Validation of the Unesp-Botucatu pig composite acute pain scale (UPAPS) in piglets undergoing castration

dc.contributor.authorRobles, I.
dc.contributor.authorLuna, S. P.L. [UNESP]
dc.contributor.authorTrindade, P. H.E. [UNESP]
dc.contributor.authorLopez-Soriano, M.
dc.contributor.authorMerenda, V. R.
dc.contributor.authorViscardi, A. V.
dc.contributor.authorTamminga, E.
dc.contributor.authorLou, M. E.
dc.contributor.authorPairis-Garcia, M. D.
dc.contributor.institutionNorth Carolina State University
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionCollege of Veterinary Medicine Kansas State University
dc.contributor.institutionPrairie Swine Centre
dc.date.accessioned2023-07-29T13:50:33Z
dc.date.available2023-07-29T13:50:33Z
dc.date.issued2023-04-01
dc.description.abstractTo accurately assess pain and support broadly-based analgesic protocols to mitigate swine pain, it is imperative to develop and validate a species-specific pain scale. The objective of this study was to investigate the clinical validity and reliability of an acute pain scale (UPAPS) adapted for newborn piglets undergoing castration. Thirty-nine male piglets (five days of age, 1.62 ± 0.23 kg BW) served as their own control, were enrolled in the study and underwent castration in conjunction with an injectable analgesic administered one-hour post-castration (flunixin meglumine 2.2 mg/kg IM). An additional 10, non-painful female piglets were included to account for the effect of natural behavioral variation by day on pain scale results. Behavior of each piglet was video recorded continuously at four recording periods (24 h pre-castration, 15 min post-castration, 3 and 24 h post-castration). Pre- and postoperative pain was assessed by using a 4-point scale (score 0-3) including the following six behavioral items: posture, interaction and interest in surroundings, activity, attention to the affected area, nursing, and miscellaneous behavior. Behavior was assessed by two trained blinded observers and statistical analysis was performed using R software. Inter-observer agreement was very good (ICC = 0.81). The scale was unidimensional based on the principal component analysis, all items except for nursing were representative (rs ≥ 0.74) and had excellent internal consistency (Cronbach's alpha ≥ 0.85). The sum of scores were higher in castrated piglets post-procedure compared to pre-procedure, and higher than in non-painful female piglets confirming responsiveness and construct validity, respectively. Scale sensitivity was good when piglets were awake (92.9%) and specificity was moderate (78.6%). The scale had excellent discriminatory ability (area under the curve > 0.92) and the optimal cut-off sum for analgesia was 4 out of 15. The UPAPS scale is a valid and reliable clinical tool to assess acute pain in castrated pre-weaned piglets.en
dc.description.affiliationDepartment of Population Health and Pathobiology College of Veterinary Medicine North Carolina State University
dc.description.affiliationDepartment of Veterinary Surgery and Animal Reproduction School of Veterinary Medicine and Animal Science São Paulo State University (Unesp) Botucatu
dc.description.affiliationDepartment of Anatomy and Physiology College of Veterinary Medicine Kansas State University
dc.description.affiliationPrairie Swine Centre
dc.description.affiliationUnespDepartment of Veterinary Surgery and Animal Reproduction School of Veterinary Medicine and Animal Science São Paulo State University (Unesp) Botucatu
dc.identifierhttp://dx.doi.org/10.1371/journal.pone.0284218
dc.identifier.citationPLoS ONE, v. 18, n. 4 APRIL, 2023.
dc.identifier.doi10.1371/journal.pone.0284218
dc.identifier.issn1932-6203
dc.identifier.scopus2-s2.0-85152358307
dc.identifier.urihttp://hdl.handle.net/11449/248677
dc.language.isoeng
dc.relation.ispartofPLoS ONE
dc.sourceScopus
dc.titleValidation of the Unesp-Botucatu pig composite acute pain scale (UPAPS) in piglets undergoing castrationen
dc.typeArtigo

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