PREDICTIVE VALUE OF THE GENERAL MOVEMENTS ASSESSMENT IN PRETERM INFANTS: A META-ANALYSIS
ABSTRACT Objective: To discuss the predictive value of the General Movements Assessment for the diagnosis of neurodevelopment disorders in preterm newborns. Data source: We conducted a systematic literature review using the following databases: Scientific Electronic Library Online (SciELO), Nati...
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| Format: | Article |
| Language: | English |
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Sociedade de Pediatria de São Paulo
2020-05-01
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| Series: | Revista Paulista de Pediatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822020000100509&tlng=en |
| _version_ | 1828242686049517568 |
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| author | Camila da Silva Pires Sérgio Tadeu Martins Marba Jamil Pedro de Siqueira Caldas Mônica de Carvalho Sanchez Stopiglia |
| author_facet | Camila da Silva Pires Sérgio Tadeu Martins Marba Jamil Pedro de Siqueira Caldas Mônica de Carvalho Sanchez Stopiglia |
| author_sort | Camila da Silva Pires |
| collection | DOAJ |
| description | ABSTRACT Objective: To discuss the predictive value of the General Movements Assessment for the diagnosis of neurodevelopment disorders in preterm newborns. Data source: We conducted a systematic literature review using the following databases: Scientific Electronic Library Online (SciELO), National Library of Medicine, National Institutes of Health (PubMed), and Excerpta Medica Database (EMBASE). The articles were filtered by language, year of publication, population of interest, use of Prechtl’s Method on the Qualitative Assessment of General Movements, and presence of variables related to the predictive value. The Quality Assessment of Diagnostic Accuracy Studies 2 was used to assess the methodology of the included studies. Sensitivity, specificity, Diagnostic Odds Ratio, positive and negative likelihood ratio, and parameter of accuracy were calculated. Data synthesis: Six of 342 articles were included. The evaluation of Writhing Movements is a good indicator for recognizing cerebral palsy, as it has high values for the sensitivity and accuracy parameters. The evaluation of Fidgety Movements has the strongest predictive validity for cerebral palsy, as it has high values in all measures of diagnostic accuracy. The quality assessment shows high risk of bias for patient selection and flow and timing of the evaluation. Therefore, the scale has potential to detect individuals with neurodevelopment disorders. However, the studies presented limitations regarding the selection of subjects and the assessment of neurological outcomes. Conclusions: Despite the high predictive values of the tool to identify neurological disorders, research on the subject is required due to the heterogeneity of the current studies. |
| first_indexed | 2024-04-12T22:19:00Z |
| format | Article |
| id | doaj.art-d6750bf7932a480ebb291fe0b5a31865 |
| institution | Directory Open Access Journal |
| issn | 1984-0462 |
| language | English |
| last_indexed | 2024-04-12T22:19:00Z |
| publishDate | 2020-05-01 |
| publisher | Sociedade de Pediatria de São Paulo |
| record_format | Article |
| series | Revista Paulista de Pediatria |
| spelling | doaj.art-d6750bf7932a480ebb291fe0b5a318652022-12-22T03:14:26ZengSociedade de Pediatria de São PauloRevista Paulista de Pediatria1984-04622020-05-013810.1590/1984-0462/2020/38/2018286PREDICTIVE VALUE OF THE GENERAL MOVEMENTS ASSESSMENT IN PRETERM INFANTS: A META-ANALYSISCamila da Silva Pireshttps://orcid.org/0000-0001-9203-6251Sérgio Tadeu Martins Marbahttps://orcid.org/0000-0003-2903-6915Jamil Pedro de Siqueira Caldashttps://orcid.org/0000-0001-5292-2320Mônica de Carvalho Sanchez Stopigliahttps://orcid.org/0000-0002-2023-6163ABSTRACT Objective: To discuss the predictive value of the General Movements Assessment for the diagnosis of neurodevelopment disorders in preterm newborns. Data source: We conducted a systematic literature review using the following databases: Scientific Electronic Library Online (SciELO), National Library of Medicine, National Institutes of Health (PubMed), and Excerpta Medica Database (EMBASE). The articles were filtered by language, year of publication, population of interest, use of Prechtl’s Method on the Qualitative Assessment of General Movements, and presence of variables related to the predictive value. The Quality Assessment of Diagnostic Accuracy Studies 2 was used to assess the methodology of the included studies. Sensitivity, specificity, Diagnostic Odds Ratio, positive and negative likelihood ratio, and parameter of accuracy were calculated. Data synthesis: Six of 342 articles were included. The evaluation of Writhing Movements is a good indicator for recognizing cerebral palsy, as it has high values for the sensitivity and accuracy parameters. The evaluation of Fidgety Movements has the strongest predictive validity for cerebral palsy, as it has high values in all measures of diagnostic accuracy. The quality assessment shows high risk of bias for patient selection and flow and timing of the evaluation. Therefore, the scale has potential to detect individuals with neurodevelopment disorders. However, the studies presented limitations regarding the selection of subjects and the assessment of neurological outcomes. Conclusions: Despite the high predictive values of the tool to identify neurological disorders, research on the subject is required due to the heterogeneity of the current studies.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822020000100509&tlng=enNeurologic examinationInfant, prematurePrognosisCerebral palsy |
| spellingShingle | Camila da Silva Pires Sérgio Tadeu Martins Marba Jamil Pedro de Siqueira Caldas Mônica de Carvalho Sanchez Stopiglia PREDICTIVE VALUE OF THE GENERAL MOVEMENTS ASSESSMENT IN PRETERM INFANTS: A META-ANALYSIS Revista Paulista de Pediatria Neurologic examination Infant, premature Prognosis Cerebral palsy |
| title | PREDICTIVE VALUE OF THE GENERAL MOVEMENTS ASSESSMENT IN PRETERM INFANTS: A META-ANALYSIS |
| title_full | PREDICTIVE VALUE OF THE GENERAL MOVEMENTS ASSESSMENT IN PRETERM INFANTS: A META-ANALYSIS |
| title_fullStr | PREDICTIVE VALUE OF THE GENERAL MOVEMENTS ASSESSMENT IN PRETERM INFANTS: A META-ANALYSIS |
| title_full_unstemmed | PREDICTIVE VALUE OF THE GENERAL MOVEMENTS ASSESSMENT IN PRETERM INFANTS: A META-ANALYSIS |
| title_short | PREDICTIVE VALUE OF THE GENERAL MOVEMENTS ASSESSMENT IN PRETERM INFANTS: A META-ANALYSIS |
| title_sort | predictive value of the general movements assessment in preterm infants a meta analysis |
| topic | Neurologic examination Infant, premature Prognosis Cerebral palsy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822020000100509&tlng=en |
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