Pain in Premature Infants: What Is Conclusive Evidence and What Is Not

Badr, Lina Kurdahi

doi:10.1053/j.nainr.2013.03.002

Cited by 11 publications

(3 citation statements)

References 68 publications

(71 reference statements)

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“…in France in 2008, who found a 79.7% prevalence of painful procedures during hospitalization in a neonatal unit [12]. Similarly, a Congolese series reported in 2019 that one of the main causes of neonatal pain was care-induced pain, with a hospital prevalence of 73.6% [13].…”

Section: Hospital Prevalencementioning

confidence: 97%

Evaluation of Procedural Pain in Neonates in Cameroon

Meguieze,

Bidias,

Nseme

et al. 2024

OJPed

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Introduction: Acute pain associated with caregiving is a major cause of pain among neonates. Left untreated, it can lead to long-term neurosensory and psychoaffective consequences. In Cameroon, this subject has been scarcely explored, thus constituting an impediment to the management of care-induced pain. Objective: Assess procedural pain in neonates in Yaoundé. Material and Methods: We conducted a cross sectional study with prospective data collection over a period of eight months (October 2022 to May 2023) in three hospitals. We included neonates who were being cared for and were not crying prior to the onset of healthcare, whose parents consented to the study. Assessments were done using the DAN scale, which is specific to care-induced pain. Data was entered and analyzed using SPSS 23.0 software. Results: A total of 161 newborns were included. The hospital prevalence of care-induced pain in neonates was 85%. Neonatal sepsis was the main cause for admission (96.6%). The most common procedures were venous blood sampling (94.4%) and insertion of peripheral venous lines (93.8%). The pain intensity for these procedures was severe (83.9%). The most painful procedure was lumbar tap, followed by venous access procedures. Conclusion: Neonates in hospitals are subjected to many painful procedures. The pain experienced during these procedures is severe. The most nociceptive procedure is a lumbar puncture.

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Section: Hospital Prevalencementioning

confidence: 97%

Evaluation of Procedural Pain in Neonates in Cameroon

Meguieze,

Bidias,

Nseme

et al. 2024

OJPed

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show abstract

“…Badr menyebutkan, bahwa perbedaan jenis kelamin dapat berpengaruh pada respon perilaku bayi premature (11). Bayi prematur laki-laki cenderung kurang ekspresif dibandingkan bayi prematur yang berjenis kelamin perempuan.…”

Section: Hasil Dan Bahasanunclassified

Menurunkan Skala Nyeri Bayi Prematur melalui Facilitated Tucking disertai ‘Hadir-Berbicara’ sebagai Upaya Penerapan Teori Comfort Kolcaba

Khasanah

Rustina

2017

JNKI

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“…The majority were designed for research purposes and are inappropriate for routine clinical procedures (e.g., because they require extended observation periods) [ 25 , 38 ]. Furthermore, only a few have undergone extensive psychometric testing and are both reliable and valid [ 25 , 39 ]. Of the pain assessment scales compiled for clinical application, few have been validated in premature infants and even fewer consider individual contextual factors, e.g.…”

Section: Introductionmentioning

confidence: 99%

Individual contextual factors in the validation of the Bernese pain scale for neonates: protocol for a prospective observational study

et al. 2017

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BackgroundThe Bernese Pain Scale for Neonates (BPSN) is a multidimensional pain assessment tool that is already widely used in clinical settings in the German speaking areas of Europe. Recent findings indicate that pain responses in preterm neonates are influenced by individual contextual factors, such as gestational age (GA), gender and the number of painful procedures experienced. Currently, the BPSN does not consider individual contextual factors. Therefore, the aim of this study is the validation of the BPSN using a large sample of neonates with different GAs. Furthermore, the influence of individual contextual factors on the variability in pain reactions across GA groups will be explored. The results will be used for a modification of the BPSN to account for individual contextual factors in future clinical pain assessment in neonates.Methods and designThis prospective multisite validation study with a repeated measures design will take place in three university hospital neonatal intensive care units (NICUs) in Switzerland (Bern, Basel and Zurich). To examine the impact of GA on pain responses and their variability, the infants will be stratified into six GA groups ranging from 24 0/7 to 42 0/7. Among preterm infants, 2–5 routine capillary heel sticks within the first 14 days of life, and among full-term infants, two heel sticks during the first days of life will be documented. For each heel stick, measurements will be video recorded for each of three phases: baseline, heel stick, and recovery. The infants’ pain responses will be rated according to the BPSN by five nurses who are blinded as to the number of each heel stick and as to the measurement phases. Individual contextual factors of interest will be extracted from patient charts.DiscussionUnderstanding and considering the influence of individual contextual factors on pain responses in a revised version of the BPSN will help the clinical staff to more appropriately assess pain in neonates, particularly preterm neonates hospitalized in NICUs. Pain assessment is a first step toward appropriate and efficient pain management, which itself is an important factor in later motor and cognitive development in this vulnerable patient population.Trial registrationThe study is registered in the database of Clinical Trial gov. Study ID-number: NCT 02749461. Registration date: 12 April 2016.

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Pain in Premature Infants: What Is Conclusive Evidence and What Is Not

Cited by 11 publications

References 68 publications

Evaluation of Procedural Pain in Neonates in Cameroon

Evaluation of Procedural Pain in Neonates in Cameroon

Menurunkan Skala Nyeri Bayi Prematur melalui Facilitated Tucking disertai ‘Hadir-Berbicara’ sebagai Upaya Penerapan Teori Comfort Kolcaba

Individual contextual factors in the validation of the Bernese pain scale for neonates: protocol for a prospective observational study

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