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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Neonatal Invasive Procedures Predict Pain Intensity at School Age in Children Born Very Preterm

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Autor(es):
Valeri, Beatriz O. ; Ranger, Manon ; Chau, Cecil M. Y. ; Cepeda, Ivan L. ; Synnes, Anne ; Linhares, Maria Beatriz M. ; Grunau, Ruth E.
Número total de Autores: 7
Tipo de documento: Artigo Científico
Fonte: CLINICAL JOURNAL OF PAIN; v. 32, n. 12, p. 1086-1093, DEC 2016.
Citações Web of Science: 12
Resumo

Introduction:Children born very preterm display altered pain thresholds. Little is known about the neonatal clinical and psychosocial factors associated with their later pain perception.Objective:We aimed to examine whether the number of neonatal invasive procedures, adjusted for other clinical and psychosocial factors, was associated with self-ratings of pain during a blood collection procedure at school age in children born very preterm.Materials and Methods:56 children born very preterm (24 to 32 weeks gestational age), followed longitudinally from birth, and free of major neurodevelopmental impairments underwent a blood collection by venipuncture at age 7.5 years. The children's pain was self-reported using the Coloured Analog Scale and the Facial Affective Scale. Parents completed the Child Behavior Checklist and the State-Trait Anxiety Inventory. Pain exposure (the number of invasive procedures) and clinical factors from birth to term-equivalent age were obtained prospectively. Multiple linear regression was used to predict children's pain self-ratings from neonatal pain exposure after adjusting for neonatal clinical and concurrent psychosocial factors.Results:A greater number of neonatal invasive procedures and higher parent trait-anxiety were associated with higher pain intensity ratings during venipuncture at age 7.5 years. Fewer surgeries and lower concurrent child externalizing behaviors were associated with a higher pain intensity.Conclusions:In very preterm children, exposure to neonatal pain was related to altered pain self-ratings at school age, independent of other neonatal factors. Neonatal surgeries and concurrent psychosocial factors were also associated with pain ratings. (AU)

Processo FAPESP: 11/50788-8 - Reatividade a dor em neonatos pré-termo sob intervenção de sacarose, em grupos diferenciados pelo risco clínico neonatal
Beneficiário:Beatriz Oliveira Valeri Pereira da Silva
Linha de fomento: Bolsas no Brasil - Doutorado