The impact of using pain scales by untrained students on the decision to provide analgesia to multiple species
Objective: To evaluate if students without training assess pain similarly to an expert, and to compare indications for analgesic intervention based on student opinions versus scale scoring. Study design: Prospective, blind, randomized, cross-sectional study. Animals: Video recordings of a bull, hors...
| Autores: | , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2024 |
| País: | Brasil |
| Institución: | Universidade Estadual Paulista (UNESP) |
| Repositorio: | Repositório Institucional da UNESP |
| Idioma: | inglés |
| OAI Identifier: | oai:repositorio.unesp.br:11449/303778 |
| Acceso en línea: | http://dx.doi.org/10.1016/j.vaa.2024.06.010 https://hdl.handle.net/11449/303778 |
| Access Level: | acceso abierto |
| Palabra clave: | acute postoperative pain analgesia animal welfare pain measurement postoperative care |
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The impact of using pain scales by untrained students on the decision to provide analgesia to multiple speciesacute postoperative painanalgesiaanimal welfarepain measurementpostoperative careObjective: To evaluate if students without training assess pain similarly to an expert, and to compare indications for analgesic intervention based on student opinions versus scale scoring. Study design: Prospective, blind, randomized, cross-sectional study. Animals: Video recordings of a bull, horse, cat, pig and sheep. Methods: First-year veterinary medicine students assessed one video of a horse (n = 44) and one video of a bull (n = 39). Third-year veterinary medicine students assessed one video of a cat (n = 23) and one video of a pig (n = 21). Fourth-year animal science students (n = 16) assessed one video of a sheep. The species assessed by different student classes were determined randomly. Students were unaware of animal history or existing pain assessment and decided whether they would provide analgesia according to their opinion. They then scored each video using species-specific validated pain scales. Scores were compared with those of a board-certified anesthesiologist (expert). Chi-square test was used to compare students and expert. Results: Students underestimated the expert's score by 8–20%, except for the horse. There was no difference between the analgesic indication according to the assessment of the expert (143/143, 100%) and students (141/143, 98.6%) considering the defined analgesic intervention threshold for each scale (p = 0.478). The indication for analgesic intervention according to students’ opinion (116/143, 81.1%) was lower than that according to their scale scores (141/143, 98.6%) (p < 0.0001). Conclusions and clinical relevance: Students tended to underestimate pain; however, they detected pain that requires analgesic intervention in animals similarly to an expert. The use of scales optimized the indication for providing analgesia when animals were experiencing pain that required analgesic intervention.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Department of Surgical Specialties and Anesthesiology Botucatu Medical School São Paulo State University (Unesp), SPDepartment of Population Health and Pathobiology College of Veterinary Medicine North Carolina State University (NCSU)Department of Veterinary Surgery and Animal Reproduction São Paulo State University (Unesp), SPDepartment of Surgical Specialties and Anesthesiology Botucatu Medical School São Paulo State University (Unesp), SPDepartment of Veterinary Surgery and Animal Reproduction São Paulo State University (Unesp), SPFAPESP: 2017/12815-0CNPq: 304701/2020-3CAPES: 88887.674152/2022-00Universidade Estadual Paulista (UNESP)North Carolina State University (NCSU)2025-04-29T19:30:41Z2024-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article548-557http://dx.doi.org/10.1016/j.vaa.2024.06.010Veterinary Anaesthesia and Analgesia, v. 51, n. 5, p. 548-557, 2024.1467-29951467-2987https://hdl.handle.net/11449/30377810.1016/j.vaa.2024.06.0102-s2.0-85199438734Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengVeterinary Anaesthesia and Analgesiainfo:eu-repo/semantics/openAccessOliveira, Marcela Carneiro de [UNESP]de Lima, Mayara Travalini [UNESP]Trindade, Pedro Henrique Esteves [UNESP]Luna, Stelio Pacca Loureiro [UNESP]2025-10-16T13:14:32Zoai:repositorio.unesp.br:11449/303778Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462025-10-16T13:14:32Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
| dc.title.none.fl_str_mv |
The impact of using pain scales by untrained students on the decision to provide analgesia to multiple species |
| title |
The impact of using pain scales by untrained students on the decision to provide analgesia to multiple species |
| spellingShingle |
The impact of using pain scales by untrained students on the decision to provide analgesia to multiple species Oliveira, Marcela Carneiro de [UNESP] acute postoperative pain analgesia animal welfare pain measurement postoperative care |
