| Nonpharmacological management of procedural pain in infants and young children: an abridged Cochrane review. | |
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MedLine Citation:
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PMID: 22059204 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Acute pain and distress during medical procedures are commonplace for young children. OBJECTIVE: To assess the efficacy of nonpharmacological interventions for acute procedural pain in children up to three years of age. METHODS: Study inclusion criteria were: participants <3 years of age, involved in a randomized controlled or crossover trial, and use of a 'no treatment' control group (51 studies; n=3396). Additional studies meeting all criteria except for study design (eg, use of active control group) were qualitatively described (n=20). RESULTS: For every intervention, data were analyzed separately according to age group (preterm-born, term-born neonate and older infant ⁄ young child) and type of pain response (pain reactivity, immediate pain-related regulation). The largest standardized mean differences (SMD) for pain reactivity were as follows: sucking-related interventions (preterm: -0.42 [95% CI -0.68 to -0.15]; neonate -1.45 [CI -2.34 to -0.57]), kangaroo care (preterm -1.12 [95% CI -2.04 to -0.21]), and swaddling ⁄ facilitated tucking (preterm -0.97 [95% CI -1.63 to -0.31]). For immediate pain-related regulation, the largest SMDs were: sucking-related interventions (preterm -0.38 [95% CI -0.59 to -0.17]; neonate -0.90 [CI -1.54 to -0.25]), kangaroo care 0.77 (95% CI -1.50 to -0.03]), swaddling ⁄ facilitated tucking (preterm -0.75 [95% CI -1.14 to -0.36]), and rocking ⁄ holding (neonate -0.75 [95% CI -1.20 to -0.30]). The presence of significant heterogeneity limited confidence in nonsignificant findings for certain other analyses. CONCLUSIONS: Although a number of nonpharmacological treatments have sufficient evidence supporting their efficacy with preterm infants and healthy neonates, no treatments had sufficient evidence to support efficacy with healthy older infants ⁄ young children. |
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Authors:
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Rebecca Pillai Riddell; Nicole Racine; Kara Turcotte; Lindsay Uman; Rachel Horton; Laila Din Osmun; Sara Ahola Kohut; Jessica Hillgrove-Stuart; Bonnie Stevens; Diana Lisi |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Pain research & management : the journal of the Canadian Pain Society = journal de la société canadienne pour le traitement de la douleur Volume: 16 ISSN: 1203-6765 ISO Abbreviation: Pain Res Manag Publication Date: 2011 Sep-Oct |
Date Detail:
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Created Date: 2011-11-07 Completed Date: 2011-12-16 Revised Date: 2012-09-28 |
Medline Journal Info:
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Nlm Unique ID: 9612504 Medline TA: Pain Res Manag Country: Canada |
Other Details:
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Languages: eng Pagination: 321-30 Citation Subset: IM |
Affiliation:
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Department of Psychology, York University, Toronto, Ontario, Canada. rpr@yorku.ca |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Child, Preschool Cross-Over Studies Databases, Factual / statistics & numerical data Female Humans Infant Male Pain* Pain Management / methods* Randomized Controlled Trials as Topic |
| Grant Support | |
ID/Acronym/Agency:
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//Canadian Institutes of Health Research |
| Comments/Corrections | |
Comment In:
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Pain Res Manag. 2011 Sep-Oct;16(5):320
[PMID:
22059203
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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