Département de Sciences Cliniques, Faculté de Médecine Vétérinaire, Université de Montréal, 3200 rue Sicotte, Saint-Hyacinthe, QC, J2S2M2, Canada.
Sci Rep. 2021 Mar 4;11(1):5262. doi: 10.1038/s41598-021-84696-7.
This study aimed to evaluate the agreement and reliability of the Feline Grimace Scale (FGS) among cat owners, veterinarians, veterinary students and nurses/technicians. Raters (n = 5/group) scored 100 images using the FGS (ear position, orbital tightening, muzzle tension, whiskers position and head position). Intra-class correlation coefficients (ICC) were used to assess inter- and intra-rater reliability. Agreement between each group and the veterinarian group (gold-standard) was calculated using the Bland-Altman method. Effects of gender, age and number of cats owned on FGS scores were assessed using linear mixed models. Inter-rater reliability was good for FGS final scores (ICC > 0.8). The muzzle and whiskers yielded lower reliability (ICC = 0.39 to 0.74). Intra-rater reliability was excellent for students and veterinarians (ICC = 0.91), and good for owners and nurses (ICC = 0.87 and 0.81, respectively). A very good agreement between all groups and veterinarians (bias < 0.1 and narrow limits of agreement) was observed. Female raters assigned higher FGS scores than males (p = 0.006); however, male raters were underrepresented in this study. Scores were not affected by age or number of cats owned. The FGS is reliable for feline acute pain assessment when used by individuals with different experience.
本研究旨在评估猫主人、兽医、兽医学生和护士/技师使用猫面部表情评分（FGS）的一致性和可靠性。评分者（每组 n=5）使用 FGS 对 100 张图像进行评分（耳朵位置、眼眶紧绷、口鼻紧张、胡须位置和头部位置）。采用组内相关系数（ICC）评估组内和组间可靠性。使用 Bland-Altman 法评估每个组与兽医组（金标准）之间的一致性。使用线性混合模型评估性别、年龄和拥有猫的数量对 FGS 评分的影响。FGS 总分的组间可靠性良好（ICC>0.8）。口鼻和胡须的可靠性较低（ICC=0.39 至 0.74）。学生和兽医的组内可靠性极好（ICC=0.91），主人和护士的组内可靠性良好（ICC=0.87 和 0.81）。所有组与兽医之间均观察到非常好的一致性（偏差<0.1，一致性界限较窄）。女性评分者比男性评分者分配的 FGS 评分更高（p=0.006）；然而，本研究中男性评分者的代表性不足。评分不受年龄或拥有猫的数量影响。FGS 用于具有不同经验的个体评估猫的急性疼痛时具有可靠性。
