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Lookup NU author(s): Dr Eugen-Matthias Strehle
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Aims: Objective measures of perceived pain may aid clinicians in decision-making regarding analgesia. This study aimed to assess the effectiveness of an algesimeter to assess the pain response of children to minor injury when compared to self-report. Methods: A commercially available skin conductance algesimeter was used to record pain in children due to a paediatric minor injury, a district general hospital. The recordings were compared to self-reported pain scores using the Wong-Baker FACES® Pain Rating Scale.Results: Sixty-seven children below 16 years of age (36 females, 53.7%, mean age 11.9 years, standard deviation 3.1 years) were assessed. There was a significant correlation between self-reported pain and number of fluctuations in skin conductance per second for girls (r = 0.325, p = 0.027), but not for boys (r = 0.160, p = 0.194). There was no significant association between self-reported pain and number of fluctuation in skin conductance per second and patient age. Conclusions: There was a significant correlation between self-reported pain and the number of fluctuations in skin conductance in girls, but not boys. There may be a number of reasons for this gender variation, including difficulty in rating pain and lack of sensitivity in the pain rating scale.
Author(s): Strehle EM, Gray WK
Publication type: Article
Publication status: Published
Journal: Acta Paediatrica
Year: 2013
Volume: 102
Issue: 11
Pages: e502-e506
Print publication date: 03/10/2013
Online publication date: 29/08/2013
Acceptance date: 02/08/2013
ISSN (print): 0803-5253
ISSN (electronic): 1651-2227
Publisher: Wiley-Blackwell Publishing Ltd.
URL: http://dx.doi.org/10.1111/apa.12382
DOI: 10.1111/apa.12382
PubMed id: 23927755
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