Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 2 de 2
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
Arch Dis Child Fetal Neonatal Ed ; 109(2): 173-181, 2024 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-37652673

RESUMO

OBJECTIVE: To collect data on content/face validity and interobserver agreement for a Neonatal Coma Score (NCS) in well full-term neonates and on construct validity in unwell and preterm babies, specifically how the NCS changed with gestational age and illness. DESIGN: Prospective cohort studies. SETTING: Two UK tertiary neonatal units (Sheffield and Leeds). PATIENTS: 151 well full-term (≥37 weeks gestational age) newborn babies recruited between January and February 2020 in Sheffield and April and May 2021 in Leeds; 101 sick preterm and full-term babies admitted to Sheffield neonatal unit between January 2021 and May 2022. INTERVENTION: A new NCS. MAIN OUTCOME MEASURES: Determination of normal values in well babies born ≥37 weeks gestational age; data on how the NCS changes with gestational age and illness. RESULTS: Face validity was demonstrated during development of the NCS. The median NCS of well, full-term newborn babies was 15 and the intraclass correlation coefficient was 0.78 (95% CI 0.70 to 0.84). In the 'well' preterm population, 95% <28 weeks had a score ≥11; 28-31 weeks ≥11; 32-36 weeks ≥13 and 37-44 weeks 14-15. The NCS dropped during periods of deterioration, demonstrating evidence of construct validity. Criterion validity was not assessed. CONCLUSIONS: The NCS has good intraobserver agreement in well full-term babies, with a normal NCS 14-15. The NCS in preterm neonates depended on gestational age, and deterioration from baseline was associated with illness. Further work is needed to determine normal scores each gestational age, reliability at lower levels, how early the NCS identifies deterioration and comparison with other assessment tools to demonstrate criterion validity.


Assuntos
Coma , Doenças do Recém-Nascido , Recém-Nascido , Lactente , Humanos , Estudos Prospectivos , Reprodutibilidade dos Testes , Recém-Nascido Prematuro , Idade Gestacional , Unidades de Terapia Intensiva Neonatal
2.
Nurs Child Young People ; 29(6): 20, 2017 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-28691617

RESUMO

Aim The aim of this project is to provide staff with appropriate training and support to ensure that nurses offer up-to-date, evidenced-based, neurological care, and that the best clinical outcomes are achieved.


Assuntos
Capacitação em Serviço/métodos , Avaliação em Enfermagem , Recursos Humanos de Enfermagem Hospitalar/educação , Enfermagem Pediátrica/educação , Técnicas de Diagnóstico Neurológico , Humanos , Reino Unido
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...