The Validity of the Bayley-III and DDST-II in Preterm Infants With Neurodevelopmental Impairment: A Pilot Study.
10.5535/arm.2017.41.5.851
- Author:
Seong Uk JEONG
1
;
Ghi Chan KIM
;
Ho Joong JEONG
;
Dong Kyu KIM
;
Yoo Rha HONG
;
Hui Dong KIM
;
Seok Gyo PARK
;
Young Joo SIM
Author Information
1. Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine, Busan, Korea. oggum@hanmail.net
- Publication Type:Original Article
- Keywords:
Premature birth;
infant;
Developmental disabilities
- MeSH:
Developmental Disabilities;
Humans;
Infant;
Infant, Newborn;
Infant, Premature*;
Mass Screening;
Neurologic Examination;
Pilot Projects*;
Premature Birth;
Retrospective Studies;
Weights and Measures
- From:Annals of Rehabilitation Medicine
2017;41(5):851-857
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To identify the usefulness of both the Bayley Scales of Infant and Toddler Development, 3rd edition (Bayley-III) and Denver Developmental Screening Test II (DDST-II) in preterm babies with neurodevelopmental impairment, considering the detection rate as regulation of criteria. METHODS: Retrospective medical chart reviews which included the Bayley-III and DDST-II, were conducted for 69 preterm babies. Detection rate of neurodevelopmental impairment in preterm babies were investigated by modulating scaled score of the Bayley-III. The detection rate of DDST-II was identified by regarding more than 1 caution as an abnormality. Then detection rates of each corrected age group were verified using conventional criteria. RESULTS: When applying conventional criteria, 22 infants and 35 infants were detected as preterm babies with neurodevelopmental impairment, as per the Bayley-III and DDST-II evaluation, respectively. Detection rates increased by applying abnormal criteria that specified as less than 11 points in the Bayley-III scaled score. In DDST-II, detection rates rose from 50% to 68.6% using modified criteria. The detection rates were highest when performed after 12 months corrected age, being 100% in DDST II. The detection rate also increased when applying the modified criteria in both the Bayley-III and DDST-II. CONCLUSION: Accurate neurologic examination is more important for detection of preterm babies with neurodevelopmental impairment. We suggest further studies for the accurate modification of the detection criteria in DDST-II and the Bayley-III for preterm babies.
