cheops_pain_scale: Children's Hospital of Eastern Ontario Pain Scale (CHEOPS)

In cliot: Clinical Indices and Outcomes Tools

Children's Hospital of Eastern Ontario Pain Scale (CHEOPS)

Description

Calculates the CHEOPS score, a behavioral observation scale for assessing postoperative pain in children aged 1-7 years. The scale evaluates six behaviors: Cry, Facial, Child Verbal, Torso, Touch, and Legs. A score of 6 or higher generally indicates the need for analgesic intervention.

Usage

cheops_pain_scale(cry, facial, verbal, torso, touch, legs)

Arguments

cry	Numeric. 1: No cry. 2: Moaning or Crying. 3: Scream.
facial	Numeric. 0: Smiling. 1: Composed/Neutral. 2: Grimace.
verbal	Numeric. 0: Positive statements. 1: None or Complaints other than pain. 2: Pain complaints or Both pain/non-pain complaints.
torso	Numeric. 1: Neutral. 2: Shifting, tense, shivering, upright, or restrained.
touch	Numeric. 1: Not touching. 2: Reaching, touching, grabbing, or restrained.
legs	Numeric. 1: Neutral. 2: Squirming, kicking, drawn up, tensed, standing, or restrained.

Value

A list containing:

CHEOPS_Score	The calculated total score (Range 4-13).
Interpretation	Clinical guidance based on the threshold of 6.

References

McGrath PJ, Johnson G, Goodman JT, et al. CHEOPS: a behavioral scale for rating postoperative pain in children. Advances in Pain Research and Therapy. 1985;9:395-402.

Examples

# Example 1: Significant Pain
# Crying (2), Grimace (2), Pain complaints (2), Tense torso (2), Touching wound (2), Kicking (2)
# Score = 12
cheops_pain_scale(2, 2, 2, 2, 2, 2)

# Example 2: Comfortable Child
# No cry (1), Composed (1), No verbal (1), Neutral torso (1), Not touching (1), Neutral legs (1)
# Score = 6 (Threshold)
cheops_pain_scale(1, 1, 1, 1, 1, 1)

# Example 3: Very Comfortable
# No cry (1), Smiling (0), Positive verbal (0), Neutral torso (1), Not touching (1),
#Neutral legs (1)
# Score = 4
cheops_pain_scale(1, 0, 0, 1, 1, 1)

cliot documentation built on Dec. 1, 2025, 1:06 a.m.