Neonatal neurological examination during the first 6h after birth.

Autor: Romeo DM; Pediatric Neurology Unit, Catholic University, Rome, Italy. Electronic address: domenicomarco.romeo@policlinicogemelli.it., Bompard S; Pediatric Neurology Unit, Catholic University, Rome, Italy., Cocca C; Neonatal Unit, Catholic University, Rome, Italy., Serrao F; Neonatal Unit, Catholic University, Rome, Italy., De Carolis MP; Neonatal Unit, Catholic University, Rome, Italy., Zuppa AA; Neonatal Unit, Catholic University, Rome, Italy., Ricci D; Pediatric Neurology Unit, Catholic University, Rome, Italy; National Centre of Services and Research for Prevention of Blindness and Rehabilitation of Visually Impaired, Italy., Gallini F; Neonatal Unit, Catholic University, Rome, Italy., Maddaloni C; Pediatric Neurology Unit, Catholic University, Rome, Italy., Romagnoli C; Neonatal Unit, Catholic University, Rome, Italy., Mercuri E; Pediatric Neurology Unit, Catholic University, Rome, Italy.
Jazyk: angličtina
Zdroj: Early human development [Early Hum Dev] 2017 May; Vol. 108, pp. 41-44. Date of Electronic Publication: 2017 Apr 05.
DOI: 10.1016/j.earlhumdev.2017.03.013
Abstrakt: Background: Few neurological assessments are easily performed during the first 6h after birth.
Aims: To assess a cohort of low risk term born newborns within the first 6h and at 48h after birth using the Hammersmith Neonatal Neurological Examination.
Study Design and Subjects: A population of low risk term born newborns was examined within 3h from birth or between 3 and 6h. Each infant was re-assessed at 48h, establishing the range and frequency distribution of neonatal neurological scores at each time point.
Results: Of the 124 full-term born newborns, 62 were assessed at 0-3h and 62 at 3-6h. All infants were re-assessed at 48h. For 23/34 of the neurological items, the range and median scores were similar across the 3 time points. In the remaining 11 items the three groups had a similar range of scores but the median scores were different with different rates of changes. In 6 of the 11 the median scores at 3-6h were similar to those observed at 48h but they appeared to be 'less mature' at 0-3h. Only in one item the median scores were consistently different at the 3 time points.
Conclusions: Our results suggest that a neurological examination can already be reliably performed soon after birth. These findings will help in the interpretation of the few items that show changes with increasing postnatal age.
(Copyright © 2017 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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