Palti H, Tepper D
Department of Social Medicine, Hadassah Medical Organization, Jerusalem, Israel.
Isr J Med Sci. 1987 Jul;23(7):816-20.
The translated version of the Denver Developmental Screening Test (DDST) for screening a total population of infants at 6 months of age was used in the Maternal and Child Health Services of the Department of Social Medicine. The failure rate was 18%. In subsequent birth cohorts, the Israeli Standardized Denver Developmental Screening Test (IDDST) was applied, and the failure rate was 3%. The results of 176 infants tested with the IDDST were transcribed on the DDST forms. Sensitivity and predictive values were appraised in relation to the developmental quotient (DQ) at age 2 as assessed by the Brunet-Lezine Developmental Test. Using a cutoff point of 2 SD below the mean DQ as the criterion, sensitivity and predictive value were 25 and 13%, respectively. The sensitivity and predictive value of the IDDST increased when the cutoff point was changed to -1 SD. The biserial correlation coefficient between the DDST at 6 months of age and the DQ score at 2 years was 0.37 and that between the IDDST and the DQ was 0.28. The predictive value of infant tests and the need for reevaluation of the IDDST for 6-month-old infants is discussed.
社会医学系妇幼保健服务机构采用丹佛发育筛查测验（DDST）的翻译版本对全体6个月大的婴儿进行筛查。失败率为18%。在随后的出生队列中，应用了以色列标准化丹佛发育筛查测验（IDDST），失败率为3%。176名接受IDDST测试的婴儿的结果被记录在DDST表格上。根据布鲁内-勒津发育测验评估的2岁时的发育商（DQ）对敏感性和预测值进行了评估。以低于平均DQ 2个标准差作为临界值，敏感性和预测值分别为25%和13%。当临界值改为-1个标准差时，IDDST的敏感性和预测值增加。6个月大时的DDST与2岁时的DQ分数之间的双列相关系数为0.37，IDDST与DQ之间的双列相关系数为0.28。讨论了婴儿测试的预测价值以及对6个月大婴儿重新评估IDDST的必要性。
