Commentaar op het artikel over observationele pijnbeoordeling bij kinderen

Stewart B, Lawson J, Williams K. In support of observational pain tools for emergency medicine triage in children. Emerg Med J 2009 Jun;26(6):466-7

We read with interest this article by Shavit et al1 comparing the Alder Hey triage pain score (AHTPS) with a subjective scoring tool. The finding of a discrepancy in scoring between the tools, with the AHTPS scoring lower, is entirely consistent with the similar finding we reported in our paper.2 The conclusion drawn by the authors that this indicates that observational scoring should not be recommended is not justified. The findings may reflect the fact that the observational tool is not fully refined and the weighting for the different elements needs further research and development.

In the study by Shavit et al1 pain scores were lower at triage assessment than in the waiting room. It was suggested that the reason for this was that triage was a more reassuring environment. The inference made from this is that pain scoring is significantly influenced by anxiety. However, although this is likely, a subjective tool would be more affected by anxiety than an observational tool (AHTPS) and indeed the difference between the scores in the different settings reflected this

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Verwijzing naar het artikel Observational pain assessment versus self-report in paediatric triage

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