Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Objective: The objective of the study was to explore and then validate the factor structure of the Pain Assessment Tool (PAT).
Materials And Methods: A retrospective medical record review was performed of all infants who were admitted to a neonatal intensive care unit between 2008 and 2018 and had 1 PAT assessment (n=2111). Scores on items of the PAT were collected. Infants were randomized to either the principal component analysis (n=1100) to explore the factor structure or confirmatory factor analysis (n=1011).
Results: Infants in the 2 samples were demographically comparable. A 2-factor model, consisting of factors Behavioral and Physiological Pain Measures, was extracted, explaining 39.8% of the total variance. There was a low interfactor correlation (r=0.12), and both Behavioral (r=0.59) and Physiological Pain (r=0.37) Measures factor scores were correlated with nurses' perception of pain scores. When the frequencies in the gestational age at birth categories were compared between upper and lower quartile score infants, there was more with pain at preterm than at term (χ2(3)=44.9, P<0.001) for the Physiological Pain Measures factor, whereas Behavioral Pain Measures frequency was higher at term than at preterm (χ2(3)=8.1, P<0.043). A similar pattern was observed for postmenstrual age at assessment categories: Behavioral Pain Measures (χ2(3)=41.8, P<0.001) Physiological Pain Measures (χ2(3)=46.1, P<0.001). The 2-factor correlated model performed better at explaining the observed variances: (χ2(13)=41.6, P<0.001) compared with rival models.
Discussion: The PAT assesses both Behavioral Pain and Physiological Pain Measures, and these dimensions need to be considered separately when assessing pain in infants in the neonatal intensive care unit. Behavioral item scores may be insufficient for detecting pain in premature infants if used alone.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/AJP.0000000000000931 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Purpose: This study aims to validate the usefulness of T10-pelvic angle (T10PA) in predicting pelvic tilt (PT) restoration, proximal junctional kyphosis (PJK) development, and clinical outcomes after adult spinal deformity (ASD) surgery.
Methods: This retrospective study included 213 ASD patients who underwent fusion from the lower thoracic spine (T9 or T10) to the pelvis. T10PA was measured on 6-week postoperative radiographs as the angle between the center of T10 and the hip center, and from the hip center to the midpoint of the S1 upper endplate.
Chronic pain and decline in activities of daily living among community-dwelling older adults: a systematic review of longitudinal studies.
Eur Geriatr Med
September 2025
Department of Social Science, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Purpose: To investigate the longitudinal association between chronic pain and decline in activity of daily living (ADL) among community-dwelling older adults aged ≥ 60 years.
Methods: In this systematic review of prospective longitudinal studies with narrative synthesis, a comprehensive literature search was conducted using PubMed and Embase using free-text words and MeSH terms on February 3, 2025. Longitudinal studies that quantitatively assessed ADL at two or more time points and pain at least once were included.
Objective: To quantify C-arm-registered radiation exposure during ultrasound- and fluoroscopy-guided spinal interventional pain management in dogs, and to measure operator-based radiation levels to identify discrepancies between delivered and received dose.
Study Design: A retrospective observational study.
Animals: A total of 82 canine spinal interventional pain management procedures performed at a single referral institution.
Effects of Progressive Muscle Relaxation on Pain and Sleep: Randomized Controlled Study.
Pain Manag Nurs
September 2025
Fundamentals of Nursing Department, Akdeniz University Nursing Faculty, Antalya, Turkey. Electronic address:
Purpose: This study aimed to evaluate the effectiveness of Progressive Muscle Relaxation (PMR) on postoperative pain level and sleep quality in patients undergoing open heart surgery.
Design: A single center, two-group, single-blind randomized controlled trial.
Methods: This study comprised 60 patients who were admitted to the cardiovascular surgery department and undergoing open heart surgery between January 2023 and April 2024.
Exploring Established Cut-Off Points for Pain Levels in the Numeric Rating Scale: Insights From a Literature Overview.
Pain Manag Nurs
September 2025
Public Health Department, Nursing Science, University of Basel, Basel, Switzerland; Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium. Electronic address:
Purpose: Measuring pain in various settings, such as hospitals or long-term care facilities, is commonly done through the use of numerical pain assessment scales, e.g. the Numeric Rating Scale.
View Article and Find Full Text PDF