Evidence map›Paper›PMID 26613197›Full record

Observational studyActa paediatrica (Oslo, Norway : 1992)2016

Skin conductance at baseline and postheel lance reflects sympathetic activation in neonatal opiate withdrawal.

Christiana N Oji-Mmuo, Eric J Michael, Jacqueline McLatchy, Mary M Lewis, Julie E Becker, Kim Kopenhaver Doheny

Abstract readObservational Study
In one paragraph

Observational study in Acta paediatrica (Oslo, Norway : 1992), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Impact of prenatal opioids on cardiac and autonomic development: systematic review and meta-analysis.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Pooled it
  2. Observational
  3. Integrated Review of the Assessment of Newborns With Neonatal Abstinence Syndrome.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2021
    Review
  4. Review
  5. Article
  6. 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 2 institutions in 1 country.

Christiana N Oji-MmuoDepartment of Pediatrics, College of Medicine, Penn State Hershey Children's Hospital, Pennsylvania State University, Hershey, PA, USA.
Eric J MichaelDepartment of Pediatrics, College of Medicine, Penn State Hershey Children's Hospital, Pennsylvania State University, Hershey, PA, USA.
Jacqueline McLatchyDepartment of Obstetrics and Gynecology, North Shore University Hospital, Manhasset, NY, USA.
Mary M LewisDepartment of Nursing, The M.S. Hershey Medical Center, Penn State Hershey Children's Hospital, Hershey, PA, USA.
Julie E BeckerDepartment of Nursing, The M.S. Hershey Medical Center, Penn State Hershey Children's Hospital, Hershey, PA, USA.
Kim Kopenhaver DohenyDepartment of Pediatrics, College of Medicine, Penn State Hershey Children's Hospital, Pennsylvania State University, Hershey, PA, USA.
Penn State Milton S. Hershey Medical Center · USNorth Shore University Hospital · US

Funding

Vagal Dysregulation in Neonatal Gastrointestinal PathologyR01DK099350 · NIDDK · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KOPENHAVER DOHENY, KIM, TRAVAGLI, RENATO ALBERTO · 2014 to 2017
$2.2M
NIDDK NIH HHS 1R01DK099350NIDDK NIH HHS R01 DK099350
6 · The paper itself

Abstract

aimSkin conductance (SC) provides an objective measure of autonomic system regulation through sympathetic-mediated filling of sweat glands. This study aimed to test the utility of SC to detect sympathetic activation in neonatal abstinence syndrome (NAS).

methodsFourteen term (mean, SE: 38.8 ± 0.35 weeks gestational age) neonates with chronic prenatal opiate exposure were enrolled. SC (peaks/seconds and mean of peaks) was measured at baseline, during heel lance/squeeze (HLS) and recovery from HLS at 24-48 (mean 38) hours of life prior to treatment for NAS. Blinded coders with established reliability assessed neonates using the Modified Finnegan Neonatal Scoring System (MFNSS). Nonparametric tests were used to determine group differences, phase differences from baseline to HLS and HLS to recovery, and associations between MFNSS and SC measures.

resultsNeonates that would later require morphine treatment for NAS (n = 6) had higher baseline SC mean of peaks than those that did not require treatment (n = 8) (p < 0.05). Moreover, there were unique phase differences between groups and SC positively correlated with MFNSS (p < 0.05).

conclusionSC provides early identification of NAS severity. However, a larger sample is needed to determine sensitivity and specificity of SC for early identification of NAS and treatment effectiveness.

Indexed as

Electric ConductivityFeasibility StudiesFemaleHumansInfant, NewbornMaleOpioid-Related DisordersSubstance Withdrawal SyndromeSympathetic Nervous SystemInfant-termNeonatal abstinenceNeonatal drug withdrawal syndromeSkin conductanceSympathetic nervous system

Identifiers

PMID26613197
PMCPMC4747688
OpenAlexW2173446153

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.