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Table 4 Frequency (%) of behavioral items and descriptive statistics of CPOT-Neuro scores during the second data set

From: Validation of the Critical-Care Pain Observation Tool-Neuro in brain-injured adults in the intensive care unit: a prospective cohort study

Items

Procedures

Turning

Other nociceptive procedures

Opioid administration

Non-invasive blood pressure

Soft touch

Pre (n = 81)

During (n = 81)

Pre (n = 27)

During (n = 27)

Pre (n = 11)

Post (n = 11)

Pre (n = 38)

During (n = 38)

Pre (n = 46)

During (n = 46)

Facial expression

 Relaxed

68 (84)

32 (40)

21 (78)

9 (33)

8 (73)

9 (82)

30 (79)

27 (71)

36 (78)

34 (74)

 Brow lowering

12 (15)

20 (25)

5 (19)

6 (13)

2 (18)

2 (18)

6 (16)

3 (8)

6 (13)

8 (17)

 Upper face or Grimacing

1 (1)

29 (35)

1 (4)

12 (44)

1 (9)

–

2 (5)

8 (11)

4 (9)

4 (9)

Autonomic responses (tearing, face flushing)

 Absence

77 (95)

60 (74)

26 (96)

20 (74)

10 (91)

11 (100)

37 (97)

37 (97)

45 (98)

46 (100)

 Presence

4 (5)

21 (26)

1 (4)

7 (16)

1 (9)

–

1 (3)

1 (3)

1 (2)

−

Body movements

 Absence of movements

66 (81)

37 (46)

22 (81)

15 (56)

6 (55)

10 (91)

29 (76)

25 (66)

33 (72)

33 (72)

 Non-purposeful movements

9 (11)

26 (32)

3 (11)

7 (16)

2 (18)

–

6 (16)

8 (11)

9 (19)

9 (19)

 Purposeful movements

6 (8)

18 (12)

2 (8)

5 (18)

3 (17)

1 (9)

3 (8)

5 (13)

4 (9)

4 (9)

Muscle tension

 Relaxed

71 (88)

57 (70)

24 (89)

19 (70)

9 (82)

11 (100)

34 (89)

32 (84)

39 (85)

43 (93)

 Tense

10 (12)

24 (30)

3 (11)

8 (30)

2 (18)

−

4 (11)

6 (16)

7 (15)

3 (7)

Mechanically ventilated

Compliance with ventilator

 Tolerating ventilator

41 (51)

22 (27)

17 (63)

13 (48)

5 (45)

6 (55)

22 (58)

23 (61)

27 (59)

25 (54)

 Activating alarms

–

17 (21)

–

4 (15)

–

–

1 (3)

–

–

1 (2)

 Fighting ventilator

–

3 (4)

–

–

1 (9)

–

–

–

–

–

Not mechanically ventilated

Vocalization

 Normal tone/no sound

38 (47)

25 (31)

9 (33)

5 (19)

4 (36)

4 (36)

14 (37)

13 (34)

18 (39)

16 (35)

 Sighing/moaning

1 (1)

6 (7)

–

3 (11)

–

–

–

1 (3)

–

1 (2)

 Verbal complaints

–

7 (9)

–

1 (4)

–

–

–

–

–

2 (4)

 Tracheostomya

1

1

1

1

1

1

1

1

1

1

CPOT-Neuro scores

 Median

0

3

0

3

1

0

0

1

0

0

 Range

0–4

0–8

0–4

0–7

0–8

0–2

0–4

0–7

0–4

0–6

 IQR

0–1

1–4

0−1

2−3

0–2

0–1

0–1

0–2

0–2

0–1.25

 Mean (SD)

0.61 (1.04)

2.81 (1.91)

0.67 (1.11)

2.63 (1.62)

1.55 (2.29)

0.36 (0.67)

0.74 (1.11)

1.18 (1.47)

0.85 (1.26)

0.91 (1.94)

  1. IQR interquartile range, SD standard deviation
  2. aPatient with tracheostomy unable to vocalize and not mechanically ventilated