Differences between uni-and multidimensional scales for assessing pain in term newborn infants at the bedside

Detalhes bibliográficos
Autor(a) principal: Arias, Maria Carmenza Cuenca
Data de Publicação: 2012
Outros Autores: Guinsburg, Ruth
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Clinics
Texto Completo: https://www.revistas.usp.br/clinics/article/view/47929
Resumo: OBJECTIVES: This study sought to determine the level of agreement between behavioral and multidimensional pain assessment scales in term newborn infants submitted to an acute nociceptive stimulus. METHODS: This cross-sectional study was performed on 400 healthy term newborns who received an intramuscular injection of vitamin K during the first 6 hours of life. Two behavioral pain scales (the Neonatal Facial Coding System and the Behavioral Indicators of Infant Pain) and one multidimensional tool (the Premature Infant Pain Profile) were applied by a single observer before the procedure, during cleansing, during injection and two minutes after injection. The Cochran Q, McNemar and kappa tests were used to compare the presence and degree of agreement between the three scales. The Hotelling T2 test was used to compare the groups of newborns for which the scales showed agreement or disagreement. A generalized linear regression was used to compare the results of the Neonatal Facial Coding System and the Behavioral Indicators of Infant Pain across the four study time points. RESULTS: The neonates studied had a gestational age of 39±1 weeks, a birth weight of 3169±316 g and and postnatal age of 67±45 minutes. During the stimulus procedure, 80% of the newborns exhibited pain behaviors according to the Neonatal Facial Coding System and the Behavioral Indicators of Infant Pain, and 70% experienced pain according to the Premature Infant Pain Profile (p
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spelling Differences between uni-and multidimensional scales for assessing pain in term newborn infants at the bedsidePainNewborn InfantPain MeasurementOBJECTIVES: This study sought to determine the level of agreement between behavioral and multidimensional pain assessment scales in term newborn infants submitted to an acute nociceptive stimulus. METHODS: This cross-sectional study was performed on 400 healthy term newborns who received an intramuscular injection of vitamin K during the first 6 hours of life. Two behavioral pain scales (the Neonatal Facial Coding System and the Behavioral Indicators of Infant Pain) and one multidimensional tool (the Premature Infant Pain Profile) were applied by a single observer before the procedure, during cleansing, during injection and two minutes after injection. The Cochran Q, McNemar and kappa tests were used to compare the presence and degree of agreement between the three scales. The Hotelling T2 test was used to compare the groups of newborns for which the scales showed agreement or disagreement. A generalized linear regression was used to compare the results of the Neonatal Facial Coding System and the Behavioral Indicators of Infant Pain across the four study time points. RESULTS: The neonates studied had a gestational age of 39±1 weeks, a birth weight of 3169±316 g and and postnatal age of 67±45 minutes. During the stimulus procedure, 80% of the newborns exhibited pain behaviors according to the Neonatal Facial Coding System and the Behavioral Indicators of Infant Pain, and 70% experienced pain according to the Premature Infant Pain Profile (pHospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2012-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/4792910.6061/clinics/2012(10)08Clinics; Vol. 67 No. 10 (2012); 1165-1170Clinics; v. 67 n. 10 (2012); 1165-1170Clinics; Vol. 67 Núm. 10 (2012); 1165-11701980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/47929/51669Arias, Maria Carmenza CuencaGuinsburg, Ruthinfo:eu-repo/semantics/openAccess2012-12-13T11:00:41Zoai:revistas.usp.br:article/47929Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-12-13T11:00:41Clinics - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Differences between uni-and multidimensional scales for assessing pain in term newborn infants at the bedside
title Differences between uni-and multidimensional scales for assessing pain in term newborn infants at the bedside
spellingShingle Differences between uni-and multidimensional scales for assessing pain in term newborn infants at the bedside
Arias, Maria Carmenza Cuenca
Pain
Newborn Infant
Pain Measurement
title_short Differences between uni-and multidimensional scales for assessing pain in term newborn infants at the bedside
title_full Differences between uni-and multidimensional scales for assessing pain in term newborn infants at the bedside
title_fullStr Differences between uni-and multidimensional scales for assessing pain in term newborn infants at the bedside
title_full_unstemmed Differences between uni-and multidimensional scales for assessing pain in term newborn infants at the bedside
title_sort Differences between uni-and multidimensional scales for assessing pain in term newborn infants at the bedside
author Arias, Maria Carmenza Cuenca
author_facet Arias, Maria Carmenza Cuenca
Guinsburg, Ruth
author_role author
author2 Guinsburg, Ruth
author2_role author
dc.contributor.author.fl_str_mv Arias, Maria Carmenza Cuenca
Guinsburg, Ruth
dc.subject.por.fl_str_mv Pain
Newborn Infant
Pain Measurement
topic Pain
Newborn Infant
Pain Measurement
description OBJECTIVES: This study sought to determine the level of agreement between behavioral and multidimensional pain assessment scales in term newborn infants submitted to an acute nociceptive stimulus. METHODS: This cross-sectional study was performed on 400 healthy term newborns who received an intramuscular injection of vitamin K during the first 6 hours of life. Two behavioral pain scales (the Neonatal Facial Coding System and the Behavioral Indicators of Infant Pain) and one multidimensional tool (the Premature Infant Pain Profile) were applied by a single observer before the procedure, during cleansing, during injection and two minutes after injection. The Cochran Q, McNemar and kappa tests were used to compare the presence and degree of agreement between the three scales. The Hotelling T2 test was used to compare the groups of newborns for which the scales showed agreement or disagreement. A generalized linear regression was used to compare the results of the Neonatal Facial Coding System and the Behavioral Indicators of Infant Pain across the four study time points. RESULTS: The neonates studied had a gestational age of 39±1 weeks, a birth weight of 3169±316 g and and postnatal age of 67±45 minutes. During the stimulus procedure, 80% of the newborns exhibited pain behaviors according to the Neonatal Facial Coding System and the Behavioral Indicators of Infant Pain, and 70% experienced pain according to the Premature Infant Pain Profile (p
publishDate 2012
dc.date.none.fl_str_mv 2012-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/clinics/article/view/47929
10.6061/clinics/2012(10)08
url https://www.revistas.usp.br/clinics/article/view/47929
identifier_str_mv 10.6061/clinics/2012(10)08
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/clinics/article/view/47929/51669
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
dc.source.none.fl_str_mv Clinics; Vol. 67 No. 10 (2012); 1165-1170
Clinics; v. 67 n. 10 (2012); 1165-1170
Clinics; Vol. 67 Núm. 10 (2012); 1165-1170
1980-5322
1807-5932
reponame:Clinics
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Clinics
collection Clinics
repository.name.fl_str_mv Clinics - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||clinics@hc.fm.usp.br
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