Clinical Factors Related to Abnormal General Movements Trajectories: Development of a Multicriteria Index.

IF 1.3 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2024-10-01 DOI:10.1097/PEP.0000000000001129

Karoline Tury de Mendonça, Ana Flávia de Souza Pascoal, Fernanda de Cordoba Lanza, Bernat Viñolas Prat, Rosane Luzia de Souza Morais, Ana Cristina Resende Camargos

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Abstract

Purpose: To create a multicriteria index with clinical factors associated with abnormal general movements (GMs) trajectories during a stay in the neonatal intensive care unit.

Methods: A longitudinal study assessed abnormal GMs trajectories in preterm infants in the neonatal intensive care unit. The multicriteria index included clinical factors such as intraventricular hemorrhage, respiratory support, gestational age, patent ductus arteriosus, and infection based on multi-attribute utility theory.

Results: A total of 52 preterm newborns, 57.7% male, were evaluated. The multicriteria index correlated with abnormal GMs trajectories and explained 26.5% of the variance in these trajectories.

Conclusion: The developed multicriteria index, with the inclusion of combined clinical factors, allowed the identification of part of the abnormal trajectories of GMs in preterm infants. The multicriteria analysis can help clinicians to identify infants who have a greater chance of poor developmental trajectories before hospital discharge.

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与异常全身运动轨迹相关的临床因素：多标准指数的开发。

目的：根据新生儿重症监护室住院期间与异常全身运动（GMs）轨迹相关的临床因素创建一个多标准指数：一项纵向研究评估了新生儿重症监护室早产儿的异常全身运动轨迹。基于多属性效用理论，多标准指数包括脑室内出血、呼吸支持、胎龄、动脉导管未闭和感染等临床因素：共评估了 52 名早产新生儿，其中 57.7% 为男性。多标准指数与异常基因组学轨迹相关，并解释了这些轨迹中 26.5% 的变异：结论：所开发的多标准指数纳入了综合临床因素，可识别早产儿基因组异常的部分轨迹。多标准分析可帮助临床医生在婴儿出院前识别出发育轨迹不良几率较大的婴儿。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.