Comparison of numerical and standard sarnat grading using the NICHD and SIBEN methods

Objective The NICHD and SIBEN assessments are adapted from the Sarnat grade, and used to determine severity of neonatal encephalopathy (NE). We compare NICHD and SIBEN methods, and their ability to define a minimum threshold associated with significant cerebral injury. Study design Between 2016 and...

Full description

Saved in:
Bibliographic Details
Published in:Journal of perinatology 2022-03, Vol.42 (3), p.328-334
Main Authors: Walsh, Brian H., Munster, Chelsea, El-Shibiny, Hoda, Yang, Edward, Inder, Terrie E., El-Dib, Mohamed
Format: Article
Language:English
Subjects:
59/57
692/699/375/2764
692/700/139/1735
692/700/1720
Accuracy
Babies
Brain Injuries - diagnosis
Consciousness
Encephalopathy
Heart rate
Humans
Infant
Infant, Newborn
Infant, Newborn, Diseases
Infants
Injuries
Medical records
Medicine
Medicine & Public Health
National Institute of Child Health and Human Development (U.S.)
Neonates
Pediatric Surgery
Pediatrics
Quality
ROC Curve
United States
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective The NICHD and SIBEN assessments are adapted from the Sarnat grade, and used to determine severity of neonatal encephalopathy (NE). We compare NICHD and SIBEN methods, and their ability to define a minimum threshold associated with significant cerebral injury. Study design Between 2016 and 2019, 145 infants with NE (77-mild; 65-moderate; 3-severe) were included. NICHD and SIBEN grade and numerical scores were assigned. Kappa scores described agreement between methods, and ROC curves their ability to predict MR injury. Results Good agreement existed between grading systems ( K  = 0.86). SIBEN defined more infants as moderate, and less as mild, than NICHD ( p  
ISSN:0743-8346
1476-5543
DOI:10.1038/s41372-021-01180-w