Mehta S, Tandon A, Dua T, Kumari S, Singh S K
Neonatology Unit of Lady Hardinge Medical College, New Delhi.
Indian Pediatr. 1998 May;35(5):423-8.
Clinical assessment of nutritional status of neonate using CAN score and comparison with other methods of determining intrauterine growth.
Cross sectional study.
Tertiary care hospital.
637 consecutive, liveborn singleton neonates with known gestational age and no major congenital malformation.
Birth weight, length, midarm circumference and head circumference recorded in newborns. Ponderal index and mid arm to head circumference ratio was calculated. Clinical assessment of nutritional status was done on the basis of CAN score and compared with other methods.
CAN score < 25 separated 60% of the babies as well nourished and 40% as malnourished. Weight for age and Ponderal Index classified 70-75% of babies as well nourished (AGA) and 25-30% as malnourished. Also MAC/HC classified nearly half the babies as well nourished and half as malnourished.
CAN score may be a simple clinical index for identifying fetal malnutrition and for prediction of neonatal morbidity associated with it, without the aid of any sophisticated equipments.
使用CAN评分对新生儿营养状况进行临床评估，并与其他确定宫内生长情况的方法进行比较。
横断面研究。
三级护理医院。
637例连续出生的、单胎活产新生儿，已知胎龄且无重大先天性畸形。
记录新生儿的出生体重、身长、上臂围和头围。计算体重指数和上臂围与头围之比。基于CAN评分对营养状况进行临床评估，并与其他方法进行比较。
CAN评分<25可将60%的婴儿分类为营养良好，40%为营养不良。年龄别体重和体重指数将70 - 75%的婴儿分类为营养良好（适于胎龄儿），25 - 30%为营养不良。此外，上臂围/头围将近一半的婴儿分类为营养良好，一半为营养不良。
CAN评分可能是一种简单的临床指标，无需借助任何复杂设备即可识别胎儿营养不良及其相关的新生儿发病率。
