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Abstract

The aims of this study were to calculate concordance among results of the assessment of a population of neonates by using a screening version of neurologic assessment developed by our group with the Amiel-Tison examination, to evaluate distribution of the findings for each item in the studied population, and to develop an optimality score to aid in the detection of possible deviations in infants. Infants in this report include 107 infants born consecutively; they were mainly at-term infants, or preterm infants who, when reaching at-term corrected age, were suspected to be abnormal with a wide spectrum of complications. Newborns were tested by neurologic screening and neurologic examination. Agreement, correlations among tests, sensitivity, and specificity were calculated. Correlation among results from Neurological Screening and Neurological Examination was significant (rho = 0.759, p = 0.01), and Cronbach’s alpha concordance had an acceptable value (0.83). Sensitivity and specificity of neurologic screening after Amiel-Tison examination comparison were 0.98 and 0.82, respectively. Our results support the use of the neurologic screening proposed.

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References

Girard N , Millet V , Bartoli JM , et al. Prognostic value of magnetic resonance imaging at 3 to 6 months corrected chronological age in infants who suffered perinatal neurologic insult. Int J Neuroradiol. 1997;3:57-67.

Bass WT , Jones MA , White LE , et al. Ultrasonographic differential diagnosis and neurodevelopmental outcome of cerebral white matter lesions in premature infants. J Perinatol. 1999; 19:330-336.

Andre-Thomas, Chesni Y , Saint-Anne Dargassies S. The Neurological Examination of the Infant. Clinics in Developmental Medicine 1. London, UK: Heinemann; 1960.

Prechtl HFR . The Neurological Examination of the Full Term Newborn Infant. Clinics in Developmental Medicine 63. London, UK: SIMP, Blackwell; 1977.

Kurtzberg D , Vaughan HG , Daum C , et al. Neurobehavioral performance of low-birthweight infants at 40 weeks conceptional age: comparison with normal fullterm infants. Dev Med Child Neurol. 1979;21:590-607.

Amiel-Tison C , Grenier A. Evaluation Neurologique du Noveau-ne et du Nourisson. Paris: Masson; 1980.

Dubowitz LMS , Dubowitz V. The Neurological Assessment of the Preterm and Full-Term Newborn Infant. Clin Dev Med. 79. London, UK: SIMP, Blackwell; 1981.

Allen MC , Capute AJ. Neonatal neurodevelopmental examination as a predictor of neuromotor outcome in premature infants. Pediatrics. 1989; 83:498-506.

Sheridan-Pereira M , Ellison PH , Helgeson V. The construction of a scored neonatal neurological examination for assessment of neurological integrity in full-term neonates. J Dev Behav Pediatr. 1991;12:25-30.

10.

McGready R , Simpson J , Panyavudhikrai S , et al. Neonatal neurological testing in resource-poor settings. Ann Trop Paediatr. 2000;20:323-336.

11.

Dubowitz LM , Mercuri E , Dubowitz V. An optimality score for the neurological examination of the newborn. J Pediatr. 1998;133:406-416.

12.

Prechtl HFR . The behavioral states of the newborn infant (a review). Brain Res. 1974;76:185-212.

13.

Capurro H , Konichezky S , Fonseca D , Caldeyro-Barcia R. A simplified meted for diagnosis of gestational age in the newborn infant. J Pediatr. 1978;93:120-122.

14.

Amiel-Tison C. Update of the Amiel-Tison neurologic assessment for the term neonate or at 40 weeks corrected age. Pediatr Neurol. 2002;27:196-212.

15.

Hulley S , Cummings SR. Clinical Research. An Epidemiologic Approach (in Spanish). Madrid: Harcourt Brace;1997.

16.

Dawson-Saunders B , Trapp RG. Basic and Clinical Biostatistics (in Spanish). Mexico City, Mexico: Manual Moderno; 1997.

17.

Feinstein AR . Clinimetrics. New Haven, CT: Yale University Press; 1987.

18.

Allen MC , Donohue PK , Dusman AE. The limits of viability-neonatal outcome of infants born at 22 to 25 weeks’ gestation. N Engl J Med. 1993;329:1597-1601.

19.

Katz-Salamon M , Allert K , Bergström BM , et al. Perinatal risk factors and neuromotor behaviour during the neonatal period. Acta Paediatr. 1997; 419(suppl):27-36.

20.

Gardner JM , Karmel BZ , Magnano CL , et al. Neurobehavioral indicators of early brain insult in high-risk neonates. Dev Psychol. 1990;26:563-575.

21.

Poblano A . Early Identification and Treatment of Infants with Neurologic Damage (in Spanish). Mexico City, México: Editores de Textos Mexicanos; 2003.

Concordance between Neurologic Screening Test and Neurologic Examination in Newborns

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