| title_short |
The impact of using pain scales by untrained students on the decision to provide analgesia to multiple species |
| title_full |
The impact of using pain scales by untrained students on the decision to provide analgesia to multiple species |
| title_fullStr |
The impact of using pain scales by untrained students on the decision to provide analgesia to multiple species |
| title_full_unstemmed |
The impact of using pain scales by untrained students on the decision to provide analgesia to multiple species |
| title_sort |
The impact of using pain scales by untrained students on the decision to provide analgesia to multiple species |
| dc.creator.none.fl_str_mv |
Oliveira, Marcela Carneiro de [UNESP] de Lima, Mayara Travalini [UNESP] Trindade, Pedro Henrique Esteves [UNESP] Luna, Stelio Pacca Loureiro [UNESP] |
| author |
Oliveira, Marcela Carneiro de [UNESP] |
| author_facet |
Oliveira, Marcela Carneiro de [UNESP] de Lima, Mayara Travalini [UNESP] Trindade, Pedro Henrique Esteves [UNESP] Luna, Stelio Pacca Loureiro [UNESP] |
| author_role |
author |
| author2 |
de Lima, Mayara Travalini [UNESP] Trindade, Pedro Henrique Esteves [UNESP] Luna, Stelio Pacca Loureiro [UNESP] |
| author2_role |
author author author |
| dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) North Carolina State University (NCSU) |
| dc.subject.por.fl_str_mv |
acute postoperative pain analgesia animal welfare pain measurement postoperative care |
| topic |
acute postoperative pain analgesia animal welfare pain measurement postoperative care |
| description |
Objective: To evaluate if students without training assess pain similarly to an expert, and to compare indications for analgesic intervention based on student opinions versus scale scoring. Study design: Prospective, blind, randomized, cross-sectional study. Animals: Video recordings of a bull, horse, cat, pig and sheep. Methods: First-year veterinary medicine students assessed one video of a horse (n = 44) and one video of a bull (n = 39). Third-year veterinary medicine students assessed one video of a cat (n = 23) and one video of a pig (n = 21). Fourth-year animal science students (n = 16) assessed one video of a sheep. The species assessed by different student classes were determined randomly. Students were unaware of animal history or existing pain assessment and decided whether they would provide analgesia according to their opinion. They then scored each video using species-specific validated pain scales. Scores were compared with those of a board-certified anesthesiologist (expert). Chi-square test was used to compare students and expert. Results: Students underestimated the expert's score by 8–20%, except for the horse. There was no difference between the analgesic indication according to the assessment of the expert (143/143, 100%) and students (141/143, 98.6%) considering the defined analgesic intervention threshold for each scale (p = 0.478). The indication for analgesic intervention according to students’ opinion (116/143, 81.1%) was lower than that according to their scale scores (141/143, 98.6%) (p < 0.0001). Conclusions and clinical relevance: Students tended to underestimate pain; however, they detected pain that requires analgesic intervention in animals similarly to an expert. The use of scales optimized the indication for providing analgesia when animals were experiencing pain that required analgesic intervention. |
| publishDate |
2024 |
| dc.date.none.fl_str_mv |
2024-09-01 2025-04-29T19:30:41Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.vaa.2024.06.010 Veterinary Anaesthesia and Analgesia, v. 51, n. 5, p. 548-557, 2024. 1467-2995 1467-2987 https://hdl.handle.net/11449/303778 10.1016/j.vaa.2024.06.010 2-s2.0-85199438734 |
| url |
http://dx.doi.org/10.1016/j.vaa.2024.06.010 https://hdl.handle.net/11449/303778 |
| identifier_str_mv |
Veterinary Anaesthesia and Analgesia, v. 51, n. 5, p. 548-557, 2024. 1467-2995 1467-2987 10.1016/j.vaa.2024.06.010 2-s2.0-85199438734 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
Veterinary Anaesthesia and Analgesia |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
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548-557 |
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Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
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Universidade Estadual Paulista (UNESP) |
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UNESP |
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UNESP |
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Repositório Institucional da UNESP |
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Repositório Institucional da UNESP |
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Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
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repositoriounesp@unesp.br |
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1853672213437218816 |
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15.301603 |