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Article

Prospective Feasibility and Revalidation of the Equine Acute Abdominal Pain Scale (EAAPS) in Clinical Cases of Colic in Horses

1
Large Animal Department, Robert H Smith, Faculty of Agriculture, Food and Environmental Sciences, Koret School of Veterinary Medicine, Veterinary Teaching Hospital, The Hebrew University of Jerusalem, POB 12, Rehovot 7610001, Israel
2
Leahurst Campus, School of Veterinary Science, University of Liverpool, Chester High Road, Neston CH64 7TE, UK
*
Author to whom correspondence should be addressed.
Current address: Chester Gates Veterinary Specialists CVS (UK) Ltd., Units E and F, Telford Court, Dunkirk Trading Estate, Gates Lane, Chester CH1 6LT, UK.
Current address: Equine Orthopaedics and Surgery, 14 Brooklands Road, Parkgate, Neston CH64 6SW, UK.
Animals 2020, 10(12), 2242; https://doi.org/10.3390/ani10122242
Received: 29 September 2020 / Revised: 2 November 2020 / Accepted: 23 November 2020 / Published: 29 November 2020
(This article belongs to the Special Issue Towards a better assessment of acute pain in equines)
Severity of pain, an important parameter in clinical decision making, is subjective. The Equine Acute Abdominal Pain Scale (EAAPS) was evaluated for the first time in 237 horses presenting with colic (abdominal pain) at two equine hospitals; in Israel and in the United Kingdom. The EAAPS demonstrated validity and was reportedly quick and easy to use. The EAAPS is the only equine pain scale that has been tested to this extent for these properties on clinical cases in equine hospitals. Use of the EAAPS apparently requires no training, is easy to use in clinical cases, and can improve equine welfare.
Assessment of the severity of pain in colic cases is subjective. The Equine Acute Abdominal Pain Scale (EAAPS), previously validated using film clips of horses with colic, was tested for feasibility and revalidated in both medical and surgical colic cases in Israel and the UK. Feasibility qualities evaluated were quickness and ease-of-use. Pain in 231 horses, presented for colic, was assessed by 35 participants; 26 in the UK and 9 in Israel. Without prior training, participants assessed the severity of pain using two scales; the EAAPS and a visual analogue scale (VAS). Convergent validity comparing the EAAPS to the VAS was substantial, discriminant validity was good, and predictive validity for surgical treatment was similar to the VAS, but for mortality, the VAS was significantly better. No participants reported the EAAPS to be “very slow” or “very difficult” to use. The mode reported was “quick”/“very quick” and “easy”/“very easy” to use, though in less than 10% of cases, it was reported to be a little less quick or easy. More experienced first-time users found it significantly quicker to use than less experienced participants. In conclusion, the EAAPS is the only equine pain assessment scale that has been tested and found to demonstrate good feasibility for use in the referral hospital setting. View Full-Text
Keywords: pain assessment; visual analogue scale; validity; usability; utility pain assessment; visual analogue scale; validity; usability; utility
MDPI and ACS Style

Maskato, Y.; Dugdale, A.H.A.; Singer, E.R.; Kelmer, G.; Sutton, G.A. Prospective Feasibility and Revalidation of the Equine Acute Abdominal Pain Scale (EAAPS) in Clinical Cases of Colic in Horses. Animals 2020, 10, 2242. https://doi.org/10.3390/ani10122242

AMA Style

Maskato Y, Dugdale AHA, Singer ER, Kelmer G, Sutton GA. Prospective Feasibility and Revalidation of the Equine Acute Abdominal Pain Scale (EAAPS) in Clinical Cases of Colic in Horses. Animals. 2020; 10(12):2242. https://doi.org/10.3390/ani10122242

Chicago/Turabian Style

Maskato, Yamit, Alexandra H.A. Dugdale, Ellen R. Singer, Gal Kelmer, and Gila A. Sutton 2020. "Prospective Feasibility and Revalidation of the Equine Acute Abdominal Pain Scale (EAAPS) in Clinical Cases of Colic in Horses" Animals 10, no. 12: 2242. https://doi.org/10.3390/ani10122242

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