The neurologic and adaptive capacity score is not a reliable method of newborn evaluation.

Abstract:

BACKGROUND:The Neurologic and Adaptive Capacity Score (NACS) is a multi-item scale that was published in 1982 to measure the effects of intrapartum drugs on the neonate. Although this scoring system has been widely used in obstetric anesthesia research, studies confirming its reliability have not been published. The purpose of this study was to assess the reliability of the NACS. METHODS:Two teams of observers were trained to perform the NACS on healthy, term neonates born in the vertex presentation. Two examinations were performed on each neonate within the first 2.5 h of life. Simultaneous (or "split-half") reliability was assessed using the alpha coefficient. Test-retest reliability was assessed using the intraclass correlation coefficient. The test was considered to be reliable if a was greater than 0.7 and the intraclass correlation coefficient was greater than 0.6. RESULTS:Two hundred babies were studied. The a was 0.47 and the intraclass correlation coefficient was 0.38 (95% confidence interval, 0.24-0.52). CONCLUSIONS:The NACS had poor reliability both on simultaneous testing and in the test-retest situation when used to evaluate term, healthy neonates. The authors suggest that other measures need to be developed to evaluate the effect of intrapartum drug administration in the neonate. Health measurement scales should undergo rigorous assessment for reliability and validity before they are used in clinical practice or for research purposes.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Halpern SH,Littleford JA,Brockhurst NJ,Youngs PJ,Malik N,Owen HC

doi

10.1097/00000542-200106000-00007

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

958-62

issue

6

eissn

0003-3022

issn

1528-1175

journal_volume

94

pub_type

临床试验,杂志文章
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  • Phenylephrine added to prophylactic ephedrine infusion during spinal anesthesia for elective cesarean section.

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    authors: Mercier FJ,Riley ET,Frederickson WL,Roger-Christoph S,Benhamou D,Cohen SE

    更新日期:2001-09-01 00:00:00

  • Acid-sensing Ion Channel 3 Overexpression in Incisions Regulated by Nerve Growth Factor Participates in Postoperative Nociception in Rats.

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    authors: Li H,Li H,Cheng J,Liu X,Zhang Z,Wu C

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  • Temperature correction of arterial blood-gas parameters: A comparative review of methodology.

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    doi:10.1097/00000542-198109000-00022

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    更新日期:1981-09-01 00:00:00

  • Prediction of Bispectral Index during Target-controlled Infusion of Propofol and Remifentanil: A Deep Learning Approach.

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    doi:10.1097/ALN.0000000000001892

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    更新日期:2018-03-01 00:00:00

  • The effect of 30% nitrous oxide on thermoregulatory responses in humans during hypothermia.

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    journal_title:Anesthesiology

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    doi:10.1097/00000542-199204000-00011

    authors: Passias TC,Mekjavić IB,Eiken O

    更新日期:1992-04-01 00:00:00

  • Primer of postoperative pruritus for anesthesiologists.

    abstract::Postoperative itching is an important problem in the postoperative care unit. Pruritus after surgery may be drug induced (including intrathecal opioids) or secondary to a preexisting systemic disease. Mechanisms of itching are complex and not completely understood. The purpose of this review is to highlight new discov...

    journal_title:Anesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/00000542-200507000-00025

    authors: Waxler B,Dadabhoy ZP,Stojiljkovic L,Rabito SF

    更新日期:2005-07-01 00:00:00

  • Developmental effects of neonatal isoflurane and sevoflurane exposure in rats.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318291c04e

    authors: Seubert CN,Zhu W,Pavlinec C,Gravenstein N,Martynyuk AE

    更新日期:2013-08-01 00:00:00

  • Increase in extracellular potassium in the brain during circulatory arrest: effects of hypothermia, lidocaine, and thiopental.

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    doi:10.1097/00000542-198109000-00012

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    更新日期:1981-09-01 00:00:00

  • Anesthetics inhibit acetylcholine-promoted guanine nucleotide exchange of heterotrimeric G proteins of airway smooth muscle.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200407000-00019

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    更新日期:2004-07-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    更新日期:2013-06-01 00:00:00

  • Changes in lung volume and lung-thorax compliance during cardiac surgery in children 11 days to 4 years of age.

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    更新日期:1986-09-01 00:00:00

  • Preanesthetic medication in children: a comparison of oral transmucosal fentanyl citrate versus placebo.

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

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    更新日期:1989-09-01 00:00:00

  • Enhanced cerebral blood flow autoregulation in the newborn piglet by d-tubocurarine and pancuronium but not by vecuronium.

