Molteno C, Grosz P, Wallace P, Jones M
Division of Child Development, University of South Florida, Tampa, USA.
Early Hum Dev. 1995 Apr 28;41(3):167-76. doi: 10.1016/0378-3782(95)01621-9.
The Dubowitz Neurological Assessment of the Preterm and Full-term Infant was used to evaluate infants at risk for developmental disabilities. Criteria for categorising the results of the Dubowitz Neurological Assessment were developed by documenting the findings on a group of relatively low risk infants managed in a NICU. The criteria, expressed as a number of deviant responses on items in the assessment, were used to test the concurrent and predictive validity. The Dubowitz Neurological Assessment was found to correlate with a perinatal risk rating and the findings on brain ultrasonography, indicating concurrent validity. Predictive validity was demonstrated by correlation with neurodevelopmental outcome and neurological status at 1 year corrected age. The sensitivity and specificity of the assessment were also used to develop a management protocol for graduates of the NICU.
采用杜波维茨早产和足月儿神经学评估来评估有发育障碍风险的婴儿。通过记录在新生儿重症监护病房(NICU)接受治疗的一组相对低风险婴儿的检查结果,制定了对杜波维茨神经学评估结果进行分类的标准。该标准以评估项目中异常反应的数量表示,用于检验同时效度和预测效度。结果发现,杜波维茨神经学评估与围产期风险评级以及脑部超声检查结果相关,表明具有同时效度。通过与矫正年龄1岁时的神经发育结局和神经学状态的相关性,证明了预测效度。评估的敏感性和特异性还被用于制定NICU出院患儿的管理方案。