TABLE 1.
Acute | Chronic | |
---|---|---|
Pain Intensity | ||
Self-report | ||
4-12 y | • Faces Pain Scale–Revised (FPS-R) | • Same self-report indices with possible addition of diaries |
>8 y | • Numerical Rating Scale (NRS; known as Verbal Numerical Scale, VNS, when given verbally) | |
• Visual Analog Scale (VAS) | ||
Observation | ||
>1 y | • Toddler-Preschooler Postoperative Pain Scale (TPPPS) | • No well-validated measures |
• Face, Legs, Arms, Cry, Consolability Scale (FLACC) | ||
• Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) | ||
>5 y with neurological or communication impairment | • Non-Communicating Children's Pain Checklist (NCCPC-R; for post-operative pain use NCCPC-PV) | • Non-Communicating Children's Pain Checklist (NCCPC-R) |
Global judgment of satisfaction with treatment | ||
For parent or child > 7 years | • Same indices | |
• Global open-ended question | ||
• 0-10 numeric rating scale | ||
Symptoms and adverse events | ||
• Active capture of symptoms and adverse events; severity and importance of each event | • Same indices | |
Physical recovery | ||
• No well-validated measure | • Functional Disability Inventory | |
• PedsQL | ||
Emotional response | ||
Self-report | • Adolescent Pediatric Pain Tool (APPT) | • Children's Depression Inventory (7-17 yrs) |
• Facial Affective Scale (FAS) | ||
• Revised Childhood Anxiety and Depression Scale | ||
• PedsQL | ||
Observation >1 y | • Procedure Behavior Check List (PBCL) | |
• Procedure Behavioral Rating Scale Revised (PBRS-R) | ||
Economic factors | ||
• No well-validated measures | • No well-validated measures | |
Role functioning | ||
6-18 y | • Not applicable | • School attendance |
• PedMIDAS | ||
• PedsQL | ||
8-17 y | • Not applicable | • PROMIS Pediatric Pain Interference Scale |
Sleep | ||
• Not applicable | • Polysomnography | |
• Accelerometry | ||
• Sleep Habits Questionnaire |
The PROMIS Pediatric Pain Interference Scale was not available at the time of the IMPACCT consensus process. We believe that it is a useful scale that should be considered particularly for analgesic studies for chronic pain. PedsQL, pediatric quality of life inventory; PedMIDAS, pediatric migraine disability assessment.