ALPS-Neo pain and stress assessment scale for neonates-A measure for procedural pain.
ALPS-Neo
heel-stick
neonatal pain assessment
reliability
validity
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
06 2023
06 2023
Historique:
revised:
23
02
2023
received:
13
01
2023
accepted:
16
03
2023
medline:
9
5
2023
pubmed:
21
3
2023
entrez:
20
3
2023
Statut:
ppublish
Résumé
The aim of this study was to investigate psychometric properties, reliability and validity, of Astrid Lindgren and Lund Children's Hospitals Pain and Stress Assessment Scale for Preterm and Sick Newborn Infants (ALPS-Neo), as a measure for procedural pain. This observational, prospective study with a repeated measures design, explored inter-rater reliability by two raters assessing 21 neonates during non-pain and pain events. Construct validity was explored, that is, ability to discriminate between non-pain and pain, and criterion validity by correlating ALPS-Neo with Premature Infant Pain Profile-Revised (PIPP-R) and Skin Conductance Algesimeter (SCA) in 54 neonates without ventilator support and sedation undergoing routine heel-stick procedure in a tertiary neonatal intensive care unit. Mean gestational and assessment age of 54 infants was 33.8 weeks and 12.7 days respectively. Inter-rater reliability from baseline, skin wiping, heel-stick events for 21 infants demonstrated intraclass correlations with 95% confidence intervals (CI) of 0.49 (-0.27 to 0.79), 0.86 (0.65-0.94) and 0.73 (0.34-0.89) respectively. ALPS-Neo discriminated significantly between baseline, non-pain and heel-stick (mean differences from pain event -2.3 and -1.0 respectively) and correlated during heel-stick with PIPP-R (r = 0.56, 95% CI: 0.34-0.72), not with SCA. ALPS-Neo may be used as a measure for procedural pain.
Types de publication
Observational Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1220-1225Subventions
Organisme : Medicines for Children Network, Norway
Informations de copyright
© 2023 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
Références
Campbell-Yeo M, Eriksson M, Benoit B. Assessment and management of pain in preterm infants: a practice update. Children (Basel). 2022;9(2):1-18. doi:10.3390/children9020244
Cruz MD, Fernandes AM, Oliveira CR. Epidemiology of painful procedures performed in neonates: a systematic review of observational studies. Eur J Pain. 2016;20(4):489-498. doi:10.1002/ejp.757
Brummelte S, Chau CM, Cepeda IL, et al. Cortisol levels in former preterm children at school age are predicted by neonatal procedural pain-related stress. Psychoneuroendocrinology. 2015;51:151-163. Not in File.
Grunau RE, Holsti L, Peters JW. Long-term consequences of pain in human neonates. Semin Fetal Neonatal Med. 2006;11(4):268-275. Not in File.
Hermann C, Hohmeister J, Demirakca S, Zohsel K, Flor H. Long-term alteration of pain sensitivity in school-aged children with early pain experiences. Pain. 2006;125(3):278-285. Not in File.
Vederhus BJ, Eide GE, Natvig GK, Markestad T, Graue M, Halvorsen T. Pain tolerance and pain perception in adolescents born extremely preterm. J Pain. 2012;13(10):978-987. Not in File. doi:S1526-5900(12)00741-9 [pii];. doi:10.1016/j.jpain.2012.07.008
Walker SM, Beggs S, Baccei ML. Persistent changes in peripheral and spinal nociceptive processing after early tissue injury. Exp Neurol. 2016;275(Pt 2):253-260. doi:10.1016/j.expneurol.2015.06.020
Anand KJ. Consensus statement for the prevention and management of pain in the newborn. Arch Pediatr Adolesc Med. 2001;155(2):173-180. Not in File.
© IAftSoPI. IASP terminology. Yoko Co. Updated 2021.
Anand KJ, Craig KD. New perspectives on the definition of pain. Pain. 1996;67(1):3-6; discussion 209-11.
