BMJ Paediatrics Open最新文献

{"title":"Preventive practices and parental attitudes towards snakebites in children in snakebite hotspots of rural Sri Lanka.","authors":"Kavinda Dayasiri, Gihan Gunarathna, Indika Gawarammana, Shaluka Jayamanne","doi":"10.1136/bmjpo-2025-003543","DOIUrl":"https://doi.org/10.1136/bmjpo-2025-003543","url":null,"abstract":"<p><strong>Background: </strong>Snakebites remain a major public health issue in rural Sri Lanka, particularly among children under 5. Parental attitudes, knowledge and preventive practices significantly influence the risk of snakebites and the effectiveness of first aid responses. This study aimed to assess parental attitudes, knowledge sources and preventive practices related to snakebite prevention and management in children living in snakebite-endemic rural regions of Sri Lanka.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted in the Ampara and Polonnaruwa Districts, two snakebite-endemic regions in Sri Lanka. The study targeted parents with at least one child under 5 years old, who were selected through cluster sampling facilitated by Public Health Midwives. A structured, self-administered questionnaire was used to collect data on demographic characteristics, parental attitudes towards snakes and snakebites, knowledge sources and preventive practices.</p><p><strong>Results: </strong>A total of 518 parents participated, with the majority being mothers (94.2%). Extreme fear of snakes was reported by 92.7% of participants. Parental beliefs varied, with 23.7% believing that a snake should always be killed after biting a person and 18.0% holding the belief that snakes take revenge. Significant associations were found between extreme fear of snakes and the absence of prior training in snakebite first aid (p=0.035) as well as being a mother (p=0.001). Major challenges in snakebite care included transportation difficulties (90.5%), lack of proximity to hospitals with emergency treatment (81.5%) and reliance on traditional healing practices (32.6%). Traditional healing practices (32.6%) were significantly associated with low socioeconomic status (p=0.001) and low parental education (p=0.001). Social media (42.1%) was the most common source of knowledge on snakebite care. Storing paddy at home was significantly associated with a family history of snakebites (p=0.004) CONCLUSIONS: Parental fear, cultural beliefs and limited access to training programmes significantly influence snakebite prevention and management practices. Enhancing community-based education, improving healthcare accessibility and incorporating snakebite first-aid training into public health programmes could mitigate the risks and improve outcomes for paediatric snakebite cases in rural Sri Lanka.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Environment and admission preferences of 16-17 year olds.","authors":"Hannah Siu-Yu Ha, Samantha Jones, Damian Roland","doi":"10.1136/bmjpo-2023-002451","DOIUrl":"https://doi.org/10.1136/bmjpo-2023-002451","url":null,"abstract":"<p><p>This is a short letter highlighting findings from a service evaluation of 16-17 year olds' preferences of location of care following presentation to an Emergency Department. 95 young people were interviewed; 54.7% (52/95) of participants preferred to be seen in the Paediatric Emergency Department, with 16 year olds showing a higher preference (62.2%) compared with 17 year olds (48.0%). Additionally, 58.9% (56/95) desired a choice in treatment location, and 67.4% (64/95) expressed a preference for age-specific wards during admissions. Our findings highlight the importance of recognising the individual needs and preferences of young people within healthcare.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caught between fear and tradition: parental knowledge, beliefs and emergency responses to paediatric snakebites in rural Sri Lanka.","authors":"Kavinda Dayasiri, Tharuka Perera, Indika Gawarammana, Shaluka Jayamanne","doi":"10.1136/bmjpo-2025-003658","DOIUrl":"https://doi.org/10.1136/bmjpo-2025-003658","url":null,"abstract":"<p><strong>Background: </strong>Paediatric snakebite remains a critical yet underexplored public health issue in rural Sri Lanka, where children are particularly vulnerable due to ecological exposure, limited access to timely care and entrenched traditional beliefs. While biomedical advancements exist, parental knowledge, cultural practices and systemic barriers significantly shape prehospital responses and outcomes.</p><p><strong>Methods: </strong>This qualitative exploratory study employed 10 focus group discussions with 70 parents (45 mothers, 25 fathers) from snakebite-endemic rural communities in the Ampara and Polonnaruwa Districts. Participants were purposively selected, including those with direct or indirect exposure to snakebite incidents. Data were collected using a semistructured guide and analysed thematically, following Braun and Clarke's six-phase framework. Themes were validated through member checking and intercoder agreement.</p><p><strong>Results: </strong>Five interrelated themes emerged: (1) pervasive fear and psychological burden associated with snakebite risk, (2) fragmented and inconsistent knowledge of envenomation symptoms and first-aid, (3) environmental and structural vulnerabilities such as unsafe housing and proximity to snake habitats, (4) strong adherence to traditional beliefs and ritual practices and (5) a high demand for culturally tailored education and systemic support. Many parents employed harmful first-aid methods due to inherited practices and a lack of formal training. Despite challenges, participants expressed strong willingness to learn and adopt evidence-based strategies.