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BMC Neurology

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Open Access 01-12-2024 | Research

Pain assessment tools in adults with communication disorders: systematic review and meta-analysis

Authors: Álvaro Sabater-Gárriz, Jesús Molina-Mula, Pedro Montoya, Inmaculada Riquelme

Published in: BMC Neurology | Issue 1/2024

Abstract

Background

Verbal communication is the "gold standard" for assessing pain. Consequently, individuals with communication disorders are particularly vulnerable to incomplete pain management. This review aims at identifying the current pain assessment instruments for adult patients with communication disorders.

Methods

A systematic review with meta-analysis was conducted on PubMed, PEDRO, EBSCOhost, VHL and Cochrane databases from 2011 to 2023 using MeSH terms “pain assessment, “nonverbal communication” and “communication disorders” in conjunction with additional inclusion criteria: studies limited to humans, interventions involving adult patients, and empirical investigations.

Results

Fifty articles were included in the review. Seven studies report sufficient data to perform the meta-analysis. Observational scales are the most common instruments to evaluate pain in individuals with communication disorders followed by physiological measures and facial recognition systems. While most pain assessments rely on observational scales, current evidence does not strongly endorse one scale over others for clinical practice. However, specific observational scales appear to be particularly suitable for identifying pain during certain potentially painful procedures, such as suctioning and mobilization, in these populations. Additionally, specific observational scales appear to be well-suited for certain conditions, such as mechanically ventilated patients.

Conclusions

While observational scales dominate pain assessment, no universal tool exists for adults with communication disorders. Specific scales exhibit promise for distinct populations, yet the diverse landscape of tools hampers a one-size-fits-all solution. Crucially, further high-quality research, offering quantitative data like reliability findings, is needed to identify optimal tools for various contexts. Clinicians should be informed to select tools judiciously, recognizing the nuanced appropriateness of each in diverse clinical situations.

Trial registration

This systematic review is registered in PROSPERO (International prospective register of systematic reviews) with the ID: CRD42022323655.

Available only for authorised users

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Title: Pain assessment tools in adults with communication disorders: systematic review and meta-analysis
Authors: Álvaro Sabater-Gárriz
Jesús Molina-Mula
Pedro Montoya
Inmaculada Riquelme
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: BMC Neurology / Issue 1/2024
Electronic ISSN: 1471-2377
DOI: https://doi.org/10.1186/s12883-024-03539-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pain assessment tools in adults with communication disorders: systematic review and meta-analysis

Abstract

Background

Methods

Results

Conclusions

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Trial registration

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