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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Neonatal and infant care and outcomes

G A Little1

  • 1Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.

Current Opinion in Obstetrics & Gynecology
|February 1, 1992
PubMed

Insights

Surfactant replacement therapy improves neonatal survival, especially for extremely low birth weight infants. Further research is needed on survival rates by gestational age and assessment methods.

Area of Science:

  • Neonatal care and Perinatology
  • Clinical trials and Evidence-based medicine

Background:

  • Surfactant replacement therapy represents a significant advancement in neonatal intensive care.
  • Over 30 clinical trials support its efficacy, leading to widespread approval.
  • Ongoing research aims to fully determine its clinical application and impact on patient outcomes.

Purpose of the Study:

  • To analyze current neonatal outcome data and identify areas for improved survival.
  • To address the need for clarity regarding survival rates in specific low gestational age cohorts.
  • To highlight the importance of accurate gestational age assessment in neonatal care.

Main Methods:

  • Review of neonatal outcome data from clinical trials and observational studies.
  • Analysis of survival statistics stratified by birth weight and gestational age.
  • Examination of methodologies for assessing gestational age in neonates.

Main Results:

  • Neonatal survival improvements are now predominantly focused on extremely low birth weight infants (<750 g).
  • There is a recognized need for more precise data on survival for infants born before 28 weeks of gestation.
  • Understanding the nuances of gestational age assessment is crucial for accurate outcome interpretation.

Conclusions:

  • Surfactant therapy has transformed neonatal care, with survival gains now centering on the most vulnerable infants.
  • Accurate gestational age determination is critical for evaluating neonatal outcomes and guiding clinical practice.
  • Further research should focus on optimizing care for preterm infants and refining assessment techniques.

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