The Children's and Infants' Postoperative Pain Scale (CHIPPS) was developed by Buttner and Finke to evaluate analgesic demand after surgery in infants and young children. The authors are from Ruhr University Bochum in Germany.
NOTE: The scale is similar to the MOPS. An interesting aspect of the study is their review of multiple physiologic, autonomic and behavioral variables before deriving the final score.
Categories of patients:
(1) newborns: up to 28 days of age
(2) infants: 1 to 12 months
(3) young children: 1 to 5 years
Parameters:
(1) crying
(2) facial expression
(3) posture of the trunk
(4) posture of the legs
(5) motor restlessness
|
Parameter |
Finding |
Points |
|
crying |
none |
0 |
|
|
moaning |
1 |
|
|
screaming |
2 |
|
facial expression |
relaxed, smiling |
0 |
|
|
wry mouth |
1 |
|
|
grimacing about face and mouth |
2 |
|
posture of the trunk |
neutral |
0 |
|
|
variable |
1 |
|
|
rear up |
2 |
|
posture of the legs |
neutral |
0 |
|
|
kicking about |
1 |
|
|
tightened legs |
2 |
|
motor restlessness |
none |
0 |
|
|
moderate |
1 |
|
|
restless |
2 |
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
• The higher the score the more marked the level of pain.
|
Score |
Interpretation |
|
0 to 3 |
pain free |
|
4 to 10 |
analgesia required, with higher scores more urgent |
Performance:
• Cronbach alpha for infants was 0.96 and for toddlers was 0.92.
• The coefficient for interrater reliability was 0.93.
• The scale compared well with the TPPPS scale.
• The sensitivity for assessing analgesic demand was 0.92 to 0.96 with specificity 0.74 to 0.95.
Specialty: Pedatrics
ICD-10: ,
