Neurological examination of the infant

Salandy, Sonja; Rai, Rabjot; Gutiérrez, Santiago; Ishak, Basem; Tubbs, R. Shane

doi:10.1002/ca.23352

Cited by 17 publications

(18 citation statements)

References 21 publications

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“…(3) Clinical outcomes: the body weight of infants at discharge was recorded, and its Z-value was calculated: (measured weight - mean of weight at corrected gestational age)/standard deviation of weight at corrected gestational age. At 7th day after hospitalization, the neurobehavioral function of infants was assessed using the neonatal behavioral neurological assessment (NBNA) [ 9 ]. NBNA was developed by Bao in 2003.…”

Section: Methodsmentioning

confidence: 99%

Effects of Family Participatory Nursing on Clinical Outcomes of Premature Infants in NICU and Families’ Psychological Status

Liu

Xu²,

Li³

2022

Contrast Media & Molecular Imaging

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The purpose of this study was to explore the effects of family participatory nursing on the clinical outcomes of premature infants in the neonatal intensive care unit (NICU) and their families’ psychological status. Total of 150 premature infants were admitted to the NICU of our hospital from December 2019 to December 2021, and their families were selected by convenience sampling method and divided into control group (n = 78, from December 2019 to December 2020) and observation group (n = 72, from January 2020 to December 2021) according to the admission time. The infants in the control group were given routine nursing, while those in the observation group received family participatory nursing. In the observation group, the length of stay and duration of oxygen therapy were shorter, the weight gain speed was higher, and the incidence rate of nosocomial infection was lower than those in control groups P < 0.05 . The time of reaching full gastrointestinal feeding was earlier, the daily milk intake and exclusive breastfeeding rate were higher, and the feeding intolerance rate was lower in observation group than those in control group P < 0.05 . Observation group exhibited significantly higher body weight, Z-value of body weight, NBNA score at 7 d after hospitalization, 15-month mental development index (MDI), and psychomotor development index (PDI) scores than control group P < 0.05 . In addition, the families’ somatization, depression and anxiety factor scores, and total score of SCL-90 in the observation group were lower than those in the control group, while each dimension score and total score of MPOC-20 were higher than those in control groups P < 0.05 . Family participatory nursing is of great significance in ameliorating the clinical outcomes of premature infants in the NICU, which can shorten the length of stay, improve feeding conditions, facilitate infant growth and development, and enhance their families’ psychological status and nursing satisfaction.

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Section: Methodsmentioning

confidence: 99%

Effects of Family Participatory Nursing on Clinical Outcomes of Premature Infants in NICU and Families’ Psychological Status

Liu

Xu²,

Li³

2022

Contrast Media & Molecular Imaging

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“…A few general medical 2 and neurological journals [3][4][5][6][7] aim to teach neurological evaluation but the themes addressed are either particularly specific or more appropriate for specialists rather than for residents. Over the past 35 years, teaching neurology to the medical students and the neurology residents of my institution, I became aware that, besides their learning of "what must be taught "compulsorily" which may be read in any neurological textbook, many important aspects that remain "in the shadow" of the classic neurological symptoms and signs, should be addressed.…”

Section: Introductionmentioning

confidence: 99%

The Shadow-Side of the Neurological Evaluation

Pimentel¹

2024

Sinapse

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“…Developing countries are burdened with high numbers of young children who fail to reach their developmental potential (16,17). Hence, health care professionals are urgently called to identify atrisk infants and contribute to sustainable early childhood intervention by addressing and limiting adverse short-and long-term development sequelae in surviving and high-risk infants (7,14,16,(18)(19)(20)(21)(22)(23)(24)(25)(26).…”

Section: Introductionmentioning

confidence: 99%

Hammersmith Neonatal Neurological Examination of healthy term infants at ages 6 and 10 weeks in Tshwane District, South Africa

Nel

Feucht

Mulol

et al. 2022

Preprint

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Background The neurodevelopmental progress of infants (age below 3 months) is globally not well described, and a lack of published data on normative values of child development in this age group has been identified. In South Africa, the description of neurodevelopmental characteristics of infants at well-baby 6- and 10-week visits are omitted from the ‘Road to Health Booklet’, a nationally used patient-held clinical record. The neurodevelopmental status of infants in these age groups is thus not routinely monitored and the data is not documented. Important changes occur in the maturation of the central nervous system of infants at 6 weeks that signify this age as an important milestone for monitoring neurodevelopmental progress. Methodology and findings A prospective longitudinal study was performed on a sample of 35 term-born healthy, infants from low-risk pregnancies at 6- and 10-weeks postnatal age in the Tshwane District, South Africa. The Hammersmith Neonatal Neurological Examination systematically recorded the status of posture, tone, reflexes, movements, orientation and behaviour in these age groups. Compound and total examination optimal scores were derived from raw scores of 34 neurological items in the proforma evaluation form by using cut-off points on the 5 th , 10 th, and 90 th percentiles. Infants who attended both the 6- and 10-week clinic visits were included. This study quantitatively confirmed consistent patterns of characteristic change occurring in muscle tone, posture, and visual behaviour of infants between 6 and 10 weeks. Conclusion and significance This study successfully recorded data on the neurodevelopmental assessment of infants from low-risk pregnancies at 6- and 10-weeks post-term age in Tshwane District, South Africa. The compound and total examination optimality scores obtained in this study can presently guide health care professionals using this method of examination in the early identification of adverse neurological signs in such young infants.

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Neurological examination of the infant

Cited by 17 publications

References 21 publications

Effects of Family Participatory Nursing on Clinical Outcomes of Premature Infants in NICU and Families’ Psychological Status

Effects of Family Participatory Nursing on Clinical Outcomes of Premature Infants in NICU and Families’ Psychological Status

The Shadow-Side of the Neurological Evaluation

Hammersmith Neonatal Neurological Examination of healthy term infants at ages 6 and 10 weeks in Tshwane District, South Africa

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