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Assessment of neonatal pain: uni- and multidimensional evaluation scales Cover

Assessment of neonatal pain: uni- and multidimensional evaluation scales

By: Zi Zeng  
Open Access
|Oct 2022

Figures & Tables

Summary of neonatal pain assessment scales_

Assessment toolPhysiological indicationsBehavioral indicationsGestational age testedThreshold valueTypes of pain tested
PIPP/PIPP-R ScaleHR and oxygen saturationBrow bulge, eye squeeze, and nasolabial furrowPIPP is suitable for 28–40 weeks of gestational age;PIPP-R is suitable for gestational age for 25–41 weeksScore: 0–18 (full-term);0–21 (preterm).≥7 points indicate pain;>12 points indicate moderate to severe painProcedural painPostoperative pain
N-PASS ScaleHR, RR, BP, and SaO2Crying/irritability, behavior state, facial expression, and extremity tonePreterm and term infantsScore: 0–10.>3 points indicate pain;−10 to −5 indicate deep sedation;−5 to −2 denote mild sedationAcute pain, prolonged pain, and sedation
NFCSNoneBrow bulge, eye squeeze, nasolabial furrow, open lips, stretch mouth (vertical), stretch mouth (horizontal), lip purse, taut tongue, and chin quiverPreterm and term infantsScore: 0–9 (full-term);0–10 (preterm).>3 points indicate painProcedural pain
EDIN ScaleNoneFacial activity, body movements, quality of sleep, quality of contact with nurses, and consolabilityPreterm infants of gestational age 25–36 weeksScore: 0–15.≥7 points indicate painProlonged pain
CRIES ScaleIncreased Vital Signs (HR and BP), oxygen saturationCrying, facial expression, sleeplessnessTerm infants and preterm infants of gestational age ≥32 weeksScore: 0–10.≥4 points indicate painPostoperative pain
COMFORT neo ScaleNoneAlertness, calmness/agitation, respiratory response (in mechanically ventilated children), crying (in spontaneously breathing children), body movement, facial tension, and (body) muscle tone (observation only)Preterm infantsScore: 6–30.≥14 indicate pain;≤8 indicates the risk of excessive sedationProlonged pain
COVERS ScaleHR, BP, respiration, and oxygen requirementCrying, expression, resting, and signaling distressPreterm and term infantsScale: 0–12.≥7 points indicate painProcedural pain
PAIN ScaleO2 required for Sat >95%, HR, and breathing patternFacial expression, cry, extremity movement, and state of arousalPreterm and term infants (gestational age with 26–47 weeks)Score: 0–10.≥4 points indicate painPostoperative pain and procedural pain
NIPS ScaleBreathing patternsFacial expression, cry, arms, legs, and state of arousalPreterm and term infants (gestational age with 26–47 weeks)Score: 0–7.≥4 points indicate painProcedural pain
DOI: https://doi.org/10.2478/fon-2022-0030 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 247 - 254
Submitted on: Apr 17, 2022
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Accepted on: Jun 22, 2022
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Published on: Oct 9, 2022
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2022 Zi Zeng, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.