Identification of pain in neonates: the adults’ visual perception of neonatal facial features

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Artigo
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2021-09-05
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BARROS, M.C.M
Carlos E. Thomaz
SILVA, G. V. T. DA.
SOARES, J. DO C. A.
CARLINI, L.P.
HEIDERICH, T.M.
HEIDERICH, T.M.
BALDA, R.C.X.
SILVA, P.A.S.O.
SANUDO, A.
ANDREONI ,S.
GUINSBURG, R.
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Journal of Perinatology
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BARROS, M.C.M.; THOMAZ, C.E.; SILVA, G.V.T.; SOARES, J. DO C. A.; CARLINI, L.P.; HEIDERICH, T.M.; ORSI, R.N.; BALDA, R.C.X.; SILVA, P.A.S.O.; SANUDO, A.; ANDREONI ,S.; GUINSBURG, R. Identification of pain in neonates: the adults’ visual perception of neonatal facial features. Journal of Perinatology, v. 41, n. 9, p. 2304-2308, sept. 2021.
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© 2021, The Author(s), under exclusive licence to Springer Nature America, Inc.Objective: To verify the visual attention of adults when assessing neonatal pain. Study design: 143 adults (59% health professionals) evaluated 20 pictures (2 pictures of 10 neonates’ faces: at rest; during a painful procedure). Tobii-TX300 tracked the participants’ eyes movement. For each picture, adults scored pain intensity (0 = no pain; 10 = maximum). Latent classes analysis was applied by cognitive diagnosis models—GDINA with two attributes (knowledge of pain presence/absence). Variables associated with belonging to the class of adults that correctly identified pictures of newborns with/without pain were identified by logistic regression. Results: To identify neonatal pain, adults look at the mouth, eyes, and forehead in facial pictures. The latent class analysis identified four classes of adults: those that identify painful/painless neonates (YY-Class; n = 80); only painful neonates (n = 28); only painless neonates (n = 34) and none (n = 1). Being a health professional (OR: 2.29; 95% CI: 1.16–4.51), and each look at the nasolabial furrow (2.07; 1.19–3.62) increased the chance of belonging to the YY-class. Conclusions: Being a health professional and the visual fixation at the nasolabial furrow helped to identify the presence/absence of neonatal pain.

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