, Youwe G. Impact of research on paediatric pain assessment and outcomes. Pediatr Nurs 1998; 24: 31-5.
49. Hicks CL, von Baeyer CL, Spafford PA et al. The Faces Pain Scale-Revised: toward a common metric in pediatric pain measurement. Pain 2001; 93: 173-83.
50. Miro J, Huguet A, Miro J, Huguet A. Evaluation of reliability, validity, and preference for a pediatric pain intensity scale: the Catalan version of the faces pain scale - revised. Pain 2004; 111: 59-64.
51. Jordan-Marsh M, Yoder L, Hall D, Watson R. Alternate Oucher form testing: gender, ethnicity, and age variations. Res Nurs Health 1994; 17: 111-18.
52. Malviya S, Voepel-Lewis T, Burke C, Merkel S, Tait AR. The revised FLACC observational pain tool: improved reliability and validity for pain assessment in children with cognitive impairment. Paediatr Anaesth 2006; 16: 258-65.
53. Voepel-Lewis T, Merkel S, Tait AR et al. The reliability and validity of the Face, Legs, Activity, Cry, Consolability observational tool as a measure of pain in children with cognitive impairment. Anesth Analg 2002; 95: 1224-9.
54. Hunt A, Wisbeach A, Seers K et al. Development of the Paediatric Pain Profile: role of video analysis and saliva cortisol in validating a tool to assess pain in children with severe neurological disability. J Pain Symptom Manage 2007; 33: 276- 89.
55. Hunt A, Goldman A, Seers K et al. Clinical validation of the paediatric pain profile. Dev Med Child Neurol 2004; 46: 9- 18.
56. Breau LM, McGrath PJ, Camfield CS et al. Psychometric properties of the non-communicating children's pain checklistrevised. Pain 2002; 99: 349-57.
57. Breau LM, Finley GA, McGrath PJ et al. Validation of the noncommunicating children's pain checklist-postoperative version [See comment]. (Erratum appears in Anesthesiology 2002; 97: 769) Anesthesiology 2002; 96: 528-35.
58. Abu-Saad HH, Bours GJ, Stevens B, Hamers JP. Assessment of pain in the neonate. Semin Perinatol 1998; 22: 402-16.
59. Craig KD, Whitfield MF, Grunau RV, Linton J, Hadjistavropoulos HD. Pain in the preterm neonate: behavioural and physiological indices. Pain 1993; 52: 287-99.
60. Duhn LJ, Medves JM. A systematic integrative review of infant pain assessment tools. Adv Neonatal Care 2004; 4: 126-40.
61. Franck LS, Miaskowski C. Measurement of neonatal responses to painful stimuli: a research review. J Pain Symptom Manage 1997; 14: 343-78.
62. Johnston CC, Stevens BJ, Yang F, Horton L. Differential response to pain by very premature neonates. Pain 1995; 61: 471-9.
63. Mathew PJ, Mathew JL. Pain in the neonate: appreciation, assessment and alleviation. Perinatology 2003; 5: 107-20.
64. Mathew PJ, Mathew JL. Assessment and management of pain in infants. Postgrad Med J 2003; 79: 438-43.
65. Morison SJ, Grunau RE, Oberlander TF, Whitfield MF. Relations between behavioral and cardiac autonomic reactivity to acute pain in preterm neonates. Clin J Pain 2001; 17: 350-8.
66. Porter FL, Wolf CM, Miller JP. Procedural pain in newborn infants: the influence of intensity and development. Pediatrics 1999; 104: e13.
67. Purcell-Jones G, Dormon F, Sumner E. Paediatric anaesthetists' perceptions of neonatal and infant pain. Pain 1988; 33: 181- 7.
68. Reyes S. Nursing assessment of infant pain. J Perinat Neonatal Nurs 2003; 17: 291-303.
69. Shapiro CR. Nurses' judgments of pain in term and preterm newborns. J Obstet Gynecol Neonatal Nurs 1993; 22: 41-7.
70. Stevens B, Koren G. Evidence-based pain management for infants. Curr Opin Pediatr 1998; 10: 203-7.
71. Stevens BJ, Franck LS. Assessment and management of pain in neonates. Paediatr Drugs 2001; 3: 539-58.
72. van DM, Simons S, Tibboel D. Pain assessment in neonates. Pediatr Perinat Drug Ther 2004; 6: 97-103.
73. Walden M, Penticuff JH, Stevens B et al. Maturational changes in physiologic and behavioral responses of preterm neonates to pain. Adv Neonatal Care 2001; 1: 94-106.
