English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Background.  Chronic neonatal pain can lead to long-term adverse effects on the immature brain. EDIN scale for prolonged pain might not be fully suitable for premature infants. We aimed to test a modified EDIN scale, adding postmenstrual age (PMA) as a sixth item (EDIN6).  Methods.  In a two-phase prospective study, pain was assessed in all neonates admitted in our NICU. In  T 1 EDIN was applied; in  T 2 EDIN6 with additional scores of 2, 1, and 0, respectively, for 25–32, 33–37, and >37 weeks PCA was tested. Scores > 6 suggested pain. The nursing staff was given a questionnaire to evaluate EDIN and EDIN6.  Results.  A total of 15960 pain assessments were recorded (8693 in  T 1; 7267 in  T 2). With EDIN6, cumulative detection of pain almost tripled (117/7267 versus 52/8693,  p  = 0.001). Main differences were found among less mature categories (50/1472 versus 17/1734,  p  = 0.001 in PCA 25–32; 26/2606 versus 10/4335,  p  = 0.001 in PMA 33–37; 41/3189 versus 25/2624,  p  = 0.26 in PMA > 37). Adequacy of pain assessment in lower PMA was judged “medium-high” in 13,4% of nurses in  T 1 and 71,4% in  T 2.  Conclusions.  EDIN6 may allow improved evaluation of pain in preterm infants.

EDIN Scale Implemented by Gestational Age for Pain Assessment in Preterms: A Prospective Study