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《年龄与阶段问卷第 3 版》在先天性心脏病手术后患儿发育筛查中的应用。

Utility of the Ages and Stages Questionnaires 3rd Edition for Developmental Screening in Children with Surgically Repaired Congenital Heart Disease.

机构信息

Faculty of Medicine, Université De Montréal, Montreal, Quebec, Canada.

Sainte-Justine University Health Centre Research Center, Montreal, Quebec, Canada.

出版信息

Dev Neurorehabil. 2022 Feb;25(2):125-132. doi: 10.1080/17518423.2021.1960918. Epub 2021 Aug 8.

Abstract

: This study sought to evaluate the accuracy of the Ages and Stages Questionnaires 3rd Edition (ASQ-3) in identifying developmental delay (DD) in children with congenital heart disease (CHD) born at term who underwent surgical repair.: Participants had to complete ASQ-3 and Bayley Scales of Infant and Toddler Development 3rd Edition (BSID-III) at 12 and 24 months. A child was considered at risk of DD for a ASQ-3 domain when he scored below the cutoff (≤-1SD or ≤-2SD). A child had a DD in a BSID-III domain when the score was ≤-1SD. The validity for each ASQ-3 domain and for overall ASQ-3 was measured.: At 12 months (n = 64), overall ASQ-3 (≤-2SD) sensitivity was 88%, specificity 74%. At 24 months (n = 82), overall ASQ-3 (≤-2SD) sensitivity was 74%, specificity 88%.: The results support the utility of the ASQ-3 for screening the overall risk of DD in children with CHD.

摘要

: 本研究旨在评估 Ages and Stages Questionnaires 3rd Edition(ASQ-3)在识别足月出生并接受手术修复的先天性心脏病(CHD)儿童发育迟缓(DD)方面的准确性。参与者必须在 12 个月和 24 个月时完成 ASQ-3 和 Bayley 婴儿和幼儿发展量表 3 版(BSID-III)。当 ASQ-3 域的评分低于截止值(≤-1SD 或 ≤-2SD)时,儿童被认为有 DD 的风险。当 BSID-III 域的评分≤-1SD 时,儿童存在 DD。测量了每个 ASQ-3 域和整体 ASQ-3 的有效性。在 12 个月时(n=64),整体 ASQ-3(≤-2SD)的灵敏度为 88%,特异性为 74%。在 24 个月时(n=82),整体 ASQ-3(≤-2SD)的灵敏度为 74%,特异性为 88%。结果支持 ASQ-3 用于筛查 CHD 儿童整体 DD 风险的效用。

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