Bloechle et al used a pain scale to describe pain in patients with chronic pancreatitis. The authors are from the University Hospital Eppendorf and University of Hamburg in Hamburg, Germany.
Parameters:
(1) frequency of pain episodes
(2) severity of pain (VAS scale from 0 to 100)
(3) analgesic requirements to control pain (relative to morphine)
(4) work disability
NOTE: The scale does not include the duration of a pain attack.
|
Parameter |
Finding |
Points |
|
frequency of pain episodes |
none |
0 |
|
|
several times a year (2 to 12 per year) |
25 |
|
|
several times a month (24 to 50 times per year) |
50 |
|
|
several times a week (100 to 200 times per year) |
75 |
|
|
daily (> 300 times per year) |
100 |
|
severity of pain |
none |
0 |
|
|
worse imaginable |
100 |
|
analgesic requirements |
none |
0 |
|
|
aspirin |
1 |
|
|
tramaldol |
15 |
|
|
buprenorphine |
80 |
|
|
morphine |
100 |
|
pain-related pain disability during the past year |
none |
0 |
|
|
1 to 7 days |
25 |
|
|
up to 1 month |
50 |
|
|
up to 365 days |
75 |
|
|
permanent |
100 |
where:
• If more than one analgesic is used, rating is based on the most potent one.
• Continuous pain might make a better target for a 100 point assignment.
• The point assignments are non-linear.
total pain score =
= SUM(points for all 4 parameters)
pain index =
= (total pain score) / 4
Interpretation:
• minimum score: 0
• maximum score: 100
• The higher the score the more severe the pain and the greater its impact on the patient.
Purpose: To determine the level of pain experienced by a patient using the pain index of Bloechle et al.
Specialty: Sports Medicine & Rehabilitation
Objective: severity, prognosis, stage
ICD-10: R52.1, R52.2,