74. Foster RL, Yucha CB, Zuk J, Vojir CP. Physiologic correlates of comfort in healthy children. Pain Manag Nurs 2003; 4: 23-30.
75. Gorduysus M, Avcu N, Akbayrak T, Gorduysus O. Measure of the pressure pain threshold in human acute and chronic pulpal diseases. Pain Clinic 2002; 14: 269-72.
76. Grunau RE, Holsti L, Whitfield MF, Ling E. Are twitches, startles, and body movements pain indicators in extremely low birth weight infants? Clin J Pain 2000; 16: 37-45.
77. Grunau RE, Oberlander TF, Whitfield MF, Fitzgerald C, Lee SK. Demographic and therapeutic determinants of pain reactivity in very low birth weight neonates at 32 weeks' postconceptional age. Pediatrics 2001; 107: 105-12.
78. Grunau RV, Johnston CC, Craig KD. Neonatal facial and cry responses to invasive and non-invasive procedures. Pain 1990; 42: 295-305.
79. Guinsburg R, de Araujo PC, Branco de Almeida MF et al. Differences in pain expression between male and female newborn infants. Pain 2000; 85: 127-33.
80. Holsti L, Grunau RE, Oberlander TF et al. Prior pain induces heightened motor responses during clustered care in preterm infants in the NICU. Early Hum Dev 2005; 81: 293- 302.
81. Holsti L, Grunau RE, Oberlander TF, Whitfield MF, Weinberg J. Body movements: an important additional factor in discriminating pain from stress in preterm infants. Clin J Pain 2005; 21: 491-8.
82. Johnston CC, Sherrard A, Stevens B, Franck L, Stremler R, Jack A. Do cry features reflect pain intensity in preterm neonates? A preliminary study. Biol Neonate 1999; 76: 120-4.
83. Lindh V, Wiklund U, Hakansson S, Lindh V, Wiklund U, Hakansson S. Heel lancing in term new-born infants: an evaluation of pain by frequency domain analysis of heart rate variability. Pain 1999; 80: 143-8.
84. McIntosh N, Van VL, Brameyer H. The pain of heel prick and its measurement in preterm infants. Pain 1993; 52: 71-4.
85. Morison SJ, Holsti L, Grunau RE et al. Are there developmentally distinct motor indicators of pain in preterm infants? Early Hum Dev 2003; 72: 131-46.
86. National Association of Neonatal Nurses. Position Statement #3019. Pain Management in Infants. Glenview, IL: National Association of Neonatal Nurses, 2001.
87. Oberlander TF, Grunau RE, Whitfield MF, Fitzgerald C, Pitfield S, Saul JP. Biobehavioral pain responses in former extremely low birth weight infants at four months' corrected age. Pediatrics 2000; 105: e6.
88. Rushforth JA, LeveneMI. Behavioural response to pain in healthy neonates. Arch Dis Child Fetal Neonatal Ed 1994; 70: F174-6.
89. Schwartz ME, Jeffries IP. Neonatal pain assessment: physiological response to heel lancing. Int Pediatr 1990; 5: 344-9.
90. Slater R, Cantarella A, Franck L, Meek J, Fitzgerald M. How well do clinical pain assessment tools reflect pain in infants? PLoS Med 2008; 5: e129.
91. Stevens BJ, Johnston CC. Physiological responses of premature infants to a painful stimulus. Nurs Res 1994; 43: 226-31.
92. Stevens BJ, Johnston CC, Horton L. Multidimensional pain assessment in premature neonates: a pilot study. J Obstet Gynecol Neonatal Nurs 1993; 22: 531-41.
93. Stevens BJ, Johnston CC, Horton L, Stevens BJ, Johnston CC, Horton L. Factors that influence the behavioral pain responses of premature infants. Pain 1994; 59: 101-9.
94. Taddio A, Katz J, Ilersich AL, Koren G. Effect of neonatal circumcision on pain response during subsequent routine vaccination. Lancet 1997; 349: 599-603.
95. Taddio A, Shah V, Gilbert-MacLeod C, Katz J. Conditioning and hyperalgesia in newborns exposed to repeated heel lances. JAMA 2002; 288: 857-61.
96. Agency for Health Care Policy and Research. Management of Postoperative and Procedural Pain in Infants, Children, and Adolescents. Rockville: Agency for Health Care Policy and Research, 1992.
97. Anand KJ, International Evidence-Based Group for Neonatal Pain. Consensus statement for the prevention and management of pain in the newborn. Arch Pediatr Adolesc Med 2001; 155: 173-80.
98. Stevens B, Johnston C, Stevens B, Johnston C. Premature infants' response to pain. Nurs Que 1990; 11: 82-8.