Cochrane · systematic review · CD001069
Sucrose for analgesia in newborn infants undergoing painful procedures
Stevens, B, Yamada, J, Ohlsson, A, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
NeonatalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
41
current version
GRADE rated
41
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 16 · 39%Moderate 16 · 39%High 9 · 22%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Comparison
Population: neonates with heel lance‐associated pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
PIPP at 30 s after heel lance Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA. A lower score = less pain (Stevens 1996) | no estimate extracted | 2 studies · 105 participants | Low |
PIPP at 60 s after heel lance Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants >3 6 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 1 study · 31 participants | Low |
PIPP score during heel lance (1st heel lance) Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 1 study · 107 participants | Moderate |
DAN score at 30 s after heel lance Range of scale 0‐10 A lower score = less pain (Carbajal 1997) | no estimate extracted | 1 study · 32 participants | Low |
NIPS during heel lance Range of scale 0‐7 A lower score = less pain Lawrence 1993 | no estimate extracted | 1 study · 56 participants | Moderate |
Comparison
Population: neonates with heel lance‐associated pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
PIPP ‐ Preterm infants | no estimate extracted | 1 study · 47 participants | Low |
Comparison
Population: newborns with heel lance‐associated pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
NFCS Range of scale 0‐10 in term infants 0‐9 in preterm infants A lower score = less pain Grunau 1987 | no estimate extracted | 1 study · 100 participants | Low |
PIPP 30 s after heel lance (term and preterm infants) Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 3 studies · 278 participants | High |
PIPP 60 s after heel lance Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 2 studies · 164 participants | High |
Comparison
Population: neonates with heel lance‐associated pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
PIPP score Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 1 study · 47 participants | Low |
Comparison
Population: neonates with heel lance‐associated pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
PIPP score Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 1 study · 47 participants | Low |
Comparison
Population: neonates with pain associated with heel lance
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
NIPS score Range of scale 0‐7 A lower score = less pain Lawrence 1993 | no estimate extracted | 1 study · 42 participants | Low |
Comparison
Population: neonates with pain associated with heel lance
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Revised NFCS Range of scale 0‐10 in term infants 0‐9 in preterm infants A lower score = less pain Grunau 1987 | no estimate extracted | 1 study · 343 participants | Moderate |
Comparison
Population: neonates with pain associated with heel lance
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Revised NFCS Range of scale 0‐10 in term infants 0‐9 in preterm infants A lower score = less pain Grunau 1987 | no estimate extracted | 1 study · 343 participants | Moderate |
Comparison
Population: neonates with pain associated with heel lance
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Revised NFCS Range of scale 0‐10 in term infants 0‐9 in preterm infants A lower score = less pain Grunau 1987 | no estimate extracted | 1 study · 337 participants | Moderate |
Comparison
Population: neonates with pain associated with repeated heel lances
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total Bernese Pain Scale for Neonates (BPSN) during heel lance | no estimate extracted | 1 study · 48 participants | Moderate |
Total Bernese Pain Scale for Neonates during recovery from heel lance | no estimate extracted | 1 study · 48 participants | Moderate |
Comparison
Population: neonates with pain associated with repeated heel lances
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total Bernese Pain Scale for Neonates during heel lance (preterm infants) | no estimate extracted | 1 study · 47 participants | Moderate |
Total Bernese Pain Scale for Neonates during recovery (preterm infants) | no estimate extracted | 1 study · 47 participants | Moderate |
Comparison
Population: neonates with pain associated with venipuncture
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
NIPS score in term and preterm infants Range of scale 0‐7 A lower score = less pain Lawrence 1993 | no estimate extracted | 1 study · 111 participants | Moderate |
Comparison
Population: neonates with pain associated with venipuncture
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
PIPP score during venipuncture Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 1 study · 213 participants | High |
Comparison
Population: neonates with pain associated with venipuncture
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
PIPP score Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 1 study · 76 participants | Moderate |
PIPP score during post‐injection period Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 1 study · 76 participants | Moderate |
DAN score during venipuncture (preterm infants) Range of scale 0‐10 A lower score = less pain (Carbajal 1997) | no estimate extracted | 1 study · 76 participants | Moderate |
DAN score during the post‐injection period Range of scale 0‐10 A lower score = less pain (Carbajal 1997) | no estimate extracted | 1 study · 76 participants | Moderate |
Comparison
Population: neonates with pain associated with intramuscular injection
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
NIPS during 1‐2 minutes after IM injection Range of scale 0‐7 A lower score = less pain Lawrence 1993 | no estimate extracted | 1 study · 60 participants | Low |
PIPP during IM injection (term infants) ‐ Infants of non‐diabetic and diabetic mothers Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 1 study · 232 participants | High |
Comparison
Population: neonates with pain associated with intramuscular injection
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
NIPS during 1‐2 minutes after immunization Range of scale 0‐7 A lower score = less pain Lawrence 1993 | no estimate extracted | 1 study · 60 participants | Low |
Comparison
Population: neonates with pain associated with bladder catheterization
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in DAN score Range of scale 0‐10 A lower score = less pain (Carbajal 1997) | no estimate extracted | 1 study · 33 participants | Moderate |
Comparison
Population: neonates with pain associated with orogastric tube insertion
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
PIPP score intra procedure Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 1 study · 105 participants | High |
PIPP score 30 seconds post procedure Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 1 study · 105 participants | High |
PIPP score 1 min post procedure Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 1 study · 105 participants | High |
Comparison
Population: neonates with pain/distress associated with ROP examination
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
PIPP during exam Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 1 study · 32 participants | Low |
Comparison
Population: neonates
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
PIPP score during eye examination Range of scale 0‐21 for infants < 28 weeks PMA and 0‐18 for infants > 36 weeks PMA A lower score = less pain (Stevens 1996; Stevens 2014a) | no estimate extracted | 3 studies · 134 participants | Moderate |
Comparison
Population: neonates undergoing circumcision
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
N‐PASS score during circumcision Range of scale 0‐13 A lower score = less pain (Hummel 2010) | no estimate extracted | 1 study · 60 participants | Low |
N‐PASS score after 5 min Range of scale 0‐13 A lower score = less pain (Hummel 2010) | no estimate extracted | 1 study · 60 participants | Low |
Comparison
Population: neonates undergoing circumcision
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
N‐PASS score during circumcision Range 0‐13 A lower score = less pain (Hummel 2010) | no estimate extracted | 1 study · 60 participants | Low |
N‐PASS score after 5 min Range 0‐13 A lower score = less pain (Hummel 2010) | no estimate extracted | 1 study · 60 participants | Low |
Comparison
Population: neonates undergoing echocardiography
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
PIPP | no estimate extracted | 1 study · 104 participants | Low |
Comparison
Population: neonates with pain associated with potentially painful procedures for 7 days
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Motor development and vigor (MDV) domain of the NAPI tool Normative mean and SD at 36 weeks PMA 63 (14.5) Higher scores are associated with more mature behaviour (Snider 2005) | no estimate extracted | 1 study · 93 participants | High |
Alertness and orientation (AO) domain of the NAPI tool Normative mean and SD at 36 weeks PMA 54 (19.4) Higher scores are associated with more mature behaviour (Snider 2005) | no estimate extracted | 1 study · 93 participants | High |