Inter-rater reliability of the modified Sarnat examination in preterm infants at 32-36 weeks' gestation.

ABSTRACT:

Objective

To test the inter-rater reliability of the modified Sarnat neurologic examination in preterm neonates and to correlate abnormalities with the presence of perinatal acidosis.

Methods

Prospective study of 32-36 weeks' gestational age infants admitted to the neonatal intensive care unit. Each infant had two Sarnat examinations performed at <6 h, one by a gold standard (GS) study investigator, and the second either by (a) another GS examiner or (b) an attending physician (28 examiners), all blinded to clinical variables. Agreement was calculated using kappa (k) statistics.

Results

One hundred and two (9, fetal acidosis) infants underwent a modified Sarnat examination. Among GS examiners, agreement was excellent (k > 0.8) except for Moro, while among all examiner

SUBMITTER: Pavageau L 

PROVIDER: S-EPMC7078074 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature