Evidence map›Paper›PMID 30304911›Full record

ArticleKorean journal of pediatrics2018

Evaluation of prolonged pain in preterm infants with pneumothorax using heart rate variability analysis and EDIN (Échelle Douleur Inconfort Nouveau-Né, neonatal pain and discomfort scale) scores.

Mehmet Buyuktiryaki, Nurdan Uras, Nilufer Okur, Mehmet Yekta Oncel, Gulsum Kadioglu Simsek, Sehribanu Ozluer Isik, Serife Suna Oguz

Open access · diamondAbstract read
In one paragraph

Article in Korean 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Clinical rating scales for assessing pain in newborn infants.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Trial
  3. Validation and reliability of a scale for prolonged pain assessment in Brazilian neonates.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Baseline NIPEEuropean journal of pediatrics · 2025
    Observational
  8. Article
  9. Observational
  10. Pain and heart rate variability in neonates receiving dexmedetomidine.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  11. Biomarkers for assessing pain and pain relief in the neonatal intensive care unit.Frontiers in pain research (Lausanne, Switzerland) · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
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  18. Review
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 2 institutions in 1 country.

Mehmet BuyuktiryakiDivision of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital, Ankara, Turkey.
Nurdan UrasDivision of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital, Ankara, Turkey.
Nilufer OkurDivision of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital, Ankara, Turkey.
Mehmet Yekta OncelDivision of Neonatology, Department of Pediatrics, Katip Çelebi University, İzmir, Turkey.
Gulsum Kadioglu SimsekDivision of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital, Ankara, Turkey.
Sehribanu Ozluer IsikDivision of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital, Ankara, Turkey.
Serife Suna OguzDivision of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital, Ankara, Turkey.
Zekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesi · TRIzmir Kâtip Çelebi University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe EDIN scale (Échelle Douleur Inconfort Nouveau-Né, neonatal pain and discomfort scale) and heart rate variability has been used for the evaluation of prolonged pain. The aim of our study was to assess the value of the newborn infant parasympathetic evaluation (NIPE) index and EDIN scale for the evaluation of prolonged pain in preterm infants with chest tube placement due to pneumothorax.

methodsThis prospective observational study assessed prolonged pain in preterm infants with a gestational age between 33 and 35 weeks undergoing installation of chest tubes. Prolonged pain was assessed using the EDIN scale and NIPE index.

resultsThere was a significant correlation between the EDIN scale and NIPE index (r=-0.590, P=0.003). Prolonged pain is significantly more severe in the first 6 hours following chest tube installation (NIPE index: 60 [50-86] vs. 68 [45-89], P<0.002; EDIN score: 8 [7-11] vs. 6 [4-8], P<0.001).

conclusionProlonged pain can be accurately assessed with the EDIN scale and NIPE index. However, evaluation with the EDIN scale is time-consuming. The NIPE index can provide instantaneous assessment of prolonged and continuous pain.

Indexed as

Heart rate variabilityInfantPainPain measurementPremature

Identifiers

PMID30304911
PMCPMC6212710
OpenAlexW2897040474

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.