This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Pereira, C. L. Articles by Poblano, A. Search for Related Content PubMed PubMed Citation Articles by Pereira, C. L. Articles by Poblano, A. Social Bookmarking                   What's this?

Concordance between Neurologic Screening Test and Neurologic Examination in Newborns

Department of Pediatrics, Gynecology and Obstetrics Hospital 3, La Raza Medical Center, National Center for Rehabilitation, Mexico City, Mexico

Ana M. Aguilar, MD

Department of Pediatrics, Gynecology and Obstetrics Hospital 3, La Raza Medical Center, National Center for Rehabilitation, Mexico City, Mexico

Felipe Rivera, MD

Department of Neonatology, General Hospital 25, National Center for Rehabilitation, Mexico City, Mexico

Leonardo Cruz, MD

Department of Pediatrics, Gynecology and Obstetrics Hospital 3, La Raza Medical Center, National Center for Rehabilitation, Mexico City, Mexico

Isela Santos, MD

Department of Pediatrics, Gynecology and Obstetrics Hospital 3, La Raza Medical Center, National Center for Rehabilitation, Mexico City, Mexico

Adrián Poblano, MD, MSc, DSc

Laboratory of Cognitive Neurophysiology, National Center for Rehabilitation, Mexico City, Mexico

The aims of this study were to calculate concordance among results of the assessment of a population of neonates by using a screening version of neurologic assessment developed by our group with the Amiel-Tison examination, to evaluate distribution of the findings for each item in the studied population, and to develop an optimality score to aid in the detection of possible deviations in infants. Infants in this report include 107 infants born consecutively; they were mainly at-term infants, or preterm infants who, when reaching at-term corrected age, were suspected to be abnormal with a wide spectrum of complications. Newborns were tested by neurologic screening and neurologic examination. Agreement, correlations among tests, sensitivity, and specificity were calculated. Correlation among results from Neurological Screening and Neurological Examination was significant (rho = 0.759, p = 0.01), and Cronbach’s alpha concordance had an acceptable value (0.83). Sensitivity and specificity of neurologic screening after Amiel-Tison examination comparison were 0.98 and 0.82, respectively. Our results support the use of the neurologic screening proposed.

Clinical Pediatrics, Vol. 45, No. 4, 315-323 (2006)
DOI: 10.1177/000992280604500403


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?