Neurological assessment in infants discharged from a neonatal intensive care unit.
Eur J Paediatr Neurol
; 17(2): 192-8, 2013 Mar.
Article
em En
| MEDLINE
| ID: mdl-23062755
ABSTRACT
BACKGROUND:
Longitudinal motor assessment in infants at different neurodevelopmental risk has not been previously evaluated using structured assessments.AIM:
To verify if the Hammersmith Infant Neurological Examination (HINE) is a good tool to predict the neuromotor outcome in infants discharged from a level II-III Neonatal Intensive Care Unit (NICU)METHODS:
In this cohort analysis, 1541 infants discharged from our NICU between January of 2002 and the April 2006 were enrolled and assessed using the HINE at 3, 6, 9, 12 months. At two years, these infants were further assessed, and grouped into infants with normal outcome (1150), with mild disability (321) and with cerebral palsy (70),RESULTS:
Correlation analysis of Spearman showed a significant (p < 0.0001) and moderate (r(2) = -0.55 to -0.73) negative correlation between HINE scores (3, 6, 9, 12 months) and neurological outcome at two years. Cut-off scores for each assessment' age were provided as predictive value for cerebral palsy.DISCUSSION:
This study mainly showed that HINE, as soon as the first months of life, helps in the process of prediction of neurological outcome at two years of age in a heterogeneous population of infants discharged from an NICU.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Desempenho Psicomotor
/
Doenças do Recém-Nascido
/
Exame Neurológico
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Humans
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Infant
/
Newborn
Idioma:
En
Revista:
Eur J Paediatr Neurol
Ano de publicação:
2013
Tipo de documento:
Article