</p><p><strong>Conclusions: </strong>Effective paediatric snakebite prevention and management require context-specific, culturally sensitive interventions that address both knowledge gaps and structural barriers. Engaging with local belief systems and improving healthcare accessibility are essential for reducing snakebite-related morbidity and mortality among children in rural Sri Lanka.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Environmental factors and clinical markers of stress during neonatal transport: a systematic literature review .","authors":"Tone Solvik-Olsen, Marit Bekkevold, Fridtjof Heyerdahl, Astri Maria Lang, Jostein S Hagemo, Marius Rehn","doi":"10.1136/bmjpo-2025-003568","DOIUrl":"10.1136/bmjpo-2025-003568","url":null,"abstract":"<p><strong>Background: </strong>Neonatal transport is an essential component of modern neonatal intensive care globally, providing access to advanced treatment while exposing vulnerable neonates to environmental conditions that may increase the risk of physiological instability.</p><p><strong>Objective: </strong>To systematically review studies measuring environmental exposures, specifically vibration, sound and temperature fluctuations during neonatal transport and to evaluate their impact on clinical parameters in neonates.</p><p><strong>Methods: </strong>A systematic literature review identified studies reporting environmental factors or clinical data during transport via ground, rotor or fixed-wing air ambulances. The medical databases searched included MEDLINE/PubMed, Embase, the Cochrane database of systematic reviews, Nursing Reference Center Plus, UpToDate and SveMed covering the period from November 2020 to January 2025.</p><p><strong>Results: </strong>15 observational studies, 13 prospective and 2 retrospective covering publications from 1992 to 2025 were included. The studies included data on vibration, sound, ambient temperature and a wide range of clinical parameters such as heart rate and heart rate variability, change in clinical behaviour scales and cortisol in saliva reflecting the neonatal condition. Only four articles reported the effect of environmental factors on neonatal physiology.</p><p><strong>Conclusions: </strong>This review highlights the presence of environmental factors, particularly noise and vibration, during transport and raises concerns about their impact on neonates. Although diverse clinical parameters were documented, the small sample sizes and variability in measurement methods across studies limit the ability to draw definitive conclusions. These observations emphasise the need for standardised monitoring protocols and further research to optimise neonatal transport practices.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12161348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144282312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiological insights and clinical management of paediatric kala-azar in Shanxi Province (2014-2023): retrospective analysis of case characteristics and therapeutic strategies.","authors":"Jie Zhao, Ihsan Ullah, Huixia Fan, Xinghua Li","doi":"10.1136/bmjpo-2024-003131","DOIUrl":"10.1136/bmjpo-2024-003131","url":null,"abstract":"<p><strong>Background: </strong>From 2019 to 2020, Shanxi Province reported the highest incidence of kala-azar (visceral leishmaniasis) in China. Despite this, research on the disease in paediatric populations, particularly in the Shanxi region, remains limited. No comprehensive data have been published on the occurrence and clinical characteristics of kala-azar in children within this region. This study seeks to address this gap by investigating the epidemiological features, clinical manifestations and therapeutic strategies for paediatric visceral leishmaniasis in Shanxi Province, providing critical insights for improving prevention and management efforts.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on medical records of 89 paediatric patients diagnosed with kala-azar at Shanxi Children's Hospital between January 2014 and December 2023. This study examined epidemiological data, clinical manifestations, therapeutic interventions and patient outcomes.</p><p><strong>Results: </strong>(1) Among the 89 kala-azar cases, the male-to-female ratio was 1.34:1, indicating a higher prevalence among males. Infants aged (0-3 years) constituted the largest proportion of cases, accounting for 58.43% (52/89). The seasonal peak occurred during summer (May-July), with 46.07% (41/89) of cases identified during this period. Geographically, the cases were distributed across seven districts and cities in Shanxi Province, with the majority being reported in Yangquan city. (2) The most common clinical symptoms observed were irregular fever and hepatosplenomegaly. Laboratory findings revealed leucopenia in 73 cases, decreased platelets in 69, decreased haemoglobin in 79, elevated erythrocyte sedimentation rate in 16 and elevated C reactive protein in 78. Additionally, respiratory infections were noted in 31 cases, haemophagocytic syndrome in 24, gastrointestinal infections in 15 and sepsis in 7. (3) The treatment regimen using sodium stibogluconate achieved a cure rate of 96.63% (86/89).