Inter-observer agreement of the General Movements Assessment with infants following surgery
Background: The General Movements Assessment (GMA) is a validated and reliable method of identifying infants at risk of adverse neurodevelopmental outcomes, however there is minimal data available on the use of the GMA with infants following surgery. Aims: The aim of this study was to investigate the inter-observer agreement for the GMA with this infant population. Study design: Reliability and agreement study. Subjects: This was a prospective cohort study of 190 infants (male n=112) born at term (mean 38weeks, SD 2weeks). Outcome measures: A GMA was conducted in the Neonatal Intensive Care Unit (NICU) following either cardiac surgery (n=92), non-cardiac surgery (n=93) or both types of surgery (n=5), and then again at three months of age. All videos were independently assessed by three advanced trained clinicians. Agreement and reliability statistics were calculated between each pair. Results: We found moderate to substantial levels of agreement in the writhing period (66-77%, AC 1 = 0.53-0.69). For fidgety general movements, agreement was classified as almost perfect, ranging from 86 to 89% (AC 1 = 0.84-0.88). Conclusions: The GMA has high levels of inter-observer agreement when used with infants who have undergone surgery in the neonatal period, making it a valid, complementary assessment tool. Research is now underway to determine the ability of the GMA to predict neurodevelopmental outcomes in this population.
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- DOI : http://dx.doi.org/10.1016/j.earlhumdev.2016.11.001
- Elsevier : 저널> 권호 > 논문
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