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    pub_type: 杂志文章

    doi:10.1097/00000542-199202000-00013

    authors: Chemtob S,Barna T,Beharry K,Aranda JV,Varma DR

    更新日期:1992-02-01 00:00:00

  • Rebound hypertensive after sodium nitroprusside prevented by saralasin in rats.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Delaney TJ,Miller ED Jr

    更新日期:1980-02-01 00:00:00

  • Ethanol and contraction of venous smooth muscle.

    abstract::Low concentrations of ethanol (17 mM) inhibited development of spontaneous mechanical activity (vasomotion) in isolated rat portal veins. Low concentrations of ethanol potentiated, however, contractions induced by epinephrine, but not those induced by angiotensin or potassium. Higher concentrations of ethanol, such as...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197604000-00009

    authors: Edgarian H,Altura BM

    更新日期:1976-04-01 00:00:00

  • Artifact Processing Methods Influence on Intraoperative Hypotension Quantification and Outcome Effect Estimates.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000003131

    authors: Pasma W,Peelen LM,van Buuren S,van Klei WA,de Graaff JC

    更新日期:2020-04-01 00:00:00

  • In vivo fluorescence-mediated tomography imaging demonstrates atorvastatin-mediated reduction of lesion macrophages in ApoE-/- mice.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318291c18b

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    更新日期:2013-07-01 00:00:00

  • Effect of infusion rate on thiopental dose-response relationships. Assessment of a pharmacokinetic-pharmacodynamic model.

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    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Gentry WB,Krejcie TC,Henthorn TK,Shanks CA,Howard KA,Gupta DK,Avram MJ

    更新日期:1994-08-01 00:00:00

  • Ineffectiveness of burst suppression therapy in mitigating perioperative cerebrovascular dysfunction. Multicenter Study of Perioperative Ischemia (McSPI) Research Group.

    abstract:BACKGROUND:Cerebral injury is among the most common and disabling complications of open heart surgery. Attempts to provide neuroprotection have yielded conflicting results. We assessed the potential of propofol-induced burst suppression during open heart surgery to provide cerebral protection as determined by postopera...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00000542-199905000-00006

    authors: Roach GW,Newman MF,Murkin JM,Martzke J,Ruskin A,Li J,Guo A,Wisniewski A,Mangano DT

    更新日期:1999-05-01 00:00:00

  • Metabolism of ketamine stereoisomers by human liver microsomes.

    abstract::Ketamine is used clinically as a racemic mixture of optical isomers that differ in their analgesic properties and psychomimetic effects. Administered individually, or together as the racemate, ketamine enantiomers differ in their hepatic clearance and duration of anesthetic effect. S(+) ketamine exhibits a greater cle...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199212000-00022

    authors: Kharasch ED,Labroo R

    更新日期:1992-12-01 00:00:00

  • Intergenerational Effects of Sevoflurane in Young Adult Rats.

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    pub_type: 杂志文章

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    更新日期:2019-11-01 00:00:00

  • Sufentanil disposition. Is it affected by erythromycin administration?

    abstract:BACKGROUND:Because oral erythromycin administration has been associated with reduced elimination of alfentanil, suspicion has been raised about related opioids with similar metabolic pathways. A controlled crossover study of sufentanil pharmacokinetics was undertaken to resolve this issue. METHODS:Six subjects had mea...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

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    更新日期:1993-02-01 00:00:00

  • Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.

    abstract:BACKGROUND:Medical errors exact an inordinate toll on healthcare costs. One of the most publicized and analyzed type of medical error is wrong-site surgery. Yet, despite the burgeoning number of procedures performed, no literature exists on wrong-site pain management injections. The purpose of this study was to estimat...

    journal_title:Anesthesiology

    pub_type: 杂志文章,多中心研究

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    更新日期:2010-03-01 00:00:00

  • A Random-allocation Graded Dose-Response Study of Norepinephrine and Phenylephrine for Treating Hypotension during Spinal Anesthesia for Cesarean Delivery.

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    pub_type: 杂志文章,随机对照试验

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    更新日期:2017-12-01 00:00:00

  • Effects of blood glucose changes and physostigmine on anesthetic requirements of halothane in rats.

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    pub_type: 杂志文章

    doi:10.1097/00000542-199503000-00014

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    更新日期:1995-03-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00000542-199105000-00008

    authors: Gordon MA,Urban MK,O'Connor T,Barash PG

    更新日期:1991-05-01 00:00:00