</p><p><strong>Conclusions: </strong>To improve diagnostic accuracy and patient outcomes, clinicians are advised to thoroughly investigate the medical and travel history of paediatric patients. For suspected cases, enhanced diagnostic methods, including serum antibody testing and bone marrow aspiration smear examinations, should be employed to minimise misdiagnoses and missed cases. Sodium stibogluconate or amphotericin B is recommended for confirmed cases to optimise prognosis.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12161307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144282313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Respiratory distress in late-preterm neonates: from controversy to consensus - a survey of regional advisory boards and neonatologists in France.","authors":"Jean Michel Hascoet, Delphine Mitanchez, Yoni Athea, Elie Saliba","doi":"10.1136/bmjpo-2025-003557","DOIUrl":"10.1136/bmjpo-2025-003557","url":null,"abstract":"<p><strong>Objective: </strong>Late-preterm neonates present with more complications at birth than full-term neonates. The care of these infants is sometimes controversial. Our study aims at examining the practices of French neonatologists and compares them to the literature.</p><p><strong>Design: </strong>Regional advisory boards discussed a clinical case with four categories of questions: the risk of term-related respiratory distress (RD), the indication for antenatal corticosteroid therapy, neonatal care at delivery and the use of surfactant. An anonymous survey covering the same question categories was also sent to French neonatology departments.</p><p><strong>Results: </strong>For the risk of RD, the boards' responses were somewhat unclear. Conversely, the survey highlighted the association between high risk of RD and low term of birth, which is in agreement with the literature. The boards noted that, in the absence of official recommendations, they would not advise using antenatal corticosteroids. However, the survey recommended their use in cases of threatened prematurity (32%). For neonatal care at delivery, the boards and survey recommended the standard use of continuous positive airway pressure (CPAP) as advised in the literature. Lastly, the boards and survey agreed that surfactant therapy is part of usual care. Published recommendations do not support its systematic use except when RD is present.</p><p><strong>Conclusion: </strong>This study confirms that late-preterm infants have an often-underestimated vulnerability. Morbidity is inversely correlated with gestational age, and caution is required over the place of birth. Antenatal steroid treatment remains controversial. There is consensus over the use of CPAP at delivery and of surfactant as early curative therapy.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12161312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144282343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uncovering the wider impact of COVID-19 public health measures on the lives of children with complex care needs and their families in the Canadian Maritimes: a qualitative study.","authors":"Janet A Curran, Catie Johnson, Holly McCulloch, Jennifer Lane, Julie Clegg, Helen Wong, Robyn Kydd, Lisa Keeping-Burke, Mary-Ann Standing, De-Lawrence Lamptey, Jessie-Lee McIsaac, Mwalu Peeters, Christine Cassidy, Ijeoma Staunton, Simonne E Collins","doi":"10.1136/bmjpo-2025-003342","DOIUrl":"10.1136/bmjpo-2025-003342","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic resulted in rapid change across all sectors, including healthcare and education, as necessary public health measures (PHM) were implemented to protect the public. Children with complex care needs (CCCN) use health and specialised education services at a higher rate than the general paediatric population and were disproportionately affected by these changes. The current study aimed to explore the wider impacts of COVID-19 PHM on CCCN and their families in the Maritime provinces of Canada.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted from March to September 2023, with CCCN aged 15-17 years old and caregivers of CCCN. Interviews were coded by two independent reviewers using the Ten Domains of Health Framework and interpreted using a phenomenological approach.</p><p><strong>Results: </strong>21 parents and 3 youth from across the three Maritime provinces participated in the interviews. Key themes that emerged from the interviews included families carrying the burden of stress and fear, creating and protecting safe spaces, living through uncertainty, accumulating consequences of PHM and feeling disconnected. Within these themes, families mostly described negative impacts, although some positive experiences were also described.</p><p><strong>Conclusion: </strong>The findings of the current study will assist in the co-development of recommendations for healthcare and education decision-makers to reduce the negative impacts of future public health emergencies.