Which better predicts later outcome in fullterm infants: quality of general movements or neurological examination?
Which better predicts later outcome in fullterm infants: quality of general movements or neurological examination?
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DOI：
10.1016/s0378-3782(97)00094-7
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发表时间：
1997-11-24
影响因子：
2.5
通讯作者：
Roversi, MF
中科院分区：
文献类型：
--
作者：
Cioni, G;Prechtl, HFR;Roversi, MF
一般运动（GM）的定性评估已被证明是一个更好的预测神经功能的结果比传统的神经系统检查脑损伤早产儿。本研究的目的是比较两种技术在足月儿中的结果。在一组58名足月婴儿中，从出生到大约6个月的足月年龄，对来自录像和神经系统检查的GM进行了离线评估，其中大多数受到轻度至重度缺氧缺血性脑病的影响。两种技术之间的协议和他们的预测能力，在2年的神经系统的结果，进行了评估，为四个年龄组。神经学和GM结果之间的一致性范围为78%至83%。在所有年龄段的GM观察结果与神经系统的结果高度相关，其灵敏度和特异性方面的结果始终略上级神经系统检查。如果婴儿在短暂异常的初始阶段后恢复正常，GM恢复正常的时间早于神经学结果。(C)1997 Elsevier Science爱尔兰有限公司
The qualitative assessment of general movements (GMs) has been shown to be a better predictor of neurological outcome than the traditional neurological examination in brain-damaged preterm infants. The aim of this study was to compare the results of the two techniques in term infants. Off-line assessment of GMs from videorecordings and neurological examinations were carried out, from birth till about 6 months of postterm age, in a group of 58 term infants, the majority of which were affected by mild to severe hypoxic-ischaemic encephalopathy. The agreement between the two techniques and their predictive power, with respect to the neurological outcome at 2 years, were evaluated for four age groups. The range of agreement between neurological and GM findings was between 78 and 83%. At all ages the results of GM observation correlated highly with the neurological outcome; their sensitivity and specificity with respect to outcome were consistently slightly superior to those of neurological examination. If infants normalize after an initial period of transient abnormalities, GMs normalize earlier than the neurological results. (C) 1997 Elsevier Science Ireland Ltd.