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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Neurologic assessment tool for screening preterm infants at term age
Domenico M Romeo1, Daniela Ricci, Ingrid C van Haastert
1Pediatric Neurology Unit, Catholic University, Rome, Italy.
The Journal of Pediatrics
|August 23, 2012
Summary
The Dubowitz neonatal neurologic assessment tool, adapted for preterm infants, identified the same "warning signs" as in full-term infants. This suggests its suitability for assessing preterm infants at term age.
Area of Science:
- Neonatal neurology
- Developmental pediatrics
- Clinical assessment tools
Background:
- The Dubowitz neonatal neurologic assessment is a standard tool for evaluating term infants.
- Adapting assessment tools for preterm infants is crucial for accurate developmental monitoring.
- Identifying reliable screening methods for preterm infants is essential for early intervention.
Purpose of the Study:
- To adapt the Dubowitz neonatal neurologic assessment for preterm infants.
- To determine if the "warning signs" identified in preterm infants differ from those in full-term infants.
- To evaluate the utility of the adapted screening tool for preterm infants at term age.
Main Methods:
- The Dubowitz neonatal neurologic assessment tool was modified for use in preterm infants.
- Preterm infants were assessed using the adapted tool at term age.
- Findings, specifically "warning signs," were documented and compared to established norms for full-term infants.
Main Results:
- The screening assessment tool of the Dubowitz neonatal neurologic assessment was successfully adapted for preterm infants.
- The "warning signs" identified in preterm infants were identical to those observed in full-term infants.
- No significant differences were found in the "warning signs" between the two groups.
Conclusions:
- The adapted Dubowitz neonatal neurologic assessment tool is effective for screening preterm infants.
- The identified "warning signs" in preterm infants at term age are consistent with those in full-term infants.
- This screening tool can be reliably used in preterm infants upon reaching term age for neurological assessment.

