Prognostic value of the qualitative assessments of general movements in late-preterm infants

被引：48

作者：

Brogna, Claudia ^{[1
]}

Romeo, Domenico M. ^{[1
]}

Cervesi, Chiara ^{[2
]}

Scrofani, Luana ^{[2
]}

Romeo, Mario G. ^{[3
]}

Mercuri, Eugenio ^{[1
]}

Guzzetta, Andrea ^{[2
]}

机构：

[1] Catholic Univ, Paediat Neurol Unit, I-00168 Rome, Italy

[2] Stella Maris Sci Inst, Dept Dev Neurosci, Pisa, Italy

[3] Univ Catania, Neonatal Intens Care Unit, I-95124 Catania, Italy

来源：

EARLY HUMAN DEVELOPMENT | 2013年 / 89卷 / 12期

关键词：

Late preterm; General movements; Cerebral palsy; Neurological outcome; FULL-TERM INFANTS; NEUROLOGICAL EXAMINATION; PREDICTIVE-VALUE; AGE; OUTCOMES; BRAIN; RISK; GESTATION; BIRTH; BORN;

D O I：

10.1016/j.earlhumdev.2013.08.008

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Background: The quality of general movements (GMs) and its predictive value have never been evaluated in late-preterm (LP) infants. Aims: To determine the characteristics of GMs and their predictive value for neurodevelopmental outcome in a cohort of infants born between 34 and 36 weeks' gestation. Study design and subjects: 574 LP infants were examined using the standard methodological principles of Prechtl's method for assessing GMs both during writhing and fidgety periods. Outcome measures: Infants were assessed at 2 years of age with neuromotor and developmental scales. Results: A significant correlation was found between GMs and outcome both at writhing (rs 0.68; p < 0.001) and at fidgety age (rs 0.78; p < 0.001). The assessment at 1 month showed 100% sensitivity and 86% specificity of predicting the development of cerebral palsy (CP), that at 3 months was 100% sensitivity and 97% specificity. Conclusions: During the fidgety age GMs predict CP with very high sensitivity and specificity. The qualitative assessment of GMs should be employed to help identify LP infants who require early intervention for neurological abnormalities. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

引用

页码：1063 / 1066

页数：4

共 32 条

[1] Neurodevelopmental outcome of the late preterm infant [J].

Adams-Chapman, Ira .

CLINICS IN PERINATOLOGY, 2006, 33 (04) :947-+

[2]

[Anonymous], 2001, NEUROLOGY NEWBORN

[3]

Bayley N., 2006, Bayley scales of infant and toddler development, third edition: Administration manual, V3rd ed

[4] School outcomes of late preterm infants: Special needs and challenges for infants born at 32 to 36 weeks gestation [J].

Chyi, Lisa J. ;

Lee, Henry C. ;

Hintz, Susan R. ;

Gould, Jeffrey B. ;

Sutcliffe, Trenna L. .

JOURNAL OF PEDIATRICS, 2008, 153 (01) :25-31

[5] Which better predicts later outcome in fullterm infants: quality of general movements or neurological examination? [J].

Cioni, G ;

Prechtl, HFR ;

Ferrari, F ;

Paolicelli, PB ;

Einspieler, C ;

Roversi, MF .

EARLY HUMAN DEVELOPMENT, 1997, 50 (01) :71-85

[6] Perinatal brain damage in children: Neuroplasticity, early intervention, and molecular mechanisms of recovery [J].

Cioni, Giovanni ;

D'Acunto, Giulia ;

Guzzetta, Andrea .

GENE EXPRESSION TO NEUROBIOLOGY AND BEHAVIOR: HUMAN BRAIN DEVELOPMENT AND DEVELOPMENTAL DISORDERS, 2011, 189 :139-154

[7] A COEFFICIENT OF AGREEMENT FOR NOMINAL SCALES [J].

COHEN, J .

EDUCATIONAL AND PSYCHOLOGICAL MEASUREMENT, 1960, 20 (01) :37-46

[8] Changes in the gestational age distribution among US singleton births: Impact on rates of late preterm birth, 1992 to 2002 [J].

Davidoff, MJ ;

Dias, T ;

Damus, K ;

Russell, R ;

Bettegowda, VR ;

Dolan, S ;

Schwarz, RH ;

Green, NS ;

Petrini, J .

SEMINARS IN PERINATOLOGY, 2006, 30 (01) :8-15

[9] The quality of general movements in the first ten days of life in preterm infants [J].

de Vries, N. K. S. ;

Bos, A. F. .

EARLY HUMAN DEVELOPMENT, 2010, 86 (04) :225-229

[10]

Einspieler C., 2004, Clinics in Developmental Medicine, V167

← 1 2 3 4 →