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12161400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"UK aid cuts threaten global child health: a call to rethink international assistance.","authors":"Jolem Mwanje, Kerry Blackett, Susanna Corona, Prudence Jarrett, Erva Nur Cinar, Alexandra M Cardoso Pinto, Maria Marcolin, Helen Brotherton, Christian Harkensee","doi":"10.1136/bmjpo-2025-003602","DOIUrl":"10.1136/bmjpo-2025-003602","url":null,"abstract":"<p><p>Recent reductions in UK aid have demonstrably harmed child health in low-income and middle-income countries. Increased child morbidity and mortality are directly linked to funding cuts impacting vaccination programmes, maternal and child health services and nutritional interventions, exacerbating the health crisis. This article analyses these impacts, criticises systemic flaws in the aid architecture, particularly the impact of the abolition of Department for International Development and advocates for a decolonised, localised and accountable aid system prioritising child health.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prediction of recurrent febrile seizures risk during the same febrile illness in children at a single tertiary centre in Turkiye.","authors":"Gül Yücel, Ahmet Kadir Arslan, Bilge Özgör, Serdal Güngör","doi":"10.1136/bmjpo-2024-002908","DOIUrl":"10.1136/bmjpo-2024-002908","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to develop a risk prediction model based on association rule mining to predict recurrent febrile seizures (RFS).</p><p><strong>Methods: </strong>This is a retrospective observational study that examined the medical records of 105 children who were followed up with febrile seizure (FS) in a tertiary paediatric emergency department between October 2022 and December 2023. Children were divided into RFS and simple FS groups. RFS was defined as seizures occurring more than once within 24 hours of the first FS in the same febrile illness. Risk factors associated with RFS were determined by univariate and multivariate analyses. χ², Mann-Whitney U, receiver operating characteristics (ROC), multiple logistic regression and Classification Based on Association Rules Algorithm (CBA) analyses were applied to the dataset to obtain high-level outputs.</p><p><strong>Results: </strong>RFS was detected in 32 out of 105 cases with FS (30.5%). Potential risk factors contributing to the development of RFS were seizure duration, number of recurrent seizures, family history, body temperature, time from fever onset to seizure, time from seizure onset to arrival at the emergency department, hyponatraemia, osmotic pressure and low haemoglobin level. The CBA algorithm obtained a total of 11 classification rules for the two patient groups. Additionally, the cut-off values obtained from CBA and ROC analysis showed satisfactory consistency. The CBA model achieved 97% overall accuracy classification performance.</p><p><strong>Conclusion: </strong>The developed CBA model shows good predictive ability for RFS. The relevant model can be used as a risk estimation tool to identify children at risk of developing RFS.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the effects of vein finder technology and traditional venipuncture on pain and behavioural states in preterm infants: a quasi-experimental study.","authors":"Salwa Sayed, Basma Rabea Abdel Sadek, Rasha Rady El Said","doi":"10.1136/bmjpo-2025-003425","DOIUrl":"10.1136/bmjpo-2025-003425","url":null,"abstract":"<p><strong>Introduction: </strong>Preterm infants frequently undergo venipuncture, causing pain and distress. Traditional methods rely on clinical expertise, often leading to multiple attempts and prolonged procedures. Vein finder technology aims to improve success rates and reduce discomfort, yet its effects on pain perception and behavioural states in preterm infants remain underexplored.</p><p><strong>Aim: </strong>This study aimed to compare the effects of using a vein finder versus the traditional venipuncture method on pain perception and behavioural responses among preterm infants in neonatal intensive care units (NICUs).</p><p><strong>Methods: </strong>A quasi-experimental study was conducted in two governmental hospitals in Egypt, involving 124 preterm infants (62 in the vein finder group and 62 in the traditional method group). A pre-designed questionnaire was used to collect demographic and clinical data. Pain and behavioural responses were assessed using two validated tools: the Neonatal Infant Pain Scale (NIPS) and the Neonatal Behavioural State Scale. Data were collected over a 6-month period from March 2024 to August 2024.</p><p><strong>Results: </strong>The vein finder group had significantly lower pain scores (mean NIPS score: 5.75±1.11 vs 6.83±1.35; mean difference: -1.08, p<0.01) and shorter crying durations (mean: 2.94±0.25 min vs 5.61±1.10 min; p<0.01). Behavioural states improved, with longer durations in deep sleep (15.36±3.12 min vs 4.57±1.65 min) and reduced active alert states (4.30±1.74 min vs 10.95±3.28 min; p<0.01). First-attempt success rates were higher (87.1% vs 46.8%), and fewer complications (eg, phlebitis, infiltration) were reported in the vein finder group.</p><p><strong>Conclusion: </strong>The use of vein finder technology may significantly reduce pain, improve behavioural states and enhance procedural success in preterm infants compared with traditional venipuncture methods. These findings suggest that incorporating this technology into NICUs practice might benefit patient comfort and clinical efficiency.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}