Evidence map›Paper›PMID 40728686›Full record

Trial reportIrish journal of medical science2025

The effect of cold needle on the development of pain and ecchymosis in subcutaneous heparin injection in adults: a prospective, randomised controlled study.

Ali Kaplan, Özlem Kaplan, Hatice Yüceler Kaçmaz, Gizem Nur Tosun, Fatih Dal

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Irish journal of medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Ali KaplanDepartment of Medical Services and Techniques, İncesu Ayşe and Saffet Arslan Health Services Vocational School, University of Kayseri, 38280, Kayseri, Turkey. alikaplan@kayseri.edu.tr.ORCID http://orcid.org/0000-0001-8242-0110
Özlem KaplanHealth Science Faculty, Department of Nursing, University of Erciyes, 38039, Kayseri, Turkey.ORCID http://orcid.org/0000-0003-1050-8804
Hatice Yüceler KaçmazHealth Science Faculty, Department of Nursing, University of Erciyes, 38039, Kayseri, Turkey.ORCID http://orcid.org/0000-0003-4529-1991
Gizem Nur TosunDepartment of Fundamentals of Nursing, Erciyes University, Master's Program, Kayseri, Turkey.ORCID http://orcid.org/0009-0008-2664-2462
Fatih DalDepartment of General Surgery, Faculty of Medicine, Erciyes University, 38039, Kayseri, Turkey.ORCID http://orcid.org/0000-0003-2523-1369

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubcutaneous injection is a practice frequently used by nurses and may result in complications.

aimThe aim of this study was to evaluate the effect of cold needle on pain, injection satisfaction and ecchymosis development in subcutaneous heparin injection.

methodsThe study was conducted as a prospective, parallel-group, randomised controlled study with single-blind design. Participants were randomly divided into two groups as chilled needle group (n = 30) and control group (standard needle group) (n = 30). Subcutaneous injections were given to the intervention group with a chilled needle at 0-2 °C and to the control group with a needle stored at room temperature. Patients were evaluated for ecchymosis for 72 h. Post-procedure pain and satisfaction levels were analysed. The Descriptive Characteristics Information Form, Visual Analogue Scale, Patient Satisfaction Form for Injection and Ecchymosis Follow-up Chart were used to collect the data.

resultsThe intervention group had significantly lower pain scores, compared to the control group (21.00 ± 14.46 vs. 33.00 ± 18.03). In addition, the mean injection satisfaction score of the intervention group (86.33 ± 11.29) was significantly higher than the control group (73.00 ± 17.04). In terms of ecchymosis development, higher rates of ecchymosis formation were observed in the control group, compared to the intervention group.

conclusionsThe findings support that the cooled needle in subcutaneous injection has the potential to reduce pain, increase injection satisfaction and prevent the development of ecchymosis.

Indexed as

Cold TemperatureEcchymosisHeparinNeedlesPainAdultFemaleHumansInjections, SubcutaneousMaleMiddle AgedPain MeasurementPatient SatisfactionProspective StudiesSingle-Blind MethodHeparinCold therapyEcchymosisInjection satisfactionPainSubcutaneous injection

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Registered trials

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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.