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Development of Cardiovascular Indices of Acute Pain Responding in Infants: A Systematic Review


Affiliations
1 Department of Psychology, York University, Toronto, ON, Canada
2 Department of Psychology, Neuroscience, and Behaviour, McMaster University, Hamilton, ON, Canada
 

Background: Cardiovascular indices of pain are pervasive in the hospital setting. However, no prospective research has examined the development of cardiac responses to acutely painful procedures in the first year of life. Objectives: Our main goal was to synthesize existing evidence regarding the development of cardiovascular responses to acutely painful medical procedures over the first year of life in preterm and term born infants. Methods: A systematic search retrieved 6994 articles to review against inclusion criteria. A total of 41 studies were included in the review. Results: In response to acutely painful procedures, most infants had an increase in mean heart rate (HR) that varied in magnitude both across and within gestational and postnatal ages. Research in the area of HR variability has been inconsistent, limiting conclusions. Conclusions: Longitudinal research is needed to further understand the inherent variability of cardiovascular pain responses across and within gestational and postnatal ages and the causes for the variability.
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  • Development of Cardiovascular Indices of Acute Pain Responding in Infants: A Systematic Review

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Authors

Jordana A. Waxman
Department of Psychology, York University, Toronto, ON, Canada
Rebecca R. Pillai Riddell
Department of Psychology, York University, Toronto, ON, Canada
Paula Tablon
Department of Psychology, York University, Toronto, ON, Canada
Louis A. Schmidt
Department of Psychology, Neuroscience, and Behaviour, McMaster University, Hamilton, ON, Canada
Angelina Pinhasov
Department of Psychology, York University, Toronto, ON, Canada

Abstract


Background: Cardiovascular indices of pain are pervasive in the hospital setting. However, no prospective research has examined the development of cardiac responses to acutely painful procedures in the first year of life. Objectives: Our main goal was to synthesize existing evidence regarding the development of cardiovascular responses to acutely painful medical procedures over the first year of life in preterm and term born infants. Methods: A systematic search retrieved 6994 articles to review against inclusion criteria. A total of 41 studies were included in the review. Results: In response to acutely painful procedures, most infants had an increase in mean heart rate (HR) that varied in magnitude both across and within gestational and postnatal ages. Research in the area of HR variability has been inconsistent, limiting conclusions. Conclusions: Longitudinal research is needed to further understand the inherent variability of cardiovascular pain responses across and within gestational and postnatal ages and the causes for the variability.