Prospective Feasibility and Revalidation of the Equine Acute Abdominal Pain Scale (EAAPS) in Clinical Cases of Colic in Horses
Assessment of the severity of pain in colic cases is subjective. The Equine Acute Abdominal Pain Scale (EAAPS), previously validated using film clips of horses with colic, was tested for feasibility and revalidated in both medical and surgical colic cases in Israel and the UK. Feasibility qualities...
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MDPI AG
2020-11-01
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Online Access: | https://www.mdpi.com/2076-2615/10/12/2242 |
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author | Yamit Maskato Alexandra H. A. Dugdale Ellen R. Singer Gal Kelmer Gila A. Sutton |
author_facet | Yamit Maskato Alexandra H. A. Dugdale Ellen R. Singer Gal Kelmer Gila A. Sutton |
author_sort | Yamit Maskato |
collection | DOAJ |
description | Assessment of the severity of pain in colic cases is subjective. The Equine Acute Abdominal Pain Scale (EAAPS), previously validated using film clips of horses with colic, was tested for feasibility and revalidated in both medical and surgical colic cases in Israel and the UK. Feasibility qualities evaluated were quickness and ease-of-use. Pain in 231 horses, presented for colic, was assessed by 35 participants; 26 in the UK and 9 in Israel. Without prior training, participants assessed the severity of pain using two scales; the EAAPS and a visual analogue scale (VAS). Convergent validity comparing the EAAPS to the VAS was substantial, discriminant validity was good, and predictive validity for surgical treatment was similar to the VAS, but for mortality, the VAS was significantly better. No participants reported the EAAPS to be “very slow” or “very difficult” to use. The mode reported was “quick”/“very quick” and “easy”/“very easy” to use, though in less than 10% of cases, it was reported to be a little less quick or easy. More experienced first-time users found it significantly quicker to use than less experienced participants. In conclusion, the EAAPS is the only equine pain assessment scale that has been tested and found to demonstrate good feasibility for use in the referral hospital setting. |
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institution | Directory Open Access Journal |
issn | 2076-2615 |
language | English |
last_indexed | 2024-03-10T14:27:12Z |
publishDate | 2020-11-01 |
publisher | MDPI AG |
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spelling | doaj.art-754c5f06606740b99cbe39636d2846562023-11-20T22:52:37ZengMDPI AGAnimals2076-26152020-11-011012224210.3390/ani10122242Prospective Feasibility and Revalidation of the Equine Acute Abdominal Pain Scale (EAAPS) in Clinical Cases of Colic in HorsesYamit Maskato0Alexandra H. A. Dugdale1Ellen R. Singer2Gal Kelmer3Gila A. Sutton4Large Animal Department, Robert H Smith, Faculty of Agriculture, Food and Environmental Sciences, Koret School of Veterinary Medicine, Veterinary Teaching Hospital, The Hebrew University of Jerusalem, P.O. Box 12, Rehovot 7610001, IsraelLeahurst Campus, School of Veterinary Science, University of Liverpool, Chester High Road, Neston CH64 7TE, UKLeahurst Campus, School of Veterinary Science, University of Liverpool, Chester High Road, Neston CH64 7TE, UKLarge Animal Department, Robert H Smith, Faculty of Agriculture, Food and Environmental Sciences, Koret School of Veterinary Medicine, Veterinary Teaching Hospital, The Hebrew University of Jerusalem, P.O. Box 12, Rehovot 7610001, IsraelLarge Animal Department, Robert H Smith, Faculty of Agriculture, Food and Environmental Sciences, Koret School of Veterinary Medicine, Veterinary Teaching Hospital, The Hebrew University of Jerusalem, P.O. Box 12, Rehovot 7610001, IsraelAssessment of the severity of pain in colic cases is subjective. The Equine Acute Abdominal Pain Scale (EAAPS), previously validated using film clips of horses with colic, was tested for feasibility and revalidated in both medical and surgical colic cases in Israel and the UK. Feasibility qualities evaluated were quickness and ease-of-use. Pain in 231 horses, presented for colic, was assessed by 35 participants; 26 in the UK and 9 in Israel. Without prior training, participants assessed the severity of pain using two scales; the EAAPS and a visual analogue scale (VAS). Convergent validity comparing the EAAPS to the VAS was substantial, discriminant validity was good, and predictive validity for surgical treatment was similar to the VAS, but for mortality, the VAS was significantly better. No participants reported the EAAPS to be “very slow” or “very difficult” to use. The mode reported was “quick”/“very quick” and “easy”/“very easy” to use, though in less than 10% of cases, it was reported to be a little less quick or easy. More experienced first-time users found it significantly quicker to use than less experienced participants. In conclusion, the EAAPS is the only equine pain assessment scale that has been tested and found to demonstrate good feasibility for use in the referral hospital setting.https://www.mdpi.com/2076-2615/10/12/2242pain assessmentvisual analogue scalevalidityusabilityutility |
spellingShingle | Yamit Maskato Alexandra H. A. Dugdale Ellen R. Singer Gal Kelmer Gila A. Sutton Prospective Feasibility and Revalidation of the Equine Acute Abdominal Pain Scale (EAAPS) in Clinical Cases of Colic in Horses Animals pain assessment visual analogue scale validity usability utility |
title | Prospective Feasibility and Revalidation of the Equine Acute Abdominal Pain Scale (EAAPS) in Clinical Cases of Colic in Horses |
title_full | Prospective Feasibility and Revalidation of the Equine Acute Abdominal Pain Scale (EAAPS) in Clinical Cases of Colic in Horses |
title_fullStr | Prospective Feasibility and Revalidation of the Equine Acute Abdominal Pain Scale (EAAPS) in Clinical Cases of Colic in Horses |
title_full_unstemmed | Prospective Feasibility and Revalidation of the Equine Acute Abdominal Pain Scale (EAAPS) in Clinical Cases of Colic in Horses |
title_short | Prospective Feasibility and Revalidation of the Equine Acute Abdominal Pain Scale (EAAPS) in Clinical Cases of Colic in Horses |
title_sort | prospective feasibility and revalidation of the equine acute abdominal pain scale eaaps in clinical cases of colic in horses |
topic | pain assessment visual analogue scale validity usability utility |
url | https://www.mdpi.com/2076-2615/10/12/2242 |
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