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Neurodevelopmental outcome in babies with a low Apgar score from Zimbabwe
Author(s) -
Wolf MJ,
Wolf B.,
Bijleveld C.,
Beunen G.,
Gasaer P.
Publication year - 1997
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/j.1469-8749.1997.tb07550.x
Subject(s) - bayley scales of infant development , cerebral palsy , apgar score , logistic regression , pediatrics , psychomotor learning , abnormality , medicine , neurological examination , psychology , gestational age , pregnancy , psychiatry , genetics , cognition , biology
The early identification of neurological dysfunction in the neonatal period, the predictive value of single items of the neonatal neurological examination (NNE) adapted from Prechtl and the developmental outcome at 1 year of age in infants with a low Apgar score in Zimbabwe were studied. One hundred and sixty‐five infants were examined with the NNE and 142 with the Bayley Scale of Infant Development (BSID) at 1 year of age. Twenty‐three infants had cerebral palsy, ten had a motor delay or developmental delay, and four were mentally retarded. The NNE proved to be a sensitive instrument for detecting neurodevelopmental abnormality. Logistic regression analysis was used to investigate the relationship between the BSID and nine selected predictors from the NNE. This resulted in a correct classification of 94%. However, the number of false negatives was high. By using only the variability of movements and fixation as predictors the number of false negatives was reduced to one.