Evidence map›Paper›PMID 27607517›Full record

Trial reportActa paediatrica (Oslo, Norway : 1992)2016

Does noninvasive electrical stimulation of acupuncture points reduce heelstick pain in neonates?

Anita J Mitchell, Richard W Hall, Brenda Golianu, Charlotte Yates, David Keith Williams, Jason Chang, Kanwaljeet J S Anand

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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 15 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 6 pooled it
6.5field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 6 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Acupuncture for procedural pain in newborn infants.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Acupuncture for neonatal abstinence syndrome in newborn infants.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Pooled it
  4. Sucrose analgesia for heel-lance procedures in neonates.The Cochrane database of systematic reviews · 2023
    Pooled it
  5. Non-pharmacological management of infant and young child procedural pain.The Cochrane database of systematic reviews · 2023
    Pooled it
  6. Pooled it
  7. Trial
  8. Article
  9. Review
  10. Article
  11. Acupuncture for pediatric pain: The trend of evidence-based research.Journal of traditional and complementary medicine · 2020
    Review
  12. Review
  13. Review
  14. Review
  15. 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

7 authors at 3 institutions in 1 country.

Anita J MitchellCollege of Nursing, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Richard W HallDepartment of Pediatrics and Neonatology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Brenda GolianuStanford University and Lucile Packard Children's Hospital Stanford, Palo Alto, CA, USA.
Charlotte YatesResearch Faculty at University of Arkansas for Medical Sciences, Department of Physical Therapy, University of Central Arkansas, Conway, AR, USA.
David Keith WilliamsUniversity of Arkansas for Medical Sciences, Little Rock, AR, USA.
Jason ChangUniversity of Arkansas for Medical Sciences, Little Rock, AR, USA.
Kanwaljeet J S AnandStanford University and Lucile Packard Children's Hospital Stanford, Palo Alto, CA, USA.
University of Arkansas for Medical Sciences · USLucile Packard Children's Hospital · USStanford University · US

Funding

Telemedicine CoreP30GM110702 · NIGMS · UNIV OF ARKANSAS FOR MED SCIS · PI GARCIA-RILL, EDGAR E. · 2014 to 2018
$6.1M
NIGMS NIH HHS P30 GM110702
6 · The paper itself

Abstract

aimNoninvasive electrical stimulation at acupuncture points (NESAP) for analgesia is used in children, but has not been widely studied in neonates. The purpose of this study was to determine whether NESAP alone or in combination with sucrose relieved heelstick pain in neonates.

methodsTerm neonates (n = 162) receiving routine heelsticks for newborn screening were enrolled following parental consent. All infants received facilitated tucking and non-nutritive sucking. Neonates were randomised to standard care, sucrose, NESAP or sucrose plus NESAP. NESAP (3.5 mA, 10 Hz) or sham was administered over four acupuncture points. The Premature Infant Pain Profile (PIPP), heart rate variability (HRV) and salivary cortisol were used to measure heelstick pain.

resultsPIPP scores among all four treatment groups increased during heelstick, F (9,119) = 1.95, p = 0.05 and NESAP therapy had no significant effect on PIPP scores. However, PIPP scores from baseline to heelstick increased the most in the two groups not receiving sucrose (p < 0.01). Mean PIPP scores remained below five during the heelstick in all four groups, indicating minimal or no pain. Differences in HRV and salivary cortisol among groups were insignificant.

conclusionNESAP at 3.5 mA, 10 Hz is not effective in relieving pain during heelsticks in neonates.

Indexed as

ElectroacupunctureInfant, NewbornBlood Specimen CollectionDouble-Blind MethodHumansNeonatal ScreeningPainNeonatesNESAPPainPIPPSucrose

Identifiers

PMID27607517
PMCPMC5118154
OpenAlexW2510531815

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.