Skin conductance as pain indicator in newborns: a comparison study with heart rate, oxygen saturation and pain behavioral scales

Detalhes bibliográficos
Autor(a) principal: Jesus,Jose Alfredo Lacerda de
Data de Publicação: 2013
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de neuro-psiquiatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013000900645
Resumo: Introduction Heart rate (HR), oxygen saturation (OS) and skin conductance activity (SCA) are physiological markers of acute pain. Neonatal Facial Coding System (NFCS), Neonatal Infant Pain Scale (NIPS) and modified COMFORT are validated pain behavioral scales. Objective It was to compare whether the scores of these measures fit the psychophysical parameters for a pain marker (intensity, reactivity, direction, regulation and slope). Method Observational prospective study including 41 newborns, in which it were compared the maximum HR, the minimum OS, the SCA variables number of waves per second (NWps) and relative area under the curve of waves (AUC), and the scores of behavioral pain scales in the periods before, during and after heel prick. Results The parameters intensity and regulation were significant for the NWps (p<0.01), AUC (p<0.05), HR (p<0.01), OS (p<0.01), NFCS (p<0.01), NIPS (p<0.01) and modified COMFORT (p<0.01). The reactivity and direction parameters were significant for all variables (all p<0.01), except to AUC (p>0.05). The slope was significant for the minimum OS and NIPS and modified COMFORT scales (p<0.05). Conclusion The responses of SCA, HR, OS and behavioral pain scales are similarly in acute painful events. They fit the psychophysical parameters of a pain marker and serve as measures for pain diagnostic.
id ABNEURO-1_3c1c8bfc9194ddca2ce94ecfc86585e5
oai_identifier_str oai:scielo:S0004-282X2013000900645
network_acronym_str ABNEURO-1
network_name_str Arquivos de neuro-psiquiatria (Online)
repository_id_str
spelling Skin conductance as pain indicator in newborns: a comparison study with heart rate, oxygen saturation and pain behavioral scalespain behavioral markerspain physiological markerspsychophysical parametersskin conductancenewborn Introduction Heart rate (HR), oxygen saturation (OS) and skin conductance activity (SCA) are physiological markers of acute pain. Neonatal Facial Coding System (NFCS), Neonatal Infant Pain Scale (NIPS) and modified COMFORT are validated pain behavioral scales. Objective It was to compare whether the scores of these measures fit the psychophysical parameters for a pain marker (intensity, reactivity, direction, regulation and slope). Method Observational prospective study including 41 newborns, in which it were compared the maximum HR, the minimum OS, the SCA variables number of waves per second (NWps) and relative area under the curve of waves (AUC), and the scores of behavioral pain scales in the periods before, during and after heel prick. Results The parameters intensity and regulation were significant for the NWps (p<0.01), AUC (p<0.05), HR (p<0.01), OS (p<0.01), NFCS (p<0.01), NIPS (p<0.01) and modified COMFORT (p<0.01). The reactivity and direction parameters were significant for all variables (all p<0.01), except to AUC (p>0.05). The slope was significant for the minimum OS and NIPS and modified COMFORT scales (p<0.05). Conclusion The responses of SCA, HR, OS and behavioral pain scales are similarly in acute painful events. They fit the psychophysical parameters of a pain marker and serve as measures for pain diagnostic. Academia Brasileira de Neurologia - ABNEURO2013-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013000900645Arquivos de Neuro-Psiquiatria v.71 n.9A 2013reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282X20130083info:eu-repo/semantics/openAccessJesus,Jose Alfredo Lacerda deeng2013-10-10T00:00:00Zoai:scielo:S0004-282X2013000900645Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2013-10-10T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Skin conductance as pain indicator in newborns: a comparison study with heart rate, oxygen saturation and pain behavioral scales
title Skin conductance as pain indicator in newborns: a comparison study with heart rate, oxygen saturation and pain behavioral scales
spellingShingle Skin conductance as pain indicator in newborns: a comparison study with heart rate, oxygen saturation and pain behavioral scales
Jesus,Jose Alfredo Lacerda de
pain behavioral markers
pain physiological markers
psychophysical parameters
skin conductance
newborn
title_short Skin conductance as pain indicator in newborns: a comparison study with heart rate, oxygen saturation and pain behavioral scales
title_full Skin conductance as pain indicator in newborns: a comparison study with heart rate, oxygen saturation and pain behavioral scales
title_fullStr Skin conductance as pain indicator in newborns: a comparison study with heart rate, oxygen saturation and pain behavioral scales
title_full_unstemmed Skin conductance as pain indicator in newborns: a comparison study with heart rate, oxygen saturation and pain behavioral scales
title_sort Skin conductance as pain indicator in newborns: a comparison study with heart rate, oxygen saturation and pain behavioral scales
author Jesus,Jose Alfredo Lacerda de
author_facet Jesus,Jose Alfredo Lacerda de
author_role author
dc.contributor.author.fl_str_mv Jesus,Jose Alfredo Lacerda de
dc.subject.por.fl_str_mv pain behavioral markers
pain physiological markers
psychophysical parameters
skin conductance
newborn
topic pain behavioral markers
pain physiological markers
psychophysical parameters
skin conductance
newborn
description Introduction Heart rate (HR), oxygen saturation (OS) and skin conductance activity (SCA) are physiological markers of acute pain. Neonatal Facial Coding System (NFCS), Neonatal Infant Pain Scale (NIPS) and modified COMFORT are validated pain behavioral scales. Objective It was to compare whether the scores of these measures fit the psychophysical parameters for a pain marker (intensity, reactivity, direction, regulation and slope). Method Observational prospective study including 41 newborns, in which it were compared the maximum HR, the minimum OS, the SCA variables number of waves per second (NWps) and relative area under the curve of waves (AUC), and the scores of behavioral pain scales in the periods before, during and after heel prick. Results The parameters intensity and regulation were significant for the NWps (p<0.01), AUC (p<0.05), HR (p<0.01), OS (p<0.01), NFCS (p<0.01), NIPS (p<0.01) and modified COMFORT (p<0.01). The reactivity and direction parameters were significant for all variables (all p<0.01), except to AUC (p>0.05). The slope was significant for the minimum OS and NIPS and modified COMFORT scales (p<0.05). Conclusion The responses of SCA, HR, OS and behavioral pain scales are similarly in acute painful events. They fit the psychophysical parameters of a pain marker and serve as measures for pain diagnostic.
publishDate 2013
dc.date.none.fl_str_mv 2013-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013000900645
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013000900645
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0004-282X20130083
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv Arquivos de Neuro-Psiquiatria v.71 n.9A 2013
reponame:Arquivos de neuro-psiquiatria (Online)
instname:Academia Brasileira de Neurologia
instacron:ABNEURO
instname_str Academia Brasileira de Neurologia
instacron_str ABNEURO
institution ABNEURO
reponame_str Arquivos de neuro-psiquiatria (Online)
collection Arquivos de neuro-psiquiatria (Online)
repository.name.fl_str_mv Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia
repository.mail.fl_str_mv ||revista.arquivos@abneuro.org
_version_ 1754212775314325504