Clinimetric properties of the Nociception Coma Scale (-Revised): A systematic review

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Keywords :

Cinahl; Embase; Nociception Coma Scale; PsycINFO; Review; Web of Science; Awareness; Coma; Consciousness Disorders; Humans; Nociception; Pain Management; Pain Measurement; Reproducibility of Results

Abstract :

[en] The Nociception Coma Scale is a nociception behaviour observation tool, developed specifically for patients with disorders of consciousness (DOC) due to (acquired) brain injury. Over the years, the clinimetric properties of the NCS and its revised version (NCS-R) have been assessed, but no formal summary of these properties has been made. Therefore, we performed a systematic review on the clinimetric properties (i.e. reliability, validity, responsiveness and interpretability) of the NCS(-R). We systematically searched CENTRAL, CINAHL, Embase, PsycInfo and Web of Science until August 2015. Two reviewers independently selected the clinimetric studies and extracted data with a structured form. Included studies were appraised on quality with the COSMIN checklist. Eight studies were found eligible and were appraised with the COSMIN checklist. Although nearly all studies lacked sample size calculation, and were executed by the same group of authors, the methodological quality ranged from fair to excellent. Important aspects of reliability, construct validity and responsiveness have been studied in depth and with sufficient methodological quality. The overview of clinimetric properties in this study shows that the NCS and NCS-R are both valid and useful instruments to assess nociceptive behaviour in DOC patients. The studies provide guidance for the choice in NCS-R cut-off value for possible pain treatment and cautions awareness of interprofessional differences in NCS-R measurements. Significance: This systematic review provides a structured overview of the clinimetric properties of the Nociception Coma Scale (-Revised) and provides insights for a solid evidence-based nociception behaviour assessment and treatment plan. © 2017 The Authors. European Journal of Pain published by John Wiley & Sons Ltd on behalf of European Pain Federation - EFIC®

Disciplines :

Neurology

Author, co-author :

Vink, P.; Department of Neurology and Neurosurgery, Academic Medical Center (AMC), Amsterdam, Netherlands, Omni Cura Nursing Teaching Research, Amsterdam, Netherlands

Lucas, C.; Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Medical Faculty (AMC), University of Amsterdam, Netherlands

Maaskant, J. M.; Emma Children's Hospital, Academic Medical Center Amsterdam, Netherlands, ACHIEVE Centre of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Netherlands

van Erp, Willemijn ; Université de Liège - ULiège > GIGA

Lindeboom, R.; Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Medical Faculty (AMC), University of Amsterdam, Netherlands

Vermeulen, H.; Department of Surgery, Academic Medical Center (AMC), Amsterdam, Netherlands, Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ Healthcare), Nijmegen, Netherlands

Language :

English

Title :

Clinimetric properties of the Nociception Coma Scale (-Revised): A systematic review

Publication date :

2017

Journal title :

European Journal of Pain

ISSN :

1090-3801

eISSN :

1532-2149

Publisher :

Wiley-Blackwell, United States

Volume :

Issue :

Pages :

1463-1474

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 31 December 2021

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