CLINICAL ASSESSMENT OF GESTATIONAL AGE IN NEWBORN INFANT

CLINICAL ASSESSMENT OF GESTATIONAL AGE IN NEWBORN INFANT
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DOI:
10.1016/s0022-3476(70)80038-5
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发表时间:
1970-01-01
影响因子:
5.1
通讯作者:
GOLDBERG, C
GOLDBERG, C
中科院分区:
医学2区
文献类型:
--
作者:
DUBOWITZ, LM;DUBOWITZ, V;GOLDBERG, C

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一个基于10个神经系统和11个“外部”标准的胎龄评分系统已经应用于167名新生儿。与神经系统评分相比,“外部”评分与妊娠的相关性更好,但综合总分比单独得分更好。总评分与妊娠期的相关系数为0.93。单次评分的预测误差为1.02周,两次独立评估的平均预测误差为0.7周。该方法在头5天内给出一致的结果,在生命的头24小时内同样可靠。这个评分系统比试图根据个体体征的存在或不存在来猜测胎龄更客观和可重复性。
A scoring system for gestational age, based on 10 neurologic and 11 “external” criteria, has been applied to 167 newborn infants. The “external” score gave a better correlation with gestation than did the neurologic score, but the combined total score was better than either alone. The correlation coefficient for the total score against gestation was 0.93. The error of prediction of a single score was 1.02 weeks and of the average of two independent assessments was 0.7 weeks. The method gives consistent results within the first 5 days and is equally reliable in the first 24 hours of life. This scoring system is more objective and reproducible than trying to guess gestational age on the presence or absence of individual signs.