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Manzotti A, Cerritelli F, Lombardi E, La Rocca S, Biasi P, Chiera M, Galli M, Lista G. Newborns' clinical conditions are correlated with the neonatal assessment manual scorE (NAME). Front Pediatr 2022; 10:967301. [PMID: 36160780 PMCID: PMC9500432 DOI: 10.3389/fped.2022.967301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Accepted: 08/23/2022] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To investigate the relationship between the Neonatal Assessment Manual scorE (NAME) and newborns' clinical condition on a large number of infants. The NAME model was developed as an instrument to assess the infant's general conditions, especially in NICUs, by evaluating how the infant's body responds to an external stressor such as static touch. Previous studies, employing experienced assessors, showed good validity indices as well as high inter-rater reliability. STUDY DESIGN Newborns were recruited at the "Vittore Buzzi" Pediatric Hospital NICU ward in Milan and their clinical conditions were collected through a standardized form-the complexity index. Two manual practitioners assessed all eligible newborns using the NAME scores. Data was analyzed using Kendall's τ correlation and odds ratio (OR) to assess the relationship between the NAME scores and the complexity index. RESULTS Two hundred two newborns (46% female; 34.1 w ± 4.3; birth weight of 2,093.4 gr ± 879.8) entered the study. The Kendall's correlation between the clinical conditions (complexity index) and the NAME score was -0.206 [95% CI: (-0.292, -0.116), p-value < 0.001], corresponding to an OR of 0.838 [95% CI: (0.757, 0.924), p-value < 0.001]. Further exploratory analyses showed significant correlation between gestational age, birth weight and NAME scores. CONCLUSION The present paper adds evidence to the NAME model validity by demonstrating its applicability in the clinical neonatological context.
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Affiliation(s)
- Andrea Manzotti
- Research and Assistance for Infants to Support Experience (RAISE) Lab, Foundation Centre for Osteopathic Medicine (COME) Collaboration, Pescara, Italy.,Division of Neonatology, "V. Buzzi" Children's Hospital ASST-FBF-Sacco, Milan, Italy.,Research Department, SOMA Istituto Osteopatia Milano, Milan, Italy
| | - Francesco Cerritelli
- Research and Assistance for Infants to Support Experience (RAISE) Lab, Foundation Centre for Osteopathic Medicine (COME) Collaboration, Pescara, Italy
| | - Erica Lombardi
- Research and Assistance for Infants to Support Experience (RAISE) Lab, Foundation Centre for Osteopathic Medicine (COME) Collaboration, Pescara, Italy.,Research Department, SOMA Istituto Osteopatia Milano, Milan, Italy
| | - Simona La Rocca
- Research and Assistance for Infants to Support Experience (RAISE) Lab, Foundation Centre for Osteopathic Medicine (COME) Collaboration, Pescara, Italy.,Research Department, SOMA Istituto Osteopatia Milano, Milan, Italy
| | - Pamela Biasi
- Research and Assistance for Infants to Support Experience (RAISE) Lab, Foundation Centre for Osteopathic Medicine (COME) Collaboration, Pescara, Italy.,Research Department, SOMA Istituto Osteopatia Milano, Milan, Italy
| | - Marco Chiera
- Research and Assistance for Infants to Support Experience (RAISE) Lab, Foundation Centre for Osteopathic Medicine (COME) Collaboration, Pescara, Italy
| | - Matteo Galli
- Research and Assistance for Infants to Support Experience (RAISE) Lab, Foundation Centre for Osteopathic Medicine (COME) Collaboration, Pescara, Italy.,Research Department, SOMA Istituto Osteopatia Milano, Milan, Italy
| | - Gianluca Lista
- Division of Neonatology, "V. Buzzi" Children's Hospital ASST-FBF-Sacco, Milan, Italy
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Manzotti A, Cerritelli F, Lombardi E, La Rocca S, Biasi P, Chiera M, Galli M, Lista G. The Neonatal Assessment Manual scorE: A Reliability Study on Hospitalized Neonates. Front Pediatr 2021; 9:715091. [PMID: 34631618 PMCID: PMC8492991 DOI: 10.3389/fped.2021.715091] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 08/18/2021] [Indexed: 01/20/2023] Open
Abstract
Despite clinical improvements in neonatal intensive care units (NICUs), prematurity keeps causing several comorbidities. To enhance the management of such conditions, in previous studies we devised the Neonatal Assessment Manual scorE (NAME) model, a structured touch-based assessment that aims to evaluate how newborns respond to gentle touch-based stimuli. The present study aimed to begin assessing the NAME interrater reliability and specific agreements. At the "Vittore Buzzi" Pediatric Hospital NICU ward in Milan, Italy, we enrolled 144 newborns, 85 male and 59 female, with a mean age of 35.9 weeks (±4.1) and a weight of 2,055.3 g (±750.6). Two experienced manual professionals performed the NAME procedure on all the infants. Regarding the total sample and the analysis by sex, we found moderate and statistically significant results for the interrater reliability (p < 0.001) and the specific agreements (p < 0.05), in particular for the "Marginal" score. Furthermore, interrater reliability significantly (p < 0.05) increased as age and weight increased, whereas there was an almost constant moderate and significant (p < 0.05) agreement especially for the "Marginal" score. Therefore, we found preliminary results showing that the NAME could be a reliable diagnostic tool for assessing the newborns' general condition.
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Affiliation(s)
- Andrea Manzotti
- RAISE lab, Foundation COME Collaboration, Pescara, Italy.,Division of Neonatology, Department of Pediatrics, "V. Buzzi" Children's Hospital, ASST-FBF-Sacco, Milan, Italy.,Research Department, SOMA, Istituto Osteopatia Milano, Milan, Italy
| | | | - Erica Lombardi
- RAISE lab, Foundation COME Collaboration, Pescara, Italy.,Research Department, SOMA, Istituto Osteopatia Milano, Milan, Italy
| | - Simona La Rocca
- RAISE lab, Foundation COME Collaboration, Pescara, Italy.,Research Department, SOMA, Istituto Osteopatia Milano, Milan, Italy
| | - Pamela Biasi
- RAISE lab, Foundation COME Collaboration, Pescara, Italy.,Research Department, SOMA, Istituto Osteopatia Milano, Milan, Italy
| | - Marco Chiera
- RAISE lab, Foundation COME Collaboration, Pescara, Italy
| | - Matteo Galli
- RAISE lab, Foundation COME Collaboration, Pescara, Italy.,Research Department, SOMA, Istituto Osteopatia Milano, Milan, Italy
| | - Gianluca Lista
- Division of Neonatology, Department of Pediatrics, "V. Buzzi" Children's Hospital, ASST-FBF-Sacco, Milan, Italy
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