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  • Title: Hammersmith Infant Neurological Examination in low-risk infants born very preterm: a longitudinal prospective study.
    Author: Romeo DM, Apicella M, Velli C, Brogna C, Ricci D, Pede E, Sini F, Coratti G, Gallini F, Cota F, Bovis F, Vento G, Mercuri E.
    Journal: Dev Med Child Neurol; 2022 Jul; 64(7):863-870. PubMed ID: 35298030.
    Abstract:
    AIM: To describe the profile of global and single items of the Hammersmith Infant Neurological Examination (HINE) in a population of low-risk infants born very preterm during the first year of life. METHOD: The HINE was performed at 3, 6, 9, and 12 months' corrected age in a population of low-risk infants born preterm with a gestational age of fewer than 32 weeks and with normal or minimal changes on neuroimaging. RESULTS: A total of 174 infants born preterm (96 males, 78 females; mean gestational age = 27 weeks [SD = 1.8], range 23-31 weeks) fulfilled the inclusion criteria. The 10th centile cut-off score with median and range was reported for the HINE global and subsection scores. A progressive increase in global HINE scores was observed. Most of the single items, especially those related to tone, posture, and reflexes, showed progressive maturation. INTERPRETATION: Our results, which provide longitudinal data for single-item and global scores in a population of low-risk infants born very preterm, can be used as a reference in both clinical and research settings to monitor early neurological signs in these infants. These data could be used as normative data when examining low-risk infants born preterm.
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