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Evidence · Systematic review or meta-analysis

The use and reporting of neonatal pain scales: a systematic review of randomized trials.

Systematic review or meta-analysisPain (journal)2021Full text
  • Comfort and nursing care
  • Medical
  • Nursing
  • Pain and comfort

Summary

This systematic review examines how neonatal pain scales are used and reported in randomised and quasi-randomised trials, including 352 trials involving over 29,000 infants and 22 published pain scales. Most trials addressed procedural pain, with PIPP/PIPP-R and NIPS the most commonly used scales, though NIPS was often applied outside its validated context for ongoing and postoperative pain. Blinding of pain assessors was reported in only a third of trials, and 16% used scales not validated for the population or pain type studied. The authors emphasise selecting validated scales appropriate to the pain type and infant population.

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