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Updated: Jul 10, 2026
Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Follow-up network for newborns at risk for handicap in a French region]
J-C Rozé1, V Bureau-Rouger, A Beucher
1Service de néonatalogie, hôpital Mère-Enfant. CHU de Nantes, France, CIC, thématique pédiatrique, CHU de Nantes - INSERM. jeanchristophe.roze@chu-nates.fr
Insights
A regional follow-up network for high-risk newborns demonstrated feasibility and effectiveness in detecting developmental issues by nine months corrected age. Parent satisfaction was high, indicating successful early intervention and care initiation for infants with disabilities.
Area of Science:
- Neonatal development
- Public health networks
- Early intervention services
Background:
- Perinatal health networks require downstream follow-up systems for newborns at risk of handicap.
- A regional follow-up network was established in the Pays de la Loire region in 2003.
Purpose of the Study:
- Evaluate the feasibility of a regional newborn follow-up network.
- Assess the network's capacity to detect infants with incapacitating conditions by nine months corrected age.
- Gauge parental satisfaction with the implemented follow-up network.
Main Methods:
- A standardized assessment tool based on the Amiel Tison method was utilized.
- Infants included from March 2003, reaching two years corrected age by September 2006, were analyzed.
- Parental satisfaction surveys were conducted for infants with normal or abnormal neuromotor outcomes.
Main Results:
- Out of 1339 infants, 1185 (88.4%) completed the two-year follow-up.
- 7.3% exhibited pathological development, and 4.5% had suspect neuromotor examinations.
- 11% received care proposals, enabling early intervention for 65% of those with pathological development.
Conclusions:
- The network successfully met its objective, enrolling 2.2% of regional newborns with low follow-up loss.
- The network demonstrated good capacity for early detection and intervention initiation.
- Parental engagement was significant, with high reported satisfaction, though network efficiency requires further improvement.
Background And Objectives:
- Follow-up networks for newborns with a handicap risk need to be put into place downstream of the perinatal health networks. Such a network was implemented in the Pays de la Loire region in 2003. Our objective is to evaluate the feasibility and the capacity to detect infants with an incapacitating condition at nine months corrected age and the patents'satisfaction with such a network.
Material And Methods:
- A common tool based on the Amiel Tison assessment was set up. Infants included since 1(st) March 2003 and who were two years old corrected age on 1(st) September 2006 were taken into consideration. A satisfaction survey was conducted with the parents of infants showing normal development at two years old corrected age or with an abnormal neuromotor examination.
Results:
- Amongst the 1339 infants included, 1185 (88.4 %) were seen at the age of two years: 7.3 % showed pathological development, 4.5 % infants showed suspect neuromotor examination. Cares were proposed for 11% of the infants followed, permitting cares from nine months old for 65 % of the infants considered as having a pathological development at the age of two years.
Discussion/Conclusion:
- This follow-up network has fulfilled its initial goal: 2.2 % of newborn babies in the region were included, a low rate of lost for follow-up was observed. Moreover, this network has a relative good capacity for detection and early initiation of care. The application of the parents is important and their level of satisfaction appeared to be high. This experiment shows that regional follow-up networks can become reality, but their efficiency still needs to be improved.
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