Neurodevelopmental Disorders of Children Screened by The Infantile Health Promotion System
Annals of Rehabilitation Medicine
;
: 867-872, 2011.
Article
Dans Anglais
| WPRIM
| ID: wpr-62769
ABSTRACT
OBJECTIVE:
To perform an in depth evaluation of children, and thus provide a systematic method of managing children, who after infantile health screening, were categorized as suspected developmental delay.METHOD:
78 children referred to the Developmental Delay Clinic of Ilsan Hospital after suspected development delay on infantile health examinations were enrolled. A team comprised of a physiatrist, pediatrician and pediatric psychiatrist examined the patients. Neurological examination, speech and cognitive evaluation were done. Hearing tests and chromosome studies were performed when needed clinically. All referred children completed K-ASQ questionnaires. Final diagnoses were categorized into specific language impairment (SLI), global developmental delay (GDD), intellectual disability (ID), cerebral palsy (CP), motor developmental delay (MD) or autism spectrum disorder (ASD).RESULTS:
72 of the 78 patients were abnormal in the final diagnosis, with a positive predictive value of 92.3%. Thirty (38.4%) of the 78 subjects were diagnosed as GDD, 28 (35.8%) as SLI, 5 (6.4%) as ASD, 9 (12.5%) as MD, and 6 (7.6%) as normal. Forty five of the 78 patients had risk factors related to development, and 18 had a positive family history for developmental delay and/or autistic disorders. The mean number of abnormal domains on the K-ASQ questionnaires were 3.6 for ASD, 2.7 for GDD, 1.8 for SLI and 0.6 for MD. Differences between these numbers were statistically significant (p<0.05).CONCLUSION:
Because of the high predictive value of the K-ASQ, a detailed evaluation is necessary for children suspected of developmental delay in an infantile health promotion system.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Psychiatrie
/
Paralysie cérébrale
/
Dépistage de masse
/
Enquêtes et questionnaires
/
Facteurs de risque
/
Trouble du spectre autistique
/
Promotion de la santé
/
Tests auditifs
/
Déficience intellectuelle
/
Examen neurologique
Type d'étude:
Etude d'étiologie
/
Étude pronostique
/
Recherche qualitative
/
Facteurs de risque
/
Étude de dépistage
Limites du sujet:
Enfant
/
Humains
langue:
Anglais
Texte intégral:
Annals of Rehabilitation Medicine
Année:
2011
Type:
Article
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