Evidence map›Paper›PMID 41193647›Full record

SynthesisJournal of perinatology : official journal of the California Perinatal Association2025

Effect of glucose on pain relief during invasive procedures in premature infants: Systematic review and meta-analysis of randomized controlled trials.

Amaxsell Thiago Barros de Souza, Hugo Guilherme da Câmara Dantas, Débora Joyce Duarte de Oliveira, Ayane Cristine Alves Sarmento, Kleyton Santos de Medeiros, Ana Katherine Gonçalves, Janaina Cristiana de Oliveira Crispim, Maria de Lourdes Costa da Silva

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Amaxsell Thiago Barros de SouzaPostgraduate Program in Science Applied to Women's Health, Federal University of Rio Grande do Norte, Natal, Brazil.ORCID http://orcid.org/0000-0002-7085-8788
Hugo Guilherme da Câmara DantasDepartment of Nursing, Federal University of Rio Grande do Norte, Natal, Brazil.ORCID http://orcid.org/0009-0001-8736-2025
Débora Joyce Duarte de OliveiraJanuário Cicco Maternity School, Federal University of Rio Grande do Norte, Natal, Brazil.
Ayane Cristine Alves SarmentoDepartment of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Natal, Brazil.
Kleyton Santos de MedeirosResearch and Innovation Teaching Institute, League Against Cancer, Natal, Brazil.
Ana Katherine GonçalvesPostgraduate Program in Science Applied to Women's Health, Federal University of Rio Grande do Norte, Natal, Brazil.
Janaina Cristiana de Oliveira CrispimPostgraduate Program in Science Applied to Women's Health, Federal University of Rio Grande do Norte, Natal, Brazil.
Maria de Lourdes Costa da SilvaDepartment of Nursing, Federal University of Rio Grande do Norte, Natal, Brazil. lurdinhafoc@gmail.com.ORCID http://orcid.org/0000-0001-7251-8966

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Brazilian Federal Agency for the Support and Evaluation of Graduate Education) 001
6 · The paper itself

Abstract

This meta-analysis aimed to evaluate the effectiveness and safety of the minimally effective dose and optimal concentration of oral glucose for pain relief during painful procedures. Systematic review and meta-analysis were conducted following PRISMA guidelines. Protocol was registered with PROSPERO (CRD42021236217). PubMed, Cochrane, Embase, Web of Science, and Scopus were searched until September 2024. Continuous data were analyzed using inverse-variance fixed effects analysis. Risk of bias and GRADE assessment were performed using RoB 2.0 and GRADEpro tools. Sixteen RCTs with 500 preterm infants were included. Meta-analysis revealed that 25% glucose significantly reduced pain compared to breast milk during heel lance at 30 s. No significant differences in heart rate (HR) or oxygen saturation (SpO₂) were observed between glucose and breast milk. However, 25% glucose significantly reduced HR and improved SpO₂ levels compared to placebo. Oral glucose is an effective, safe pain management strategy in neonatal care. A meta-analysis showing that 25% oral glucose significantly reduced pain versus breast milk during heel lance, and improved heart rate and oxygen saturation compared with placebo. Oral glucose is a safe, effective strategy for neonatal pain management. Created in https://BioRender.com (accessed on 11 February 2025).

Indexed as

GlucosePain ManagementProcedural PainAdministration, OralHeart RateHumansInfant, NewbornInfant, PrematureMilk, HumanRandomized Controlled Trials as TopicGlucose

Identifiers

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.