Department of Pediatric Surgery, Erasmus University Medical Center, Sophia Children's Hospital, Dr. Molewaterplein 60, 3015 GJ Rotterdam, The Netherlands Pain Expertise Center, Erasmus University Medical Center, s-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands Department of Medical Psychology and Psychotherapy, Erasmus University Medical Center, Burg. s' Jacobplein 51, 3015 CA, Rotterdam, The Netherlands.
Pain. 2011 Sep;152(9):2059-2064. doi: 10.1016/j.pain.2011.05.001. Epub 2011 Jun 2.
Many pediatric intensive care units use the COMFORT-Behavior scale (COMFORT-B) to assess pain in 0- to 3-year-old children. The objective of this study was to determine whether this scale is also valid for the assessment of pain in 0- to 3-year-old children with Down syndrome. These children often undergo cardiac or intestinal surgery early in life and therefore admission to a pediatric intensive care unit. Seventy-six patients with Down syndrome were included and 466 without Down syndrome. Pain was regularly assessed with the COMFORT-B scale and the pain Numeric Rating Scale (NRS). For either group, confirmatory factor analyses revealed a 1-factor model. Internal consistency between COMFORT-B items was good (Cronbach's α=0.84-0.87). Cutoff values for the COMFORT-B set at 17 or higher discriminated between pain (NRS pain of 4 or higher) and no pain (NRS pain below 4) in both groups. We concluded that the COMFORT-B scale is also valid for 0- to 3-year-old children with Down syndrome. This makes it even more useful in the pediatric intensive care unit setting, doing away with the need to apply another instrument for those children younger than 3.
许多儿科重症监护病房使用 COMFORT-Behavior 量表（COMFORT-B）来评估 0-3 岁儿童的疼痛。本研究的目的是确定该量表是否也适用于评估唐氏综合征的 0-3 岁儿童的疼痛。这些儿童通常在生命早期接受心脏或肠道手术，因此需要入住儿科重症监护病房。共纳入 76 例唐氏综合征患儿和 466 例非唐氏综合征患儿。疼痛采用 COMFORT-B 量表和疼痛数字评分量表（NRS）定期评估。对于任何一组，验证性因子分析均显示出 1 因素模型。COMFORT-B 项目之间的内部一致性良好（Cronbach's α=0.84-0.87）。在两组中，COMFORT-B 设定为 17 或更高的截断值可区分疼痛（NRS 疼痛评分 4 或更高）和无疼痛（NRS 疼痛评分低于 4）。我们得出结论，COMFORT-B 量表也适用于唐氏综合征的 0-3 岁儿童。这使其在儿科重症监护病房环境中更有用，无需为年龄小于 3 岁的儿童使用另一种工具。
