Combining activity and grimace scores reflects perinatal stability in infants <32 weeks gestational age.

ABSTRACT:

Background

Over 95% of infants less than 32 weeks gestational age-very preterm infants (VPTI)-require cardiorespiratory support at birth. Clinical condition at birth is assessed by the Apgar score, but the precision and accuracy of activity and grimace has not been evaluated. We hypothesised activity and grimace could predict the level of cardiorespiratory support required for stabilisation.

Methods

Two hundred twenty-nine videos of VPTI resuscitations at Monash Children's Hospital and The Royal Women's Hospital, Melbourne were evaluated, with 78 videos eligible for assessment. Activity and grimace were scored (0, 1, or 2) by seven consultant neonatologists, with inter-rater reliability assessed. Activity and grimace were correlated with the maximum level of cardiorespirator

SUBMITTER: Tuttle Z 

PROVIDER: S-EPMC11502514 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature