[Clinical characterization of a sample of newborns at risk of presenting with an altered neurologic evaluation].
Being the Prachtl's Neurological Sieve a systematic condense analysis of neurologic screening which allows to establish a normal or suspicious neurologic condition at a sensibility of 0.85, and specificity of 0.77 with a predictive value of 0.78 (in our experience), we take it as an axis variable capable to discriminate among the population with and without risk of neurologic injury or sequela. Thirty-five newborn infants with an Apgar score at birth equal or below 6, were taken into study for the purpose of featuring the group of neonates on risk to show an altered neurologic evaluation. The study was held under the hypothesis that: low Apgar score, and morbidity and mortality risk index, need to be complemented with hospital outcome (Casaer) and the estimation of factors affecting physical and mental development (Eggermont), in order to be able to feature those neonates in risk for developing a neurologic injury or sequela. Findings showed that Prechtl's Neurological Sieve is directly influenced by the magnitude of recovery from the one to five minutes Apgar Score, by the Casaer's first or initial score and by the Eggermont's assessment items. It is also related in an indirect way to the birth weight, the gestational age, the morbidity and mortality risk index, the 1 and 5 minutes Apgar score and the final or discharge Casaer evaluation.
Flores-Tamez
M E
ME
Fernández-Carrocera
L A
LA
López-García
R
R
Lozano-González
C H
CH
D001034:Apgar Score; D001238:Asphyxia Neonatorum / Q000150:complications*; D006801:Humans; D007231:Infant, Newborn; D008137:Longitudinal Studies; D009422:Nervous System Diseases / Q000209:etiology*; D009460:Neurologic Examination / Q000379:methods*; D011446:Prospective Studies; D012307:Risk Factors; D012494:Sampling Studies
Caracterización clínica de una muestra de recién nacidos en riesgo de presentar una evaluación neurológica alterada.