Neurodevelopmental Evaluation in a Neonatal Follow Up Clinic
- UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
- Laura McManus (Creator)
- Institution
- The University of North Carolina at Greensboro (UNCG )
- Web Site: http://library.uncg.edu/
- Advisor
- Angela Kabbe
Abstract: Background: Thorough neurodevelopmental evaluation of high-risk infants is important in the identification of neurodevelopmental delays. Purpose: The purpose of this project was to determine if using the Hammersmith Infant Neurological Examination (HINE) as an adjunct tool for neurodevelopmental evaluation would improve identification of neurodevelopmental delays. Methods: 105 patients in a neonatal follow up clinic were included in the project. Patient ages were 3 months to 12 months. Patients included preterm and term gestational ages. 74 patients were evaluated using the Bayley Scales of Infant Development fourth edition (BSID IV). 31 patients were evaluated using the BSID IV and the HINE. Results: Adding the HINE did not show a significant improvement in the identification of developmental delays and did not show a significant increase in qualification for a referral for intervention for delays. In the group evaluated using both the HINE and the BSID, there was a significant association between the BSID scores and the HINE scores. The HINE identified abnormalities and a risk for delay in some of the patients in this group while the BSID alone did not show delays. Recommendations and Conclusion: Using the HINE in addition to the BSID in neurodevelopmental evaluation can be useful in identifying early risk for neurodevelopmental delays in the high-risk infant population. The HINE and the BSID provide important information regarding developmental progress. Using only one tool in developmental evaluation may miss early signs of delays.
Neurodevelopmental Evaluation in a Neonatal Follow Up Clinic
PDF (Portable Document Format)
372 KB
Created on 2/10/2023
Views: 252
Additional Information
- Publication
- Dissertation
- Language: English
- Date: 2022
- Keywords
- Hammersmith Infant Neurological Examination, neurodevelopmental evaluation, Neonatal Intensive Care Unit, Neonatal follow up clinics