General Movement Assessment Predicts Neuro-Developmental Outcome in Very Low Birth Weight Infants at Two Years – A Five-Year Observational Study
| Autor: | Vrinda Nair, Lynda Graham, Prakash Loganathan, Fiona Barnes |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pediatrics
medicine.medical_specialty business.industry medicine.disease Bayley Scales of Infant Development Movement assessment General movements Cerebral palsy 03 medical and health sciences Low birth weight 0302 clinical medicine Bayley iii 030225 pediatrics Pediatrics Perinatology and Child Health Fidgety movements Medicine Observational study medicine.symptom business reproductive and urinary physiology 030217 neurology & neurosurgery |
| Zdroj: | The Indian Journal of Pediatrics. 88:28-33 |
| ISSN: | 0973-7693 0019-5456 |
| DOI: | 10.1007/s12098-020-03365-1 |
| Popis: | To assess the value of general movements (GMs) in predicting the neurodevelopmental outcome using Bayley Scale of Infant Development III (BSID-III) at two years of age in very low birth weight (VLBW) infants. This is a five-year observational study (January 2012–June 2017). Two hundred twenty-seven VLBW infants were assessed in the neurodevelopmental clinic between Jan 2012 and June 2017. Of these 137 infants had GMs assessments at 3 mo post term (first visit to the clinic). Absence of fidgety movements (FMs) at 3 mo post term had high specificity and negative predictive value for moderate to severe neurodevelopmental outcome in motor, cognition and language domains (composite score less than 70 in the Bayley III scales of Infant development scores). At 3 mo post term, absent FMs had high sensitivity, specificity and negative predictive value (NPV) for cerebral palsy (CP). GMs assessment at 3 mo post term could be considered as an important screening tool for early identification of VLBW infants who are at risk of neurodevelopmental impairment/cerebral palsy. |
| Databáze: | OpenAIRE |
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