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Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
GARCIA-GALICIA, Arturo et al. Validation of a faces pain scale in postsurgical geriatric patients. Cir. cir. [online]. 2021, vol.89, n.2, pp.212-217. Epub 08-Nov-2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.20000094.
Background:
Geriatric patients present progressive difficult to assess pain. Getting a precise parameter to approach postsurgical pain is a very important issue.
Objective:
To explore Faces Pain Scale (EFD) validity in geriatric post-surgical patients.
Method:
Comparative, observational, prolective study in patients from a second level attention unit. Phase 1: faces were disorderly presented to ≥ 60 years old persons, Glasgow scale scored 15, signed authorization, to place them in ascending order. Phase 2: ≥ 60 years old patients, any sex, who received any surgical procedure, Glasgow scale scored 15, signed authorization were recruited. Those who did not cooperate/complete scales application were eliminated. Numeral Visual Scale (EVN) and 5 minutes after EFD were applied to each patient, before analgesia, and again 30 minutes after analgesia. Descriptive statistical data, effect-size, Student paired-t and Spearman tests were used.
Results:
Phase 1: every face was correctly placed (75-100%). Phase 2: 142 patients participated, 76 (53.5%) male, 66 (46.5%) female. Pre-analgesia media scores: EFDA 3.4, EVN 7.9; post-analgesia media scores: EFD 1.8, EVN 4.8. EFD effect-size test scored 2.389, paired-t scored 17.231 (p < 0.002); Spearman scores: 0.654 (p = 0.016) pre-analgesia, 0.798 (p = 0.004) post-analgesia.
Conclusion:
EFD is a valid scale to evaluate postoperative pain intensity in geriatric patients.
Palabras llave : Pain; EFD; Adult faces pain scale; Geriatrics; Validity.