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February 12, 2021MedicineOpen Access

Comparative study of verbal rating scale and numerical rating scale to assess postoperative pain intensity in the post anesthesia care unit

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Why the study?

Postsurgical patients often struggle with self-report pain scales due to residual anesthetic or sedative effects, and comparative analyses of pain assessment tools in the PACU are lacking.

Does the verbal rating scale (VRS) have better response rates and correlate well with the numeric rating scale (NRS) for assessing postoperative pain in PACU patients?

Population

200 patients undergoing surgery in the PACU

Comparison

11-point numeric rating scale (NRS) vs 4-category verbal rating scale (VRS)

Design

Prospective observational study

Follow-up

Until just before discharge from the PACU

Authors

HLHo‐Jin LeeYCYong‐Jung ChoHJHyundeok Joo

Discussion

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Overview

VRS may aid early PACU assessment where NRS fails; leaves open effects on analgesia decisions and recovery.

Structured PICO

Does the verbal rating scale (VRS) have better response rates and correlate well with the numeric rating scale (NRS) for assessing postoperative pain in PACU patients?

P
Population
200 postsurgical patients in the post-anesthesia care unit (PACU)
I
Intervention
Pain assessment using the 4-category verbal rating scale (VRS)
C
Comparator
Pain assessment using the 11-point numeric rating scale (NRS)
O
Outcome
Correlation between VRS and NRS, inter-scale reliability, and response rates at 5 minutes after PACU admission, 20 minutes after first assessment, and just before dischargepatient reported

The verbal rating scale is a practical and reliable alternative to the numeric rating scale for assessing pain in the PACU, offering higher patient response rates.

Cite This Study

Lee et al. (2021) studied this question.

synapsesocial.com/papers/6a7abe2ca861e9f59932b9fahttps://doi.org/10.1097/md.0000000000024314
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comparison of three rating scales for assessing pain intensity in an intensive care unit2012 · 10 citations
  2. 2The Verbal Rating Scale Is Reliable for Assessment of Postoperative Pain in Hip Fracture Patients2015 · 61 citations
  3. 3The Verbal Numerical Rating Scale and Faces Pain Scale-Revised in Children With Acute Pain: A Comparative Study for Determining the Need for Analgesia2024 · 1 citations
  4. 4Beyond measurement: a deep dive into the commonly used pain scales for postoperative pain assessment2024 · 35 citations
  5. 5Reassessment of verbal and visual analog ratings in analgesic studies1985 · 161 citations