Amiel-Tison12,13 has developed a clinical instrument for the neurological assessment of preterm infants at term. This instrument considers signs that depend. Amiel-Tison neurologic assessment at term has re- cently been updated for clinical application. Experi- ence in this field, in addition to a better understanding . Amiel-Tison neurologic assessment at term has recently been updated for clinical application. Experience in this field, in addition to a better understanding of.

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OpenUrl Web of Science. The complete procedure takes approximately 5 minutes. The group with a dynamic evolving clinical profile differed significantly from the group with a static stable profile in terms of aetiology, while the group with signs of prenatal brain damage differed from the group without these signs regarding aetiology and the level of severity of neurological signs.

The first node neurklogical neurological assessment at term. Clinical profiles emerging from repeated assessments in the term newborn and early clinical findings indicating a brain damage of prenatal origin are described.

Please review our privacy ammiel-tison. Thus, gestational age should not be the only criterion used. P-YA carried out the initial analyses, drafted the initial manuscript and approved the final manuscript as submitted. Intervals indicate the range of virtual rates calculated in 50 datasets by imputation in case of missing items. Moreover, sensitivity and specificity were similar when they were calculated for predicting cerebral palsy only.

Add to My Bibliography. Abstract Amiel-Tison neurologic assessment at term has recently been updated for clinical application. Neurologic and developmental disability at six years of age after extremely preterm birth. Rather, a final synthesis based on clusters of signs and symptoms is advisable. Amiel-tixon ; Thus, our study confirms that cerebral lesions are the most important predictors of cerebral palsy in preterm infants.

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This predictive model could be useful in countries where the gestational age of preterm infants is not known with precision and brain imaging is not available.

This neurological examination should be performed in all preterm neonates, prior to discharge or just after, to better inform parents and to better understand the risk of a poor outcome and therefore have a better idea of which baby requires more intensive follow-up.

Dev Med Child Neurol. Nevertheless, several limitations apply to studies evaluating neurological assessment: This instrument considers signs that depend on the integrity of upper structures, such as passive and active tones in the axis and limbs, spontaneous movements, behaviour and alertness, as well as cranial characteristics.

Please review our privacy policy. Next, the number and frequency of children with suboptimal neuromotor status in case of no abnormal item, one or two abnormal items and three or more abnormal items were calculated.

Interexaminer reliability of Amiel-Tison neurological assessments. All p values resulted from amiel-hison tests. Two predictive risk stratification trees were built using the training set, which were based on the neurological assessment at term along with either gestational age or severe cranial lesions or birth weight.

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Update of the Amiel-Tison neurologic assessment for the term neonate or at 40 weeks corrected age.

The total population with assessment at term or neuropogical term was split into two groups: Motor development in very preterm and very low-birth-weight children from birth to adolescence: J Pediatr ; The classifications obtained in the validation group are shown.

Severe cerebral lesions detected on imaging constituted the main criterion for neuromotor status prediction, especially cerebral palsy. Competing interests No funding body had any role in the study design, data collection and analysis, decision to publish or preparation of the manuscript. Interobserver reliability of the Amiel-Tison neurological assessment at term. Add to My Bibliography. A simple 0, 1, and 2 scoring system asswssment proposed.

Twelve of amiel-itson 13 items of the Amiel-Tison neurological assessment tool at term selected in the training group were significantly associated with neurological outcome. Forgot your user name or password? To learn more about how we use cookies, please see our cookies policy.


Amiel-Tison neurologic assessment at term has recently been updated for clinical application. Rather, a final synthesis based on clusters of signs and symptoms is advisable. Mean age at admission to a neonatal special care unit was 75h, SD We use qssessment to help provide and enhance our service and tailor content and ads.

In the second tree, only birth weight and abnormal neurological status were included. Abstract Objective To develop a nneurological risk stratification model for the identification of preterm infants at risk of 2-year suboptimal neuromotor status. View inline View popup. Nevertheless, this study was population based, and not institution based, which is a strength because it better describes real-life conditions.

If an abnormal response was recorded for the two neuromotor neurologicwl gross motor and fine motorthe child was classified as showing suboptimal neuromotor function, in order to limit the risk of underestimating suboptimal neuromotor status. National Center for Biotechnology InformationU. Specificity, sensitivity and positive likelihood of each item are reported in table 1. These two groups were not significantly different table 2.

Minerva Pediatr ; Data sharing statement No additional unpublished data are available. Such an assessment is useful for any newborn infant in maternity wards or for any preterm infant approximately 40 weeks of age, with or without abnormal imaging findings.

Having at least one abnormal item was defined as an abnormal neurological status at term. Specificity and sensitivity of the abnormal neurological assessment at term were 0.