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      Interrater reliability of the Saint-Anne Dargassies Scale in assessing the neurological patterns of healthy preterm newborns Translated title: Confiabilidade inter-observadores da Escala de Saint-Anne Dargassies na avaliação neurológica de recém-nascidos pré-termo sadios

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          Abstract

          Abstract Objectives: to assess the interrater reliability of the Saint-Anne Dargassies Scale in assessing neurological patterns of healthy preterm newborns. Methods: twenty preterm newborns met the inclusion criteria for participation in this prospective study. The neurologic examination was performed using the Saint-Anne Dargassies Scale, showing normal serial cranial ultrasound examination. In order to test the reliability, the study was structured as follows: group I (rater 1/physiotherapist; rater 2/neonatologist); group II (rater 3/physiotherapist; rater 4/child neurologist) and the gold standard (expert and professor in pediatric neurology). Results: high interrater agreement was observed between groups I - II compared with the gold standard in assessing postural pattern (p<0.01). Regarding the assessment ofprimitive reflexes, greater agreement was observed in the evaluation of palmar grasp reflex and Moro reflex (p< 0.01) for group I compared with the gold standard. An analysis of tone demonstrated heterogeneous agreement, without compromising the reliability of the scale. The probability of equality between measurements of head circumference in the two groups, compared with the gold standard, was observed. Conclusions: the Saint-Anne Dargassies Scale demonstrated high reliability and homogeneity with significant power of reproducibility and may be capable to identify preterm newborns suspected of having neurological deficits.

          Translated abstract

          Resumo Objetivos: avaliar a confiabilidade inter-observadores na avaliação do padrão neurológico de recém-nascidos pré-termo saudáveis pela Escala de Saint-Anne Dargassies. Métodos: vinte recém-nascidos pré-termos foram selecionados com base nos critérios de inclusão para participarem deste estudo prospectivo. O exame neurológico foi realizado utilizando a Escala de Saint-Anne Dargassies e os exames de ultra-som craniano seriados normais. Para testar a confiabilidade da escala o estudo foi estruturado da seguinte forma: grupo I (examinador 1 /fisioterapeuta; examinador 2 / neonatologista); grupo II (avaliador 3 /fisioterapeuta; avaliador 4 / neurologista infantil) e o padrão-ouro (expert e professor em neurologia pediátrica). Resultados: foi observado uma concordância alta inter-observadores entre os grupos I -II em comparação com o padrão ouro na avaliação padrão postural (p<0,01). Em relação à avaliação dos reflexos primitivos, observou-se maior concordância na avaliação do reflexo palmar e do reflexo de Moro (p<0,01) para o grupo I em comparação com o padrão-ouro. Uma análise do tônus demonstrou acordo heterogêneo, sem comprometer a confiabilidade da escala. Observou-se a probabilidade de igualdade entre as medidas do perímetro cefálico nos dois grupos em comparação com o padrão-ouro. Conclusões: a Escala de Saint-Anne Dargassies demonstrou alta confiabilidade e homogeneidade com poder significativo de reprodutibilidade podendo identificar recém-nascidos pré-termo com suspeita de déficit neurológico.

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          Imaging the premature brain: ultrasound or MRI?

          Neuroimaging of preterm infants has become part of routine clinical care, but the question is often raised on how often cranial ultrasound should be done and whether every high risk preterm infant should at least have one MRI during the neonatal period. An increasing number of centres perform an MRI either at discharge or around term equivalent age, and a few centres have access to a magnet in or adjacent to the neonatal intensive care unit and are doing sequential MRIs. In this review, we try to discuss when best to perform these two neuroimaging techniques and the additional information each technique may provide.
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            Validity and reliability of the N-PASS assessment tool with acute pain.

            To establish evidence of clinical validity and reliability of the Neonatal Pain, Agitation, and Sedation Scale (N-PASS) in neonates with acute heelstick pain.
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              Good reliability and validity for a new utility instrument measuring the birth experience, the Labor and Delivery Index.

              To validate the Labor and Delivery Index (LADY-X), a new delivery-specific utility measure.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                rbsmi
                Revista Brasileira de Saúde Materno Infantil
                Rev. Bras. Saude Mater. Infant.
                Instituto de Medicina Integral Prof. Fernando Figueira (Recife, PR, Brazil )
                1519-3829
                1806-9304
                March 2018
                : 18
                : 1
                : 103-112
                Affiliations
                [3] Natal RN orgnameCentro de Reabilitação Infantil Brazil
                [2] Natal Rio Grande do Norte orgnameUniversidade Federal do Rio Grande do Norte orgdiv1Departamento de Imagem da Maternidade Escola Januário Cicco Brazil
                [1] Natal Rio Grande do Norte orgnameUniversidade Federal do Rio Grande do Norte orgdiv1Programa de Pós-graduação em Ciências da Saúde Brazil
                [5] Natal Rio Grande do Norte orgnameUniversidade Federal do Rio Grande do Norte orgdiv1Centro de Ciências da Saúde orgdiv2Departamento de Fisioterapia Brazil
                [4] Natal Rio Grande do Norte orgnameUniversidade Federal do Rio Grande do Norte orgdiv1Centro de Ciências da Saúde orgdiv2Departamento de Pediatria Brazil aureanmelo@ 123456yahoo.com.br
                Article
                S1519-38292018000100103
                10.1590/1806-93042018000100005
                af00dbdb-d6ae-438a-9e8b-33da1f824fbd

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 28 June 2016
                : 11 December 2017
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 10
                Product

                SciELO Brazil


                Avaliação,Neonatal screening,Reliability,Infant,premature,Preterm,Evaluation,Triagem neonatal,Confiabilidade,Recém-nascido prematuro,Pré-termo

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