Neurological assessment in infants discharged from a neonatal intensive care unit

Romeo, Domenico M.M.; Cioni, Matteo; Palermo, Filippo; Cilauro, Salvo; Romeo, Mario G.

doi:10.1016/j.ejpn.2012.09.006

Cited by 92Infant Development and Preterm CareNeonatal and fetal brain pathologyCerebral Palsy and Movement Disorders

Neurological assessment in infants discharged from a neonatal intensive care unit

Romeo, Domenico M.M., Cioni, Matteo, Palermo, Filippo, Cilauro, Salvo, Romeo, Mario G.·2013·European Journal of Paediatric Neurology

DOI 10.1016/j.ejpn.2012.09.006

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Abstract

Background Longitudinal motor assessment in infants at different neurodevelopmental risk has not been previously evaluated using structured assessments.Aim To verify if the Hammersmith Infant Neurological Examination (HINE) is a good tool to predict the neuromotor outcome in infants discharged from a level II-III Neonatal Intensive Care Unit (NICU) METHODS: In this cohort analysis, 1541 infants discharged from our NICU between January of 2002 and the April 2006 were enrolled and assessed using the HINE at 3, 6, 9, 12 months. At two years, these infants were further assessed, and grouped into infants with normal outcome (1150), with mild disability (321) and with cerebral palsy (70),Results Correlation analysis of Spearman showed a significant (p < 0.0001) and moderate (r(2) = -0.55 to -0.73) negative correlation between HINE scores (3, 6, 9, 12 months) and neurological outcome at two years. Cut-off scores for each assessment' age were provided as predictive value for cerebral palsy.Discussion This study mainly showed that HINE, as soon as the first months of life, helps in the process of prediction of neurological outcome at two years of age in a heterogeneous population of infants discharged from an NICU.

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New international clinical practice guidelines aim to shift detection of infants at high risk of CP earlier, to 12 to 24 weeks corrected age, which is significantly earlier than previous diagnosis windows in Australia at 19 months.
“New international clinical practice guidelines exist for identifying infants at high risk of cerebral palsy (CP) earlier: between 12 to 24 weeks corrected age, significantly earlier than previous diagnosis windows in Australia at 19 months.”
From Early Parenting Acceptance and Commitment Therapy ‘Early PACT’ for parents of infants with cerebral palsy: a study protocol of a randomised controlled trial (2020) · cites this paper as [5]

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Neuromotor development in infants with cerebral palsy investigated by the Hammersmith Infant Neurological Examination during the first year of age
Romeo, D. M., Cioni, M., Scoto, M., Mazzone, L., Palermo, F., & Romeo, M. G. (2007) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2007.05.006 · Cited by 215 · see citing works
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Infant Neurological Examination from 3 to 12 Months: Predictive Value of the Single Items
Pizzardi, A., Romeo, D. M., Cioni, M., Romeo, M. G., & Guzzetta, A. (2008) · Neuropediatrics · doi:10.1055/s-0029-1214423 · Cited by 39 · see citing works
Self-citation

Authors: Romeo, D. M. M., Cioni, M., Palermo, F., Cilauro, S., & Romeo, M. G.
Affiliations: Università Cattolica del Sacro Cuore (IT)
University of Catania (IT)
Corresponding author: Cioni, Matteo
ORCID: Romeo, Domenico M.M.
Cioni, Matteo
Venue: European Journal of Paediatric Neurology
Publisher: Elsevier BV
Published: 2013-03
Volume: 17
Issue: 2
Pages: 192-198
ISSN: 1090-3798 (ISSN-L)
DOI: 10.1016/j.ejpn.2012.09.006
OpenAlex: W2066187315
Cited by: 92
References: 41
Citations by year: 2026: 15 · 2025: 11 · 2024: 16 · 2023: 5 · 2022: 10 · 2021: 7 · 2020: 13 · 2019: 3 · 2018: 6 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 1
FWCI: 0.84
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: European Journal of Paediatric Neurology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
Keywords: Hammersmith Infant Neurological Examination, neurological outcome prediction, cerebral palsy, neurodevelopmental outcomes, neurodevelopmental risk, cut-off values
MeSH terms: Humans, Infant, Infant, Newborn, Infant, Newborn, Diseases, Intensive Care Units, Neonatal, Neurologic Examination, Psychomotor Performance, Cohort Studies

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Neurological assessment in infants discharged from a neonatal intensive care unit

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