Mrozek-Budzyn Dorota, Kiełtyka Małgorzata Augustyniak Agnieszka, Majewska Renata
Przegl Epidemiol. 2014;68(1):71-5, 153-5.
The monitoring of infants development during preventive care visits to identify children whose development is concerning for delay is an essential part of pediatric practice.
The aim of the study was to examine the validity and clinical utility of developmental milestones reported by mothers in assessment of children development compared with the outcomes of BSID-II (Bayley Scales of Infant Development--second edition).
The cohort recruited prenatally, included 384 children. The Mental and Motor Scales of BSID-II were administered to each child at the end of the 12th, 24th and 36th month of life. When children were 3 years old, mothers were questioned about their child's age at attainment of 8 significant developmental milestones.
Sensitivity for the developmental milestones compared with score on the motor and mental scales of the BSID-II varied from 25.0% to 75.0%, specificity from 54.1% to 80.2%. The all of analysed milestones were characterized by low positive predictive value and rather high the negative one.
Parent report developmental milestones are a better tool for excluding those children who attain milestones rapidly, as a group with low risk of developmental delays, than in identifying children whose development is suspected of being delayed.
在预防性保健访视期间监测婴儿发育，以识别发育可能延迟的儿童，这是儿科实践的重要组成部分。
本研究旨在比较母亲报告的发育里程碑在评估儿童发育方面的有效性和临床实用性与贝利婴儿发展量表第二版（BSID-II）的结果。
该队列是产前招募的，包括384名儿童。在儿童12个月、24个月和36个月大时，对每个儿童进行BSID-II的智力和运动量表测试。当儿童3岁时，询问母亲孩子达到8个重要发育里程碑的年龄。
与BSID-II运动和智力量表得分相比，发育里程碑的敏感性从25.0%到75.0%不等，特异性从54.1%到80.2%不等。所有分析的里程碑的特点是阳性预测值低，而阴性预测值较高。
与识别疑似发育延迟的儿童相比，家长报告的发育里程碑作为一种排除快速达到里程碑的儿童（作为发育延迟低风险群体）的工具更好。
