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Original ArticleOpen Access
Postoperative Pain Assessment in Ambulatory Pediatric Patients by Parents
Suraseranivongse S 
,
Kraiprasit K ,
Petcharatana S
,
Kraiprasit K ,
Petcharatana S Objectives : This study aimed to assess 1) agreement and correlation of postoperative
pain scores rated by nurses and parents 2) the difference between the pain scores (CHEOPS and
FLACC) as rated by nurses and parents 3) effects of parental education on pain rating 4) the ease
with which parents could score CHEOPS and FLACC.
Methods : Sixty-nine children, age 1-12 years (median 3.7, IQR 2-6.85 years) underwent
herniorrhaphy and hydrocoelectomy under general anesthesia and 69 parents, age 20-65 years (median
32, IQR 37.5-38.5 years) were enrolled in the study. Parents were trained how to score pain using
CHEOPS and FLACC by using a videotape of children's pain behaviors. One of 2 nurses who were
tested for inter-rater reliability (ICC>0.9) rated the postoperative pain of a child in the recovery
room at the same time with his parent by using CHEOPS and FLACC.
Results : Agreement (ICC) and Correlation Coefficient (r) between nurses and parents were
0.934-0.979 and 0.898-0.969 respectively (p
pain scores rated by nurses and parents 2) the difference between the pain scores (CHEOPS and
FLACC) as rated by nurses and parents 3) effects of parental education on pain rating 4) the ease
with which parents could score CHEOPS and FLACC.
Methods : Sixty-nine children, age 1-12 years (median 3.7, IQR 2-6.85 years) underwent
herniorrhaphy and hydrocoelectomy under general anesthesia and 69 parents, age 20-65 years (median
32, IQR 37.5-38.5 years) were enrolled in the study. Parents were trained how to score pain using
CHEOPS and FLACC by using a videotape of children's pain behaviors. One of 2 nurses who were
tested for inter-rater reliability (ICC>0.9) rated the postoperative pain of a child in the recovery
room at the same time with his parent by using CHEOPS and FLACC.
Results : Agreement (ICC) and Correlation Coefficient (r) between nurses and parents were
0.934-0.979 and 0.898-0.969 respectively (p
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