Eriksson M, Campbell-Yeo M. Assessment of pain in newborn infants. Semin Fetal Neonatal Med. 2019;24(4):101003. doi:10.1016/j.siny.2019.04.003
Olsson E, Ahl H, Bengtsson K, et al. The use and reporting of neonatal pain scales: a systematic review of randomized trials. Pain. 2021;162(2):353-360. doi:10.1097/j.pain.0000000000002046
Holsti L, Grunau RE, Shany E. Assessing pain in preterm infants in the neonatal intensive care unit: moving to a 'brain-oriented' approach. Pain Manag. 2011;1(2):171-179. doi:10.2217/pmt.10.19
Anand KJS. Defining pain in newborns: need for a uniform taxonomy? Acta Paediatr. 2017;106(9):1438-1444. doi:10.1111/apa.13936
Lundqvist P, Kleberg A, Edberg AK, Larsson BA, Hellstrom-Westas L, Norman E. Development and psychometric properties of the Swedish ALPS-neo pain and stress assessment scale for newborn infants. Acta Paediatr. 2014;103(8):833-839. Not in File. doi:10.1111/apa.12672
Carlsen Misic M, Andersen RD, Strand S, Eriksson M, Olsson E. Nurses' perception, knowledge, and use of neonatal pain assessment. Paediatr Neonatal Pain. 2021;3(2):59-65. doi:10.1002/pne2.12050
Andersen RD, Munsters JMA, Vederhus BJ, Gradin M. Pain assessment practices in Swedish and Norwegian neonatal care units. Scand J Caring Sci. 2018;32(3):1074-1082. doi:10.1111/scs.12553
Olsson E, Pettersson M, Eriksson M, Ohlin A. Oral sweet solution to prevent pain during neonatal hip examination: a randomised controlled trial. Acta Paediatr. 2019;108(4):626-629. doi:10.1111/apa.14588
Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46(12):1417-1432. doi:10.1016/0895-4356(93)90142-n
Gibbins S, Stevens BJ, Yamada J, et al. Validation of the premature infant pain profile-revised (PIPP-R). Early Hum Dev. 2014;90(4):189-193. doi:10.1016/j.earlhumdev.2014.01.005
Olsson E, Anderzen-Carlsson A, Atladottir SM, et al. Cultural adaptation and harmonization of four Nordic translations of the revised premature infant pain profile (PIPP-R). BMC Pediatr. 2018;18(1):349. doi:10.1186/s12887-018-1322-5
Storm H. Changes in skin conductance as a tool to monitor nociceptive stimulation and pain. Curr Opin Anaesthesiol. 2008;21(6):796-804. doi:10.1097/ACO.0b013e3283183fe4
Munsters J, Wallstrom L, Agren J, Norsted T, Sindelar R. Skin conductance measurements as pain assessment in newborn infants born at 22-27 weeks gestational age at different postnatal age. Early Hum Dev. 2012;88(1):21-26. doi:10.1016/j.earlhumdev.2011.06.010
Mokkink LB, Terwee CB, Patrick DL, et al. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol. 2010;63(7):737-745. doi:10.1016/j.jclinepi.2010.02.006
Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155-163. doi:10.1016/j.jcm.2016.02.012
Andersen RD. Do you see my pain? Aspects of pain assessment in hospitalized preverbal children. 2018.
Anand KJS, Eriksson M, Boyle EM, et al. Assessment of continuous pain in newborns admitted to NICUs in 18 European countries. Acta Paediatr. 2017;106(8):1248-1259. doi:10.1111/apa.13810
Hummel P, Puchalski M, Creech SD, Weiss MG. Clinical reliability and validity of the N-PASS: neonatal pain, agitation and sedation scale with prolonged pain. J Perinatol. 2008;28(1):55-60. doi:10.1038/sj.jp.7211861
Hummel P, Lawlor-Klean P, Weiss MG. Validity and reliability of the N-PASS assessment tool with acute pain. J Perinatol. 2010;30(7):474-478. doi:10.1038/jp.2009.185
Roue JM, Rioualen S, Gendras J, Misery L, Gouillou M, Sizun J. Multi-modal pain assessment: are near-infrared spectroscopy, skin conductance, salivary cortisol, physiologic parameters, and neonatal facial coding system interrelated during venepuncture in healthy, term neonates? J Pain Res. 2018;11:2257-2267. doi:10.2147/JPR.S165810