ArticleJournal of perinatology : official journal of the California Perinatal Association2021
Identification of pain in neonates: the adults' visual perception of neonatal facial features.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Is this neonate feeling pain? Leveraging clinical knowledge towards high-precision Large Language Model-based neonatal pain assessment.Pediatric research · 2026Article
- Physicians' eye-tracking in neonatal intensive care: evaluating a mechanical ventilator panel.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2026Article
- Article
- Neonatal Pain Management: Is There An Endocrinal Response?Endocrine, metabolic & immune disorders drug targets · 2025Review
- 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 · 2023Article
- Looking at neonatal facial features of pain: do health and non-health professionals differ?Jornal de pediatriaArticle
- What most captures the physician's interest when evaluating a multiparameter monitor in a Neonatal ICU? - A simulation study.Jornal de pediatriaArticle
- Face-based automatic pain assessment: challenges and perspectives in neonatal intensive care units.Jornal de pediatriaReview
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo verify the visual attention of adults when assessing neonatal pain. STUDY
design143 adults (59% health professionals) evaluated 20 pictures (2 pictures of 10 neonates' faces: at rest; during a painful procedure). Tobii-TX300 tracked the participants' eyes movement. For each picture, adults scored pain intensity (0 = no pain; 10 = maximum). Latent classes analysis was applied by cognitive diagnosis models-GDINA with two attributes (knowledge of pain presence/absence). Variables associated with belonging to the class of adults that correctly identified pictures of newborns with/without pain were identified by logistic regression.
resultsTo identify neonatal pain, adults look at the mouth, eyes, and forehead in facial pictures. The latent class analysis identified four classes of adults: those that identify painful/painless neonates (YY-Class; n = 80); only painful neonates (n = 28); only painless neonates (n = 34) and none (n = 1). Being a health professional (OR: 2.29; 95% CI: 1.16-4.51), and each look at the nasolabial furrow (2.07; 1.19-3.62) increased the chance of belonging to the YY-class.
conclusionsBeing a health professional and the visual fixation at the nasolabial furrow helped to identify the presence/absence of neonatal pain.
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