Pain assessment during eye examination for retinopathy of prematurity screening: skin conductance versus PIPP-R
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Pain assessment during eye examination for retinopathy of prematurity screening: skin conductance versus PIPP-RAutor(es)
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2020-05Cita bibliográfica
Avila-Alvarez A, Pertega-Diaz S, Vazquez Gomez L, Sucasas Alonso A, Romero Rey H, Eiriz Barbeito D, Cabana Vazquez M. Pain assessment during eye examination for retinopathy of prematurity screening: Skin conductance versus PIPP-R. Acta Paediatr. 2020 May;109(5):935-942.
Resumo
[Abstract]
Aim: To assess changes in skin conductance during retinopathy of prematurity screening and to study the correlation between the skin conductance and a validated pain scale.
Methods: Prospective observational study. Fifty-three eye examinations were performed in 32 preterm infant candidates for retinopathy of prematurity screening. Outcome measures were changes in Premature Infant Pain Profile-Revised (PIPP-R) scale and number of skin conductance fluctuations.
Results: There was a significant increase from baseline in the number of skin conductance fluctuations and PIPP-R during the procedure. The maximum value of number of skin conductance fluctuations was 0.64 ± 0.44 peaks/sec, and the maximum value of PIPP-R was 10.8 ± 3.3. A correlation between the skin conductance and PIPP-R was not found at any time during the eye examination. Repeated measures correlation analyses showed only a moderate positive correlation between PIPP-R and number of skin conductance fluctuation values.
Conclusion: There were significant changes in both PIPP-R and number of skin conductance fluctuations during retinopathy of prematurity screening, reaffirming that this procedure is painful and stressful. The number of skin conductance fluctuations and PIPP-R are not significantly correlated, which likely reflects that these parameters evaluate different but complementary aspects of neonatal pain responses.
Palabras chave
Pain
Premature infants
Retinopathy of prematurity
Skin conductance
Stress
Premature infants
Retinopathy of prematurity
Skin conductance
Stress
Descrición
Observational study
Versión do editor
Dereitos
This is the pre-peer reviewed version of the article which has been published in final form at Acta Paediatrica. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
ISSN
0803-5253