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- Title
Clinical Utility of the Behavioral Pain Assessment Tool in Patients Admitted in the Intensive Care Unit.
- Authors
Mitra, Sukanya; Jain, Kompal; Singh, Jasveer; Saxena, Puja; Nyima, Tenzin; Selvam, Selwin R.; Walia, Mansi C.
- Abstract
Introduction: Unnoticed and unrelieved pain is one of the main sources of psychological and physiological stress for intensive care unit (ICU) patients. The eight-item behavior pain assessment tool (BPAT) is a multicountry validated tool to assess pain in ICU patients. However, its feasibility and clinical utility for ICU patients in India need further research. Aims and objectives: The Aims and objectives of the study were to assess pain using BPAT and its clinical utility in pain assessment and management in ICU patients. Materials and methods: Following ethical approval, 400 consecutive adult patients admitted in the ICUs in a tertiary care teaching hospital were assessed for pain severity using BPAT at intake, baseline pain and procedural pain. Patients <18 years and in deep coma on the Glasgow coma scale were excluded from the study. The patients with BPAT score ≥4 were given opioid analgesic, and their pain was reassessed after 2-3 hours. A feedback regarding feasibility and clinical utility was filled by the doctors. Results: High interrater agreement for BPAT was observed with excellent kappa coefficients (>0.85) for each item. The BPAT significantly guided the pain management (p < 0.0001). More than 90% of doctors found BPAT easy to understand and use. In most of the cases (95.5%), doctors agreed that BPAT can improve the clinical management of ICU patients. Conclusion: The BPAT is a reliable, brief, and an easy-to-use pain assessment tool, which clinicians can use for guiding pain assessment and management in the ICU setting on a routine basis. Clinical significance: We recommend implementing BPAT in the clinical practice for better pain assessment and control in ICU patients.
- Subjects
INDIA; PAIN diagnosis; INTENSIVE care units; PILOT projects; PAIN measurement; PAIN; ACADEMIC medical centers; CRITICALLY ill; PATIENTS; SURGICAL complications; PHYSICIANS' attitudes; SEVERITY of illness index; PRE-tests &; post-tests; REPEATED measures design; CRITICAL care medicine; GLASGOW Coma Scale; QUALITY assurance; DESCRIPTIVE statistics; OPIOID analgesics; PAIN management; LONGITUDINAL method; EVALUATION
- Publication
Indian Journal of Critical Care Medicine, 2020, Vol 24, Issue 8, p695
- ISSN
0972-5229
- Publication type
Article
- DOI
10.5005/jp-journals-10071-23521