Table 2 Responses to the survey questions confidence of specific aspects of the neurological examination in unwell neonates
From: Attitudes towards the neurological examination in an unwell neonate: a mixed methods approach
Question | Possible Answers | Whole cohort | By Grade | By speciality | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
ST1-3 | ST4-8 and other | Consultant | ANNP | Tertiary neonatology | Paediatrics* | Paediatric Neurology | ||||
How easy is it to assess the following aspects of the neurological examination of a sick neonate? | Conscious level | Scale 0–6, where 0 = not at all easy; 3 = somewhat easy; 6 = completely easy | 4 (IQR 2.75–5; range 0–6) | 3 (IQR 2–4; range 0–6) | 4 (IQR 3–5; range 0–6) | 4 (IQR 3–5; range 0–6) | 1 (IQR 1–5); range 1–6) | 4 (IQR 3–5; range 0–6) | 4 (IQR 2–5; range 0–6) | 3 (IQR 3–4; range 1–6) |
Quantity of spontaneous movements | 4 (IQR 3–5; range 0–6) | 4 (IQR 3–5; range 1–6) | 4 (IQR 3–5; range 0–6) | 4 (IQR 3–5; range 0–6) | 3 (IQR 1–5; range 1–6) | 4 (IQR 3–5; range 1–6) | 4 (IQR 3–5; range 0–6) | 4 (IQR 3–5; range 1–5) | ||
Quality of movements | 4 (IQR 3–4; range 0–6) | 3.5 (IQR 2–5; range 0–6) | 4 (IQR 2.5–4; range 0–6) | 4 (IQR 3–4; range 0–6) | 4 (IQR 2–4; range 1–6) | 4 (IQR 3–4; range 1–6) | 4 (IQR 2.75–5; range 0–6) | 4 (IQR 3–4; range 2–5) | ||
Limb tone | 4 (IQR 3–5; range 0–6) | 4 (IQR 3.25–5; range 0–6) | 4 (IQR 3–5; range 0–6) | 4 (IQR 3–5; range 1–6) | 4 (IQR 3–4; range 2–6) | 4 (IQR 3–5; range 2–6) | 4 (IQR 3–5; range 0–6) | 3 (IQR 3–5; range 2–6) | ||
Truncal tone | 4 (IQR 2–5; range 0–6) | 3 (IQR 2–4.75; range 0–6) | 4 (IQR 2–5; range 0–6) | 4 (IQR 2–4; range 1–6) | 2 (IQR 2–4; range 2–4) | 3.5 (IQR 2–4.25; range 1–6) | 4 (IQR 2–5; range 0–6) | 3.5 (IQR 3–5; range 1–6) | ||
Muscle power | 3 (IQR 2–4; range 0–6) | 3 (IQR 2–3.75; range 0–6) | 3 (IQR 2–4; range 0–6) | 3 (IQR 2–4; range 0–6) | 2 (IQR 2–3; range 2–4) | 3 (IQR 2–4; range 0–6) | 3 (IQR 2–4; range 0–6) | 3 (IQR 2–4; range 1–5) | ||
Deep tendon reflexes | 3 (IQR 2–4; range 0–6) | 2 (IQR 1.25–3; range 0–6) | 3 (IQR 2–4; range 0–6) | 3 (IQR 2–4; range 0–6) | 1 (IQR 1–1; range 0–1) | 3 (IQR 1–4; range 0–6) | 3 (IQR 2–4; range 0–6) | 4 (IQR 3–5; range 1–6) | ||
Primitive reflexes | 4 (IQR 3–5; range 0–6) | 4 (IQR 3–5; range 0–6) | 5 (IQR 3–5; range 0–6) | 4 (IQR 3–5; range 0–6) | 3 (IQR 3–3; range 2–6) | 4 (IQR 3–5; range 1–6) | 4 (IQR 3–5; range 0–6) | 5 (IQR 3.5–5; range 3–6) | ||
Cranial nerve function | 2 (IQR 1–3; range 0–6) | 2 (IQR 1–3; range 0–4) | 2 (IQR 0–3; range 0–6) | 2 (IQR 1–3; range 0–6) | 1 (IQR 0–1; range 0–2) | 2 (IQR 1–3; range 0–4) | 2 (IQR 0–3; range 0–6) | 2 (IQR 2–3; range 0–5) | ||
Anterior fontanelle | 6 (IQR 5–6; range 2–6) | 6 (IQR 4–6; range 2–6) | 6 (IQR 5–6; range 3–6) | 6 (IQR 5–6; range 3–6) | 6 (IQR 4–6; range 3–6) | 6 (IQR 5–6; range 3–6) | 6 (IQR 5–6; range 2–6) | 5.5 (IQR 5–6; range 4–6) | ||
Pupillary responses | 5 (IQR 4–5.5; range 0–6) | 5 (IQR 3–6; range 1–6) | 5 (IQR 4–5; range 0–6) | 5 (IQR 4–5; range 0–6) | 4 (IQR 4–6; range 2–6) | 5 (IQR 4–6; range 2–6) | 5 (IQR 4–5; range 0–6) | 5 (IQR 3.75–6; range 2–6) | ||
Visual ability | 3 (IQR 1–4; range 0–6) | 3 (IQR 2–4; range 0–6) | 3 (IQR 2–4; range 0–6) | 2.5 (IQR 1–4; range 0–6) | 0 (IQR 0–1; range 0–5) | 2 (IQR 1–3.5; range 0–6) | 3 (IQR 1–4; range 0–6) | 4 (IQR 3–5; range 0–6) | ||
Eye movements | 3 (IQR 2–4; range 0–6) | 2 (IQR 1–3; range 0–6) | 3 (IQR 2–4; range 0–6) | 3 (IQR 2–4; range 0–6) | 1 (IQR 0–2; range 0–6) | 2 (IQR 1.75–4; range 0–6) | 2 (IQR 2–4; range 0–6) | 3 (IQR 2–4; range 0–6) | ||
Facial expression | 3 (IQR 2–4; range 0–6) | 3 (IQR 2.25–4; range 0–6) | 3 (IQR 2–4; range 0–6) | 3 (IQR 2–4; range 0–6) | 2 (IQR 2–4; range 1–6) | 3 (IQR 2–4; range 0–6) | 3 (IQR 2–4; range 0–6) | 3.5 (IQR 2.75–4; range 1–6) | ||
Fundal examination | 1 (IQR 0–3; range 0–6) | 0.5 (IQR 0–2; range 0–4) | 1 (IQR 0–2.5; range 0–5) | 2 (IQR 0–3; range 0–6) | 1 (IQR 1–2; range 0–3) | 2 (IQR 0–3; range 0–6) | 1 (IQR 0–2; range 0–5) | 2 (IQR 0.75–3; range 0–5) | ||
Gag | 4 (IQR 3–5; range 0–6) | 3.5 (IQR 2–5; range 0–6) | 4 (IQR 3–5; range 0–6) | 5 (IQR 4–5; range 0–6) | 5 (IQR 3–6; range 2–6) | 5 (IQR 4.5–6; range 2–6) | 4 (IQR 2–5; range 0–6) | 4 (IQR 4–5.5; range 0–6) | ||
Suck | 5 (IQR 4–6; range 2–6) | 5.5 (IQR 4–6; range 2–6) | 5 (IQR 4–6; range 2–6) | 5 (IQR 5–6; range 2–6) | 5 (IQR 3–6; range 2–6) | 5 (IQR 5–6; range 2–6) | 5 (IQR 4–6; range 2–6) | 5 (IQR 4–6; range 3–6) | ||