Eye-tracking enables reliable pain assessment in intubated SCI patients and is not associated with self-appraisals.

IF 1.5 Q4 CLINICAL NEUROLOGY

Pain management Pub Date : 2025-10-12 DOI:10.1080/17581869.2025.2570118

Christina Ingwald, Robert Gaschler, Uwe Hamsen, Aileen Spieckermann, Thomas Armin Schildhauer, Oliver Cruciger, Christian Waydhas, Christopher Ull

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引用次数: 0

Abstract

Aims: To examine whether eye-tracking (ET) enables reliable self-report of pain in intubated patients with spinal cord injury (SCI) and to explore associations between pain and psychological self-appraisals.

Methods: In this prospective observational study, 75 mechanically ventilated ICU patients (46 SCI, 29 non-SCI) completed pain assessments using a Tobii Dynavox ET device. Pain was measured via the Numeric Rating Scale (NRS) and the EQ-5D-5L pain dimension. Self-esteem, anxiety, and depression were measured with the Visual Analogue Self-Esteem Scale (VASES).

Results: NRS and EQ-5D pain ratings showed strong correlation (r = 0.78, p < 0.001). Pain intensity did not differ significantly between SCI and non-SCI groups. No significant associations were observed between pain and self-esteem, anxiety, or depression. A Bland - Altman plot confirmed agreement between NRS and EQ-5D pain scores.

Conclusions: ET enables reliable pain self-report in intubated ICU patients with severely limited communication. Pain ratings were independent of psychological self-appraisals, suggesting ET offers a feasible, patient-centered tool for assessing pain in this population.

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眼动追踪能够对插管脊髓损伤患者进行可靠的疼痛评估，并且与自我评估无关。

目的：研究眼动追踪（ET）是否能使脊髓损伤（SCI）插管患者可靠地自我报告疼痛，并探讨疼痛与心理自我评价之间的关系。方法：在这项前瞻性观察研究中，75例机械通气ICU患者（46例SCI， 29例非SCI）使用Tobii Dynavox ET装置完成疼痛评估。疼痛通过数字评定量表（NRS）和EQ-5D-5L疼痛维度进行测量。用视觉模拟自尊量表（VASES）测量自尊、焦虑和抑郁。结果：NRS与EQ-5D疼痛评分存在强相关性（r = 0.78, p）。结论：ET可使沟通严重受限的ICU插管患者进行可靠的疼痛自我报告。疼痛评分独立于心理自我评价，表明ET为评估这一人群的疼痛提供了一个可行的、以患者为中心的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pain management CLINICAL NEUROLOGY-

CiteScore

2.90

自引率

5.90%

发文量