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Commonly used measures of pain in neonates

Commonly used measures of pain in neonates
Measure Variables included Type of pain Psychometric testing
PIPP (Premature Infant Pain Profile)* Heart rate, oxygen saturation, facial actions; takes state and gestational age into account Procedural, postoperative (minor) Reliability, validity, clinical utility well established
NIPS (Neonatal Infant Pain Score) Facial expression, crying, breathing patterns, arm and leg movements, arousal Procedural Reliability, validity
NFCS (Neonatal Facial Coding System) Facial actions Procedural Reliability, validity, clinical utility, high degree of sensitivity to analgesia
N-PASS (Neonatal Pain, Agitation, and Sedation Scale) Crying, irritability, behavioral state, facial expression, extremity tone, vital signs Postoperative, procedural, ventilated Reliability, validity, includes sedation end of scale, does not distinguish pain from agitation
CRIES (Cry, Requires oxygen, Increased vital signs, Expression, Sleeplessness) Crying, facial expression, sleeplessness, requires oxygen to stay at >95% saturation, increased vital signs Postoperative Reliability, validity
COMFORT scale Movement, calmness, facial tension, alertness, respiration rate, muscle tone, heart rate, blood pressure Postoperative, critical care, developed for sedation, recently validated for postoperative pain in 0- to 3-year-old infants Reliability, validity, clinical utility
Douleur Aiguë Nouveau-né scale Facial and limb movements, vocal expression Procedural pain Reliability, validity
Behavioral Infant Pain Profile Behavioral state, facial expression and hand movements Acute pain Reliability, validity
* Revised in 2014 and referred to as PIPP-R (Premature Infant Pain Profile-Revised).
Reproduced with permission from Pediatrics, Vol. 117, Pages S9-S22, Copyright © 2006 by the AAP.
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