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. Author manuscript; available in PMC: 2012 Feb 1.
Published in final edited form as: Acad Emerg Med. 2011 Feb;18(2):135–139. doi: 10.1111/j.1553-2712.2010.00988.x

Table 2. Minimum Clinically Significant Difference (MCSD) in Four Consecutive 30- Minute Intervals.

Arithmetic MCSD within Interval Proportional MCSD within Interval


n Mean (95% CI) Mean % (95% CI)
Baseline-30 67 2.1 (1.7-2.4) 27 (23-32)
30-60 min 68 1.4 (1.0-1.7) 19 (13-24)
60-90 min 75 1.3 (1.0-1.5) 22 (18-27)
90-120 min 67 0.8 (0.6-1.0) 13 (9-18)

Arithmetic MCSD = (NRSt – NRSt+30)/NRSt associated with descriptors of “a little less pain” or “a little more pain” in each time period

Proportional MCSD = NRSt – NRSt+30 associated with descriptors of “a little less pain” or “a little more pain” in each time period divided by NRS at beginning of each time period