Title
Neurologic examination of preterm infants at term age: Comparison with term infants Neurologic examination of preterm infants at term age: Comparison with term infants
Author
Publication type
article
Publication
St.Louis, Mo. ,
Subject
Human medicine
Source (journal)
The journal of pediatrics. - St.Louis, Mo.
Volume/pages
142(2003) :6 , p. 647-655
ISSN
0022-3476
ISI
000183657300013
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Abstract
Objectives The aim was to establish the range of neurologic findings in preterm infants reaching term age, their relation to gestational age at birth, and the possible differences with healthy term newborns tested during the first days of life. Study design The Dubowitz neonatal neurologic examination was performed at term age in 157 low-risk preterm infants born between 25 and 34 weeks' gestation who had cranial ultrasonograms that were normal or showed minor abnormalities. Infants were subdivided in 3 groups according to their gestational age at birth. Results Within the preterm cohort, the range of scores for the 3 gestational age subgroups was different from each other for 21 of the 34 items, although the median scores were different only in 10 of the 34 items. The range of scores and their median in preterm infants however was wider than that found in term infants. Preterm infants examined at term were also more hyperexcitable and tended to have less flexor tone in the limbs and less extensor tone in the neck in the sitting posture. Conclusions The distribution of scores provides useful guidelines when a preterm infant is examined at term.
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