The neonatal assessment manual score (NAME) for improving the clinical management of infants: a perspective validity study

Italian Journal of Pediatrics

Gianluca Lista¹  Jorge Esteves²  Marco Chiera²  Francesco Cerritelli²  Pamela Biasi³  Andrea Manzotti³  Erica Lombardi³  Simona La Rocca³  Matteo Galli⁴ 

[1] Division of Neonatology, “V. Buzzi” Children’s Hospital, ASST-FBF-Sacco, Milan, Italy;RAISE lab, Foundation COME Collaboration, Corso Europa 29 - 66054 Vasto (Italy), Pescara, Italy;RAISE lab, Foundation COME Collaboration, Corso Europa 29 - 66054 Vasto (Italy), Pescara, Italy;Division of Neonatology, “V. Buzzi” Children’s Hospital, ASST-FBF-Sacco, Milan, Italy;Research Department, SOMA, Istituto Osteopatia Milano, Milan, Italy;RAISE lab, Foundation COME Collaboration, Corso Europa 29 - 66054 Vasto (Italy), Pescara, Italy;Research Department, SOMA, Istituto Osteopatia Milano, Milan, Italy;

关键词: Neonatology;    Manual assessment;    Haptic perception;    Body volume;    Autonomic nervous system;    Prematurity;    Touch;    NICU;   

DOI  :  10.1186/s13052-021-01012-9

来源: Springer

【 摘 要 】

Background and objectivesThe Neonatal Assessment Manual scorE (NAME) was developed to assist in the clinical management of infants in the neonatal ward by assessing their body’s compliance and homogeneity. The present study begins its validation process.MethodsAn expert panel of neonatal intensive care unit (NICU) professionals investigated the NAME face and content validity. Content validity was assessed through the content validity index (CVI). Construct validity was assessed using data collected from 50 newborns hospitalized in the NICU of “Vittore Buzzi” Children Hospital of Milan, Italy. Kendall’s τ and ordinal logistic regressions were used to evaluate the correlation between the NAME scores and infants’ gestational age, birth weight, post-menstrual age, weight at the time of assessment, and a complexity index related to organic complications.ResultsThe CVIs for compliance, homogeneity, and the whole scale were respectively 1, 0.9, and 0.95. Construct validity analysis showed significant positive correlations between the NAME and infants’ weight and age, and a negative correlation between the NAME and the complexity index (τ = − 0.31 [95% IC: − 0.47, − 0.12], p = 0.016 and OR = 0.56 [95% IC: 0.32, 0.94], p = 0.034 for categorical NAME; τ = − 0.32 [95% IC: − 0.48, − 0.14], p = 0.005 for numerical NAME).ConclusionsThe NAME was well accepted by NICU professionals in this study and it demonstrates good construct validity in discriminating the infant’s general condition. Future studies are needed to test the NAME reliability and predictive capacity.

【 授权许可】

CC BY