title: Neurodevelopmental outcome in babies with a low Apgar score from Zimbabwe.
abstract: The early identification of neurological dysfunction in the neonatal period, the predictive value of single items of the neonatal neurological examination (NNE) adapted from Prechtl and the developmental outcome at 1 year of age in infants with a low Apgar score in Zimbabwe were studied. One hundred and sixty-five infants were examined with the NNE and 142 with the Bayley Scale of Infant Development (BSID) at 1 year of age. Twenty-three infants had cerebral palsy, ten had a motor delay or developmental delay, and four were mentally retarded. The NNE proved to be a sensitive instrument for detecting neurodevelopmental abnormality. Logistic regression analysis was used to investigate the relationship between the BSID and nine selected predictors from the NNE. This resulted in a correct classification of 94%. However, the number of false negatives was high. By using only the variability of movements and fixation as predictors the number of false negatives was reduced to one.
authors.affiliation: Children's Rehabilitation Unit, Mpilo Central Hospital, Bulawayo, Zimbabwe.
authors.forename: M J
authors.initials: MJ
authors.lastname: Wolf
authors.forename: B
authors.initials: B
authors.lastname: Wolf
authors.forename: C
authors.initials: C
authors.lastname: Bijleveld
authors.forename: G
authors.initials: G
authors.lastname: Beunen
authors.forename: P
authors.initials: P
authors.lastname: Casaer
mesh_terms: D001034:Apgar Score; D001724:Birth Weight; D002547:Cerebral Palsy / Q000175:diagnosis*; D002658:Developmental Disabilities / Q000175:diagnosis*; D005188:False Negative Reactions; D005260:Female; D005544:Forecasting; D005865:Gestational Age; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008607:Intellectual Disability / Q000175:diagnosis*; D016015:Logistic Models; D008297:Male; D009460:Neurologic Examination; D011237:Predictive Value of Tests; D015030:Zimbabwe