Evidence map›Paper›PMID 20003351›Full record

Trial reportBMC pediatrics2009

Co-bedding as a Comfort measure For Twins undergoing painful procedures (CComForT Trial).

Marsha L Campbell-Yeo, C Celeste Johnston, Ks Joseph, Nancy L Feeley, Christine T Chambers, Keith J Barrington

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled TrialTwin Study
In one paragraph

Trial report in BMC pediatrics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00917631 (Co-Bedding as a Comfort Measure for Twins Undergoing Painful Procedures), which is not on this map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00917631 nacompletednot on this map

Co-Bedding as a Comfort Measure for Twins Undergoing Painful Procedures

TypeinterventionalSponsorIWK Health CentreRan2008 to 2012Enrolled134ConditionsNeonatal Procedural Pain ResponseArmsCo-bedding (caring for twins in the same incubator)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Non-pharmacological management of infant and young child procedural pain.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. Non-pharmacological management of infant and young child procedural pain.The Cochrane database of systematic reviews · 2015
    Pooled it
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Marsha L Campbell-YeoWomen's and Newborn Health Program, IWK Health Centre, Halifax, Nova Scotia, Canada. marsha.campbellyeo@iwk.nshealth.ca
C Celeste Johnston
Ks Joseph
Nancy L Feeley
Christine T Chambers
Keith J Barrington
Dalhousie University · CAMcGill University · CACentre Hospitalier Universitaire Sainte-Justine · CAJewish General Hospital · CA

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundCo-bedding, a developmental care strategy, is the practice of caring for diaper clad twins in one incubator (versus separating and caring for each infant in separate incubators), thus creating the opportunity for skin-to-skin contact and touch between the twins. In studies of mothers and their infants, maternal skin-to-skin contact has been shown to decrease procedural pain response according to both behavioral and physiological indicators in very preterm neonates. It is uncertain if this comfort is derived solely from maternal presence or from stabilization of regulatory processes from direct skin contact. The intent of this study is to compare the comfort effect of co-bedding (between twin infants who are co-bedding and those who are not) on infant pain response and physiologic stability during a tissue breaking procedure (heelstick). METHODS/

designMedically stable preterm twin infants admitted to the Neonatal Intensive Care Unit will be randomly assigned to a co-bedding group or a standard care group. Pain response will be measured by physiological and videotaped facial reaction using the Premature Infant Pain Profile scale (PIPP). Recovery from the tissue breaking procedure will be determined by the length of time for heart rate and oxygen saturation to return to baseline. Sixty four sets of twins (n = 128) will be recruited into the study. Analysis and inference will be based on the intention-to-treat principle. DISCUSSION: If twin contact while co-bedding is determined to have a comforting effect for painful procedures, then changes in current neonatal care practices to include co-bedding may be an inexpensive, non invasive method to help maintain physiologic stability and decrease the long term psychological impact of procedural pain in this high risk population. Knowledge obtained from this study will also add to existing theoretical models with respect to the exact mechanism of comfort through touch.

trial registrationNCT00917631.

Indexed as

Incubators, InfantPuncturesTwinsCodependency, PsychologicalHumansInfant CareInfant, NewbornIntensive Care, NeonatalMonitoring, PhysiologicPainPain Measurement

Identifiers

PMID20003351
PMCPMC2804568
OpenAlexW2057565006

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.