Evidence map›Paper›PMID 30349352›Full record

ArticleJournal of pain research2018

Multi-modal pain assessment: are near-infrared spectroscopy, skin conductance, salivary cortisol, physiologic parameters, and Neonatal Facial Coding System interrelated during venepuncture in healthy, term neonates?

Jean-Michel Roué, Stéphane Rioualen, Julie Gendras, Laurent Misery, Maëlenn Gouillou, Jacques Sizun

Open access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
5.8field-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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Clinical rating scales for assessing pain in newborn infants.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Impact of breast milk on cortical pain response in newborns during the heel prick procedure: a randomized controlled trial.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Observational
  9. Article
  10. A comparison of the effect of procedural pain on cerebral oxygen saturation between late preterm and term infants.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. Article
  16. Pediatricians' focus of sight at pain assessment during a neonatal heel puncture.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2023
    Article
  17. Article
  18. Review
  19. Observational
  20. Practical approaches to sedation and analgesia in the newborn.Journal of perinatology : official journal of the California Perinatal Association · 2021
    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

6 authors at 2 institutions in 1 country.

Jean-Michel RouéDepartment of Neonatal Medicine, Brest University Hospital, Brest, France, jean-michel.roue@chu-brest.fr.
Stéphane RioualenDepartment of Neonatal Medicine, Brest University Hospital, Brest, France, jean-michel.roue@chu-brest.fr.
Julie GendrasDepartment of Neonatal Medicine, Brest University Hospital, Brest, France, jean-michel.roue@chu-brest.fr.
Laurent MiseryLaboratory of Neurosciences of Brest, University of Western Britanny (EA 4685), Brest, France, jean-michel.roue@chu-brest.fr.
Maëlenn GouillouInserm CIC 1412, Centre for Clinical Investigation, Brest University Hospital, Brest, France.
Jacques SizunDepartment of Neonatal Medicine, Brest University Hospital, Brest, France, jean-michel.roue@chu-brest.fr.
Centre Hospitalier Régional Universitaire de Brest · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproving pain and stress assessments in neonates remains important in preventing the short- and long-term consequences. We aimed to identify the relationships between different pain assessment parameters by simultaneously measuring changes in cortical, autonomic, hormonal, physiological, and behavioral evoked responses to venepuncture in healthy, full-term neonates.

methodsThis observational, prospective study (ancillary to the ACTISUCROSE trial) included 113 healthy, 3-day old, full-term neonates who underwent venepuncture for systematic neonatal screening, from July to October 2013, in a tertiary-level maternity ward of a university hospital. During venepuncture, we simultaneously measured the cortical single-channel near-infrared spectroscopy (NIRS) signals, foot skin conductance, salivary cortisol, physiological responses, and behavioral (Neonatal Facial Coding System [NFCS]) evoked responses.

resultsRegarding the NIRS analysis, the highest correlation was between the NFCS at venepuncture and the change in NIRS integrated values of total hemoglobin (

conclusionDuring venepuncture, NFCS was mildly or moderately correlated with salivary cortisol, skin conductance, and cortical NIRS changes.

Indexed as

infantnear-infrarednewbornpainsalivary cortisol measurementskin conductancespectroscopystress

Identifiers

PMID30349352
PMCPMC6188070
OpenAlexW2897653273

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.