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Year : 2018  |  Volume : 5  |  Issue : 1  |  Page : 67-71

The revised-Face, Leg, Activity, Cry, and Consolability scale: an Egyptian version

Department of Anesthesia, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Correspondence Address:
Tarek Shabana
Department of Anesthesia, Faculty of Medicine, Ain Shams University, Cairo, 11865
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/roaic.roaic_36_17

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Background Children with cerebral palsy lack the luxury of self-reporting their pain postoperatively. The revised FLACC (Face, Leg, Activity, Cry, and Consolability) pain scale is a behavioral pain assessment tool that is universally accepted for use in children with cognitive dysfunction. Objective The aim of this study was to cross-culturally adapt and evaluate the validity and reliability of the Egyptian version of the revised FLACC (r-FLACC) scale for use in postoperative pain assessment in children with cerebral palsy. Patients and methods The study was carried out in Ain Shams University Pediatric Hospital on 30 children with cerebral palsy aged 3–12 years scheduled for open Nissen fundoplication. Pain was assessed at baseline, on arrival to postanesthesia care unit, and 30 min after administration of analgesia using the r-FLACC scale (by two independent caregivers) and the visual analog scale (by the child’s parent). Results The r-FLACC scores increased postoperatively and decreased after administration of analgesia (P<0.001) supporting good construct validity. Criterion validity was acceptable in view of the positive correlations between r-FLACC scores and visual analog scale scores provided by the parents (P<0.001). Moderate to significant correlations between observers for total r-FLACC scores (P<0.001), and good agreements for each of the five categories of the r-FLACC scores at baseline (k=0.422–0.627), in postanesthesia care unit (k=0.531–0.737), and after administration of analgesia (k=0.683–0.783) reflected strong inter-rater reliability. Conclusion The Egyptian version of the r-FLACC scale is a valid and reliable tool for postoperative pain assessment in Egyptian children with cerebral palsy.

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