Interrater Agreement between Bedside and Video Raters Using the CPOT-Neuro for Pain Assessment in Critically Ill Patients with a Brain Injury
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design
2.2. Sample and Setting
2.3. Procedures
2.4. Instruments
2.4.1. Critical-Care Pain Observation Tool–Neuro
2.4.2. Sociodemographic and Clinical Variables
2.4.3. Data Analysis
3. Results
3.1. Sample Description
3.2. CPOT-Neuro Scores of the Bedside and Video Raters
3.3. Interrater Agreement of CPOT-Neuro Scores between Pairs of Bedside and Video Raters
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Public Involvement Statement
Guidelines and Standards Statement
Acknowledgments
Conflicts of Interest
References
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Conscious (n = 31) | Altered LOC (n = 17) | Unconscious (n = 8) | Total (n = 56) | |
---|---|---|---|---|
Male sex: n (%) | 17 (55%) | 13 (77%) | 7 (88%) | 37 (66%) |
Age: median (IQR) | 61 (34–79) | 60 (28–74) | 45.5 (26.5–54.5) | 57.5 (33.25–75.5) |
Ethnicity: n (%) | ||||
Caucasian | 24 (77%) | 13 (76%) | 5 (63%) | 42 (75%) |
Asian | 2 (7%) | 2 (12%) | 0 | 4 (7%) |
Black | 3 (10%) | 0 | 0 | 3 (5%) |
Hispanic | 1 (3%) | 0 | 2 (25%) | 3 (5%) |
Other | 1 (3%) | 2 (12%) | 1 (12%) | 4 (7%) |
Diagnosis: n (%) | ||||
TBI | 24 (77%) | 13 (77%) | 7 (88%) | 44 (79%) |
Non-TBI | 7 (23%) | 4 (23%) | 1 (12%) | 12 (21%) |
Mechanical ventilation: n (%) | 12 (39%) | 16 (94%) | 7 (88%) | 35 (63%) |
APACHE: median (IQR) | 13 (9–16) | 16 (11.5–20.5) | 15.5 (10.25–27.5) | 14 (9–17.75) |
Procedure | Rater | Conscious (n = 31) | Altered LOC (n = 17) | Unconscious (n = 8) | Total (n = 56) |
---|---|---|---|---|---|
NIBP | Bedside | 0 (0–1) | 0 (0–0.5) | 1 (0–2.75) | 0 (0–1.75) |
VR1 | 0 (0–1) | 0 (0–0) | 0.5 (0–1) | 0 (0–1) | |
VR2 | 0 (0–1) | 0 (0–0) | 0.5 (0–2.75) | 0 (0–1) | |
Turning | Bedside | 3 (1–4) | 2 (0–3.5) | 3.5 (2–4) | 3 (1–4) |
VR1 | 2 (0–4) | 2 (0.5–3) | 1.5 (1–2) | 2 (1–3) | |
VR2 | 3 (2–4) | 3 (1.5–4) | 4 (3–4) | 3 (2–4) |
Procedure | Pairs of Raters | Conscious (n = 31) | Altered LOC (n = 17) | Unconscious (n = 8) | Total (n = 56) |
---|---|---|---|---|---|
NIBP | Bedside—VR1 | 0.73 (0.50–0.86) | 0.44 (0.04–0.75) | 0.62 (0.08–0.91) | 0.68 (0.50–0.80) |
Bedside—VR2 * | 0.63 (0.26–0.84) | 0.65 (0.16–0.89) | --- | 0.65 (0.40–0.80) | |
VR1–VR2 | 0.69 (0.44–0.84) | 0.69 (0.44–0.84) | 0.61 (0.09–0.91) | 0.69 (0.53–0.81) | |
Turning | Bedside—VR1 | 0.79 (0.60–0.89) | 0.73 (0.40–0.90) | 0.67 (0.02–0.93) | 0.74 (0.59–0.84) |
Bedside—VR2 * | 0.90 (0.77–0.96) | 0.66 (0.16–0.89) | --- | 0.80 (0.64–0.89) | |
VR1–VR2 | 0.82 (0.67–0.91) | 0.78 (0.49–0.91) | 0.66 (0.01–0.92) | 0.79 (0.66–0.87) |
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Nguyen, V.; Richard-Lalonde, M.; Gélinas, C. Interrater Agreement between Bedside and Video Raters Using the CPOT-Neuro for Pain Assessment in Critically Ill Patients with a Brain Injury. Nurs. Rep. 2024, 14, 212-219. https://doi.org/10.3390/nursrep14010017
Nguyen V, Richard-Lalonde M, Gélinas C. Interrater Agreement between Bedside and Video Raters Using the CPOT-Neuro for Pain Assessment in Critically Ill Patients with a Brain Injury. Nursing Reports. 2024; 14(1):212-219. https://doi.org/10.3390/nursrep14010017
Chicago/Turabian StyleNguyen, Vivienne, Melissa Richard-Lalonde, and Céline Gélinas. 2024. "Interrater Agreement between Bedside and Video Raters Using the CPOT-Neuro for Pain Assessment in Critically Ill Patients with a Brain Injury" Nursing Reports 14, no. 1: 212-219. https://doi.org/10.3390/nursrep14010017
APA StyleNguyen, V., Richard-Lalonde, M., & Gélinas, C. (2024). Interrater Agreement between Bedside and Video Raters Using the CPOT-Neuro for Pain Assessment in Critically Ill Patients with a Brain Injury. Nursing Reports, 14(1), 212-219. https://doi.org/10.3390/nursrep14010017