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Development of a behaviour-based measurement tool with defined intervention level for assessing acute pain in cats

Calvo, G.; Holden, E.; Reid, J.; Scott, E. M.; Firth, A.; Bell, A.; Robertson, S.; Nolan, Andrea M


G. Calvo

E. Holden

J. Reid

E. M. Scott

A. Firth

A. Bell

S. Robertson


OBJECTIVES: To develop a Composite Measure Pain Scale - Feline (CMPS-F) tool to assess acute
pain in cats and derive an intervention score.

METHODS: To develop the prototype CMPS-F, words describing painful cats were collected, grouped
into behavioural categories and ranked. To assess prototype validity two observers independently
assigned CMPS-F and numerical rating scale (NRS) scores to 25 hospitalised cats before and after
analgesic treatment. Following interim analysis the prototype was revised (rCMPS-F). To determine intervention score two observers independently assigned rCMPS-F and NRS scores to 116 cats. A
further observer, a veterinarian, stated whether analgesia was necessary. Statistical tests included
Wilcoxon, Mann-Whitney, 95% confidence intervals (CI), general linear model ANOVA and linear
discriminant analysis (p < 0.05).

RESULTS: Mean ± SD decrease in rCMPS-F and NRS scores following analgesia were 2.4 ± 2.87 and 1.9 ± 2.34, respectively (95% CI for mean change in rCMPS-F between 1.21 and 3.6). Changes
in rCMPS-F and NRS were significantly correlated (r = 0.8) (p

Journal Article Type Article
Acceptance Date Aug 28, 2014
Online Publication Date Dec 3, 2014
Publication Date 2014-12
Deposit Date Nov 25, 2014
Publicly Available Date Dec 3, 2014
Journal Journal of Small Animal Practice
Print ISSN 0022-4510
Electronic ISSN 1748-5827
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 55
Issue 12
Pages 622-629
Keywords Pain; feline; measurement tools; analgesia; validation;
Public URL
Publisher URL
Contract Date Nov 25, 2014


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