Cardiac Autonomic Reactivity and Behavioral Response to Pain in Full-Term Neonates
1 other identifier
observational
300
1 country
1
Brief Summary
Background: Heel lancing is a routine procedure for the diagnosis of phenylketonuria in infants. Despite the short- and long-term adverse effects of pain, there are no guidelines for the reduction of such pain. Previous studies evaluated different treatment modalities; however, in most of them, pain response was assessed by subjective measures. Aims of study: 1. To characterize the pain response of infants by using a computerized analysis of the ECG. 2. To compare six different methods of pain reduction during heel lancing in newborns. Methods: The time, geometric and frequency domains of the infants' ECG will be computed during heel lancing. 150 healthy full-term infants will be evaluated in six treatment groups: breastfeeding, bottle feeding, skin-to-skin contact, lying on a table without anything, lying with a pacifier and lying while getting a glucose solution. The differences in pain response to these six treatment modalities will be assessed and compared to the infants' length of cry, and scoring of the infants' behavioral response.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Nov 2006
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2006
CompletedFirst Submitted
Initial submission to the registry
November 7, 2006
CompletedFirst Posted
Study publicly available on registry
November 8, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2008
CompletedOctober 15, 2008
March 1, 2008
1.4 years
November 7, 2006
October 11, 2008
Conditions
Eligibility Criteria
You may qualify if:
- normal full-term newborns (\>38 weeks)
- Apgar score \>=8 at five minutes after delivery.
You may not qualify if:
- congenital anomalies
- medical complications
- need for oxygen administration
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Rambam MC
Haifa, Israel
Related Publications (1)
Weissman A, Aranovitch M, Blazer S, Zimmer EZ. Heel-lancing in newborns: behavioral and spectral analysis assessment of pain control methods. Pediatrics. 2009 Nov;124(5):e921-6. doi: 10.1542/peds.2009-0598. Epub 2009 Oct 19.
PMID: 19841119DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Amir Weissman, MD
Rambam MC
Study Design
- Study Type
- observational
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 7, 2006
First Posted
November 8, 2006
Study Start
November 1, 2006
Primary Completion
April 1, 2008
Study Completion
April 1, 2008
Last Updated
October 15, 2008
Record last verified: 2008-03