Petersen Mario Cesar, Kube David Arnold, Whitaker Toni M, Graff Joyce Carolyn, Palmer Frederick B
Child Development and Rehabilitation Center, Clinical Services Building, University of Oregon, 901 East 18th Ave, Eugene, OR 97403, USA.
Pediatrics. 2009 Mar;123(3):e490-5. doi: 10.1542/peds.2008-2750.
The objective of this study was to estimate the prevalence of developmental and behavioral disorders in a convenience sample of children in an acute care pediatric hospital setting. We hypothesized that hospitalized children would have a higher prevalence of developmental and behavioral disorders than the general population.
Data for this cross-sectional study were collected during interviews with primary caregivers of 325 children from infancy throughout childhood who were admitted to a general pediatric service. Screening tests included the Child Development Inventory (3 months to 6 years), Parents' Evaluation of Developmental Status (0-8 years), Pediatric Symptom Checklist (4-18 years), and Vanderbilt Attention-Deficit/Hyperactivity Disorder Parent Rating Scale (6-18 years). Children were classified as having a known developmental and behavioral disorder, a suspected developmental and behavioral disorder, or no developmental and behavioral disorder.
The prevalence of developmental and behavioral disorders among the hospitalized children 6 months to 17 years of age was 33.5%. A total of 72 children (22.1%) had known developmental and behavioral disorders and 37 (11.4%) had suspected developmental and behavioral disorders. This high prevalence of developmental and behavioral disorders included high rates of cerebral palsy (6.1%) and mental retardation or developmental delay (8.6%).
Hospitalization for treatment of acute conditions provides another opportunity for developmental surveillance. This higher prevalence of developmental and behavioral disorders in hospitalized children emphasizes the need to screen for developmental disabilities at every opportunity. Strategies to implement systematic screening of hospitalized children should be examined.
本研究的目的是评估一家急症儿科医院便利样本中儿童发育和行为障碍的患病率。我们假设住院儿童发育和行为障碍的患病率高于一般人群。
本横断面研究的数据收集于对325名从婴儿期到儿童期入住普通儿科病房的儿童的主要照顾者进行访谈期间。筛查测试包括儿童发育量表（3个月至6岁）、父母对发育状况的评估（0至8岁）、儿科症状清单（4至18岁）以及范德比尔特注意力缺陷/多动障碍父母评定量表（6至18岁）。儿童被分类为患有已知的发育和行为障碍、疑似发育和行为障碍或无发育和行为障碍。
6个月至17岁住院儿童中发育和行为障碍的患病率为33.5%。共有72名儿童（22.1%）患有已知的发育和行为障碍，37名（11.4%）患有疑似发育和行为障碍。这种发育和行为障碍的高患病率包括脑瘫（6.1%）和智力低下或发育迟缓（8.6%）的高发生率。
因急性病住院治疗为发育监测提供了另一个机会。住院儿童中发育和行为障碍的较高患病率强调了要抓住一切机会筛查发育障碍。应研究对住院儿童实施系统筛查的策略。
