| Venipuncture versus heel prick for blood glucose monitoring in neonates. | |
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MedLine Citation:
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PMID: 19907892 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: The aim of this study was to determine whether there was a difference in the pain indicators and effectiveness between venipuncture (VP) and heel prick (HP) for blood glucose monitoring in term neonates (recently, venipuncture was shown superior for the Guthrie test). METHODS: 66 term neonates undergoing blood glucose monitoring underwent VP or HP. Primary outcome measures included the Neonatal Facial Scoring System (NFCS) score, duration of the first cry, total duration of cry and duration of procedure. Secondary outcome measured was the number of skin punctures needed to obtain blood. RESULTS: The NFCS score was not significantly different between the two groups and the duration of the procedure was significantly longer for the VP than the HP group (median 27 s vs. 7 s; p-value is less than 0.001). The differences between the two groups in the duration of the first cry, total duration of cry and number of skin punctures needed to obtain blood were not statistically significant, but these parameters displayed a trend, favouring the HP. CONCLUSION: The HP is still the preferred method of drawing blood in neonates for blood glucose monitoring, as only one drop of blood is required. |
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Authors:
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P Saththasivam; D Umadevan; N Ramli; K Voralu; N N Naing; M I Ilias; N Shuib; B G Tan; H van Rostenberghe |
Publication Detail:
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Type: Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Singapore medical journal Volume: 50 ISSN: 0037-5675 ISO Abbreviation: Singapore Med J Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-11-12 Completed Date: 2010-02-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0404516 Medline TA: Singapore Med J Country: Singapore |
Other Details:
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Languages: eng Pagination: 1004-7 Citation Subset: IM |
Affiliation:
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Paediatrics Department, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Blood Glucose
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analysis* Blood Specimen Collection / adverse effects*, methods Female Heel* Humans Infant, Newborn Male Neonatal Screening / adverse effects Pain / etiology* Pain Measurement Phlebotomy / adverse effects*, methods* |
| Chemical | |
Reg. No./Substance:
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0/Blood Glucose |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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