| The premie-neuro: opportunities and challenges for standardized neurologic assessment of the preterm infant. | |
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MedLine Citation:
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PMID: 22964608 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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PURPOSE: : To determine the interrater and test-retest reliabilities and construct validity of the Premie-Neuro, a standardized neurologic assessment tool for preterm infants. SUBJECTS: : Thirty-four preterm infants (mean gestational age at birth 29 ± 3.7 weeks, mean birth weight 1343.2 ± 696.3 g) participated in the study. DESIGN: : A prospective repeated-measures design was used to assess the reliability and validity of the Premie-Neuro. METHODS: : The Premie-Neuro was administered twice on consecutive days and then weekly through 37-weeks postmenstrual age or hospital discharge. At discharge, infants' medical histories were reviewed and a Neurobiologic Risk Score (NBRS) was used to determine risk for poor neurodevelopmental outcomes. MAIN OUTCOME MEASURE: : Premie-Neuro raw scores and classifications were analyzed to determine the tool's reliability. Construct validity was measured by determining whether the Premie-Neuro could discriminate between infants identified as high-risk or low-risk for neurodevelopmental delays by using a NBRS of 5 as the cutoff for high- and low-risk infants. RESULTS: : The intraclass correlation coefficients for interrater and test-retest reliability varied from 0.391 to 0.556 and from 0.493 to 0.592, respectively. Analysis of variance revealed that the Premie-Neuro raw scores for infants with NBRS > 5 were significantly worse than those for infants with NBRS < 5 (P = .000-.010). CONCLUSIONS: : The Premie-Neuro is a valid assessment tool for discriminating between preterm infants at high and low risk for neurodevelopmental delay. Interrater reliability of the Premie-Neuro was poor, and test-retest reliability of the Premie-Neuro was fair to moderate. The Premie-Neuro may be acceptable for assessing groups of infants, but there is no evidence that reliability is sufficient for clinical decision-making for individual infants. More research needs to be done to improve the reliability of the Premie-Neuro and assess other facets of the Premie-Neuro's reliability. |
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Authors:
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Kendra Gagnon; Susan Cannon; Kathleen B Weatherstone |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Advances in neonatal care : official journal of the National Association of Neonatal Nurses Volume: 12 ISSN: 1536-0911 ISO Abbreviation: Adv Neonatal Care Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-09-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101125644 Medline TA: Adv Neonatal Care Country: United States |
Other Details:
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Languages: eng Pagination: 310-7 Citation Subset: IM |
Affiliation:
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Department of Physical Therapy and Rehabilitation Science (Dr Gagnon) and Center for Child Health and Development (Ms Cannon), University of Kansas Medical Center, Kansas City; and Neonatal Intensive Care Services, Sunflower Neonatology Associates, Overland Park Regional Medical Center, Kansas (Dr Weatherstone). |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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