Evidence map›Paper›PMID 30203192›Full record

ArticleEuropean journal of pediatrics2018

Needle-related pain and distress management during needle-related procedures in children with and without intellectual disability.

Paola Pascolo, Francesca Peri, Marcella Montico, Mishelle Funaro, Roberta Parrino, Francesca Vanadia, Francesca Rusalen, Luca Vecchiato, Franca Benini, Sabrina Congedi and 2 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.4field-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

18 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Review
  3. A Case Series of the Use of Intranasal Dexmedetomidine for Procedural Sedation in the Pediatric Emergency Department.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2025
    Article
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  5. Observational
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  15. Review
  16. Article
  17. Article
  18. Clinical Utility of Multisensory Environments for People With Intellectual and Developmental Disabilities: A Scoping Review.The American journal of occupational therapy : official publication of the American Occupational Therapy Association
    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

12 authors at 4 institutions in 1 country.

Paola PascoloUniversity of Trieste, via dell'Istria 65/1, 34137, Trieste, Italy. paolapascolo@gmail.com.ORCID http://orcid.org/0000-0002-8131-3302
Francesca PeriUniversity of Trieste, via dell'Istria 65/1, 34137, Trieste, Italy.
Marcella MonticoCRO Aviano National Cancer Institute, Aviano, Italy.
Mishelle FunaroUniversity of Trieste, via dell'Istria 65/1, 34137, Trieste, Italy.
Roberta ParrinoPediatric Emergency Unit, Maternal and Child Department, Arnas Civico, Palermo, Italy.
Francesca VanadiaPediatric Neuropsychiatry Unit, Maternal and Child Department, Arnas Civico, Palermo, Italy.
Francesca RusalenPediatric Unit, Maternal and Child Department - Venice Hospital, ULSS 3 Serenissima, Mestre, Italy.
Luca VecchiatoPediatric Unit, Maternal and Child Department - Dolo Hospital, ULSS 3 Serenissima, Mestre, Italy.
Franca BeniniPaediatric Palliative Care - Pain Service, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Sabrina CongediUniversity of Padua, Padua, Italy.
Egidio BarbiPediatric Department, Institute for Maternal and Child Health IRCCS, Burlo Garofolo of Trieste, Trieste, Italy.
Giorgio CozziPediatric Department, Institute for Maternal and Child Health IRCCS, Burlo Garofolo of Trieste, Trieste, Italy.
University of Trieste · ITUniversity of Padua · ITCentro di Riferimento Oncologico · ITIRCCS Materno Infantile Burlo Garofolo · IT

Funding

NO FUNDING Not applicable
6 · The paper itself

Abstract

Children with intellectual disability frequently undergo needle-related procedures for diagnosis or treatment. Nevertheless, only a few studies deal with pain and distress management during the procedure in this population of children. This study aimed to investigate the number of anxiety and pain management techniques performed during needle procedure in children with intellectual disability (cases) compared to a population of children without intellectual disability (controls). This multicenter cohort study was performed from July 2016 to January 2018 in the pediatric ward of four urban hospitals in Italy. Eligible subjects were children with and without intellectual disability, from 4 to 17 years old, who needed venipuncture or intravenous cannulation for diagnosis or treatment. Use of topical anesthesia, distraction techniques, and physical or verbal comfort during procedures were recorded. Pain and anxiety scores were also recorded. Forty-seven cases and 94 controls were recruited. Three pain- and anxiety-relieving techniques were performed during the procedure in 12 (25%) cases and in 10 controls (11%); two techniques were performed in 23 (50%) cases and in 26 (28%) controls; 12 (25%) cases and 52 (55%) controls received only one.Conclusion: In this series, children with intellectual disability received significantly more relieving techniques, but experienced more pain and anxiety when compared to children without intellectual disability. What is Known: • Children with intellectual disability experience more episodes of pain than cognitively healthy ones, and almost 10% of these episodes are due to medical procedures. What is New: • Children with intellectual disability despite receiving more relieving techniques during a needle-related procedure experienced more pain and anxiety when compared to healthy children.

Indexed as

AdolescentAnxietyChildChild, PreschoolCohort StudiesFemaleHumansIntellectual DisabilityItalyMalePain ManagementPain MeasurementPhlebotomyProcedural PainDistractionIntellectual disabilityProcedural distressProcedural pain

Identifiers

PMID30203192
OpenAlexW2891265329

What OpenQuestion holds

Textmetadata
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.