Optimality score for the neurologic examination of he infant at 12 and 18 months of age

Optimality score for the neurologic examination of he infant at 12 and 18 months of age
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DOI:
10.1016/s0022-3476(99)70016-8
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发表时间:
1999-08-01
影响因子:
5.1
通讯作者:
Dubowitz, L
Dubowitz, L
中科院分区:
医学2区
文献类型:
--
作者:
Haataja, L;Mercuri, E;Dubowitz, L

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本研究的目的是为2至24个月的婴儿开发和验证一种简单的、可量化的神经系统检查。评估包括37个项目,分为3个部分。第一部分包括26个项目,评估颅神经功能、姿势、运动、音调和反射;第二部分8个项目记录运动功能的发展,第三部分3个项目评估行为状态。我们将此评估应用于92名12个月大的婴儿和43名18个月大的婴儿,没有已知的围产期危险因素。根据该队列中神经学结果的频率分布设计了形式表。每个项目都单独评分,整体评分是所有单项评分的总和。定量评分提高了这种检查的价值,无论是在临床实践中,还是在研究环境中。
The aim of this study was to develop and validate a simple, quantifiable, neurologic examination for infants between 2 and 24 months of age. The assessment consists of 37 items, divided into 3 sections. The first section includes 26 items assessing cranial nerve function, posture, movements, tone, and reflexes; the second section of 8 items documents the development of motor function, and the third section of 3 items evaluates the state of behavior. We applied this assessment to a cohort of ninety-two 12-month-old infants and forty-three 18-month-old infants, with no known perinatal risk factors. The proforma presented has been designed according to the frequency distribution of the neurologic findings in this cohort. Each item is scored individually, and a global score is the sum of all individual scores. The quantitative score enhances the value of this examination, both in clinical practice and in research settings.