NICU Network Neurobehavioral Scale: 1-month normative data and variation from birth to 1 month
NICU Network Neurobehavioral Scale: 1-month normative data and variation from birth to 1 month
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DOI：
10.1038/pr.2018.25
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发表时间：
2018-06-01
影响因子：
3.6
通讯作者：
Tronick, Ed
中科院分区：
文献类型：
--
作者：
Provenzi, Livio;Olson, Karen;Tronick, Ed
BACKGROUND: The Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS) is a standardized method for infant neurobehavioral assessment. Normative values are available for newborns, but the NNNS is not always feasible at birth. Unfortunately, 1-month NNNS normative data are lacking.AIMS: To provide normative data for the NNNS examination at 1 month and to assess birth-to-one-month changes in NNNS summary scores.STUDY DESIGN: The NNNS was administered at birth and at 1 month within a longitudinal prospective study design.SUBJECTS: A cohort of 99 clinically healthy full-term infants were recruited from a well-child nursery.OUTCOME MEASURES: Birth-to-1-month NNNS variations were evaluated and the association of neonatal and socio-demographic variables with the rate of change of NNNS summary scores were investigated.RESULTS AND CONCLUSIONS: NNNS scores from the 10th to the 90th percentile represent a range of normative performance at 1 month. A complex pattern of stability and change emerged comparing NNNS summary scores from birth to 1 month. Orienting, Regulation, and Quality of movements significantly increased, whereas Lethargy and Hypotonicity significantly decreased. Birth-to-1-month changes in NNNS performance suggest improvements in neurobehavioral organization. These data are useful for research purposes and for clinical evaluation of neurobehavioral performance in both healthy and at-risk 1-month-old infants.
