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http://dx.doi.org/10.3345/kjp.2017.05939

Evaluation of prolonged pain in preterm infants with pneumothorax using heart rate variability analysis and EDIN (Échelle Douleur Inconfort Nouveau-Né, neonatal pain and discomfort scale) scores  

Buyuktiryaki, Mehmet (Division of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital)
Uras, Nurdan (Division of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital)
Okur, Nilufer (Division of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital)
Oncel, Mehmet Yekta (Division of Neonatology, Department of Pediatrics, Katip Celebi University)
Simsek, Gulsum Kadioglu (Division of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital)
Isik, Sehribanu Ozluer (Division of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital)
Oguz, Serife Suna (Division of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital)
Publication Information
Clinical and Experimental Pediatrics / v.61, no.10, 2018 , pp. 322-326 More about this Journal
Abstract
Purpose: The EDIN scale (${\acute{E}}chelle$ Douleur Inconfort Nouveau-$N{\acute{e}}$, neonatal pain and discomfort scale) and heart rate variability has been used for the evaluation of prolonged pain. The aim of our study was to assess the value of the newborn infant parasympathetic evaluation (NIPE) index and EDIN scale for the evaluation of prolonged pain in preterm infants with chest tube placement due to pneumothorax. Methods: This prospective observational study assessed prolonged pain in preterm infants with a gestational age between 33 and 35 weeks undergoing installation of chest tubes. Prolonged pain was assessed using the EDIN scale and NIPE index. Results: There was a significant correlation between the EDIN scale and NIPE index (r=-0.590, P=0.003). Prolonged pain is significantly more severe in the first 6 hours following chest tube installation (NIPE index: 60 [50-86] vs. 68 [45-89], P<0.002; EDIN score: 8 [7-11] vs. 6 [4-8], P<0.001). Conclusion: Prolonged pain can be accurately assessed with the EDIN scale and NIPE index. However, evaluation with the EDIN scale is time-consuming. The NIPE index can provide instantaneous assessment of prolonged and continuous pain.
Keywords
Infant; Premature; Pain; Pain measurement; Heart rate variability;
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