Skin conductance as pain indicator in newborns: a comparison study with heart rate, oxygen saturation and pain behavioral scales
Autor(a) principal: | |
---|---|
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 |