{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T13:16:47Z","timestamp":1790255807027,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T00:00:00Z","timestamp":1585872000000},"content-version":"vor","delay-in-days":33,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Automatic lancets have been reported to be superior to manual lancets in terms of pain and treatment time. However, no studies have yet been published comparing automatic lancet and needle puncture heel\u2010prick blood sampling. The objective of this study was to compare the pain response and efficiency between the automatic lancet and needle at the time of heel blood sampling. The design was a randomized controlled trial. The inclusion criteria for the participants were a birthweight of \u22671,500\u00a0g and a gestational age of \u226730\u00a0weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study examined a total of 105 neonates who were randomized into an automatic lancet group (<jats:italic>n<\/jats:italic> = 53) and a needle group (<jats:italic>n<\/jats:italic> = 52). The parameters measured included blood collection time, number of calf squeezes, duration of audible crying, and the Neonatal Infant Pain Scale (NIPS) score. The main outcome measure was audible crying duration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The duration of audible crying was significantly shorter in the automatic lancet group when compared to the needle group (median 3\u00a0s, interquartile range (IQR) 0\u201333\u00a0s vs median 39\u00a0s, IQR 5\u201391.5\u00a0s, <jats:italic>P <\/jats:italic>= 0.0023). The NIPS score at the time of puncture was significantly lower in the automatic lancet group than in the needle group (median 1, IQR 0\u20135 vs median 5, IQR 3\u20136, <jats:italic>P <\/jats:italic>= 0.0060). There was no significant difference in the blood collection time and the number of calf squeezes between the two groups. The automatic lancet was found to be less painful than the needle puncture in neonatal heel\u2010prick blood sampling with no significant difference in blood sampling time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The automatic lancet was found to be less painful than the needle puncture in neonatal heel\u2010prick blood sampling with no significant difference in blood sampling time.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.14142","type":"journal-article","created":{"date-parts":[[2020,1,9]],"date-time":"2020-01-09T18:49:50Z","timestamp":1578595790000},"page":"357-362","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Neonatal pain response to automatic lancet versus needle heel\u2010prick blood sampling: A prospective randomized controlled clinical trial"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0846-7276","authenticated-orcid":false,"given":"Tatenobu","family":"Goto","sequence":"first","affiliation":[{"name":"Division of Pediatrics Yokkaichi Municipal Hospital Yokkaichi Mie Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Inoue","sequence":"additional","affiliation":[{"name":"Division of Pediatrics Yokkaichi Municipal Hospital Yokkaichi Mie Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinami","family":"Kamiya","sequence":"additional","affiliation":[{"name":"Division of Pediatrics Yokkaichi Municipal Hospital Yokkaichi Mie Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Kawabe","sequence":"additional","affiliation":[{"name":"Division of Pediatrics Yokkaichi Municipal Hospital Yokkaichi Mie Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Machiko","family":"Higuchi","sequence":"additional","affiliation":[{"name":"Division of Pediatrics Yokkaichi Municipal Hospital Yokkaichi Mie Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megumi","family":"Suyama","sequence":"additional","affiliation":[{"name":"Division of Pediatrics Yokkaichi Municipal Hospital Yokkaichi Mie Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoki","family":"Goto","sequence":"additional","affiliation":[{"name":"Division of Pediatrics Yokkaichi Municipal Hospital Yokkaichi Mie Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wakato","family":"Koide","sequence":"additional","affiliation":[{"name":"Division of Pediatrics Yokkaichi Municipal Hospital Yokkaichi Mie Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanemasa","family":"Maki","sequence":"additional","affiliation":[{"name":"Division of Pediatrics Yokkaichi Municipal Hospital Yokkaichi Mie Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsumi","family":"Ushijima","sequence":"additional","affiliation":[{"name":"Division of Pediatrics Yokkaichi Municipal Hospital Yokkaichi Mie Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyoko","family":"Ban","sequence":"additional","affiliation":[{"name":"Division of Pediatrics Yokkaichi Municipal Hospital Yokkaichi Mie Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasumasa","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Perinatal and Neonatal Medicine Aichi Medical University Sciences Nagakute Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.300.1.60"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnbeh.2019.00051"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0076702"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1523\/JNEUROSCI.0867-17.2017"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2009.02.014"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1532-2149.2013.00431.x"},{"key":"e_1_2_9_8_1","first-page":"18","article-title":"Present clinical lssues about routine blood sampling in the NICU","volume":"13","author":"Yokoo KKS","year":"2007","journal-title":"J. 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