EDIN Scale Implemented by Gestational Age for Pain Assessment in Preterms: A Prospective Study
Joint Authors
Mosca, Fabio
Raffaeli, G.
Cristofori, G.
Befani, B.
De Carli, A.
Cavallaro, G.
Fumagalli, M.
Plevani, L.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-08
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Chronic neonatal pain can lead to long-term adverse effects on the immature brain.
EDIN scale for prolonged pain might not be fully suitable for premature infants.
We aimed to test a modified EDIN scale, adding postmenstrual age (PMA) as a sixth item (EDIN6).
Methods.
In a two-phase prospective study, pain was assessed in all neonates admitted in our NICU.
In T1 EDIN was applied; in T2 EDIN6 with additional scores of 2, 1, and 0, respectively, for 25–32, 33–37, and >37 weeks PCA was tested.
Scores > 6 suggested pain.
The nursing staff was given a questionnaire to evaluate EDIN and EDIN6.
Results.
A total of 15960 pain assessments were recorded (8693 in T1; 7267 in T2).
With EDIN6, cumulative detection of pain almost tripled (117/7267 versus 52/8693, p=0.001).
Main differences were found among less mature categories (50/1472 versus 17/1734, p=0.001 in PCA 25–32; 26/2606 versus 10/4335, p=0.001 in PMA 33–37; 41/3189 versus 25/2624, p=0.26 in PMA > 37).
Adequacy of pain assessment in lower PMA was judged “medium-high” in 13,4% of nurses in T1 and 71,4% in T2.
Conclusions.
EDIN6 may allow improved evaluation of pain in preterm infants.
American Psychological Association (APA)
Raffaeli, G.& Cristofori, G.& Befani, B.& De Carli, A.& Cavallaro, G.& Fumagalli, M.…[et al.]. 2017. EDIN Scale Implemented by Gestational Age for Pain Assessment in Preterms: A Prospective Study. BioMed Research International،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1139429
Modern Language Association (MLA)
Raffaeli, G.…[et al.]. EDIN Scale Implemented by Gestational Age for Pain Assessment in Preterms: A Prospective Study. BioMed Research International No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1139429
American Medical Association (AMA)
Raffaeli, G.& Cristofori, G.& Befani, B.& De Carli, A.& Cavallaro, G.& Fumagalli, M.…[et al.]. EDIN Scale Implemented by Gestational Age for Pain Assessment in Preterms: A Prospective Study. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1139429
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1139429