Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Validity of the Korean Developmental Screening Test for very-low-birth-weight infants

  • Kim, Chae Young (Division of Neonatology, Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) ;
  • Jung, Euiseok (Division of Neonatology, Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) ;
  • Lee, Byong Sop (Division of Neonatology, Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) ;
  • Kim, Ki-Soo (Division of Neonatology, Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) ;
  • Kim, Ellen Ai-Rhan (Division of Neonatology, Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine)
  • Received : 2018.12.24
  • Accepted : 2019.03.19
  • Published : 2019.05.15
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Abstract

Purpose: The importance of the neurodevelopmental outcomes of very-low-birth-weight (VLBW) infants has been emphasized as their mortality rate has markedly improved. This study aimed to assess the validity of the Korean Developmental Screening Test (K-DST), a developmental screening tool approved by the Korean Society of Pediatrics, for the timely diagnosis of neurodevelopmental delay in VLBW infants. Methods: Subjects included VLBW infants enrolled in the Korean Neonatal Network database between January 2012 and December 2014. The collected data were analyzed for sensitivity, specificity, positive predictive value, and negative predictive value (NPV) in the K-DST compared to those in the Bayley Scales of Infant Development-II for VLBW infants. Results: A total of 173 patients were enrolled. Their mean gestational age and mean birth weight were $27.5{\pm}2.8weeks$ and $980.5{\pm}272.1g$, respectively. The frequency of failed psychomotor developmental index (PDI) <85 was similar to that in at least one domain of K-DST <1 standard deviation. Failure in more than one K-DST domain compared with a mental developmental index (MDI) <85 showed a sensitivity and NPV of 73.2% and 75.0%, respectively. Failure in more than one K-DST domain compared with PDI <85 showed a sensitivity and NPV of 60.3% and 71.6%, respectively. Each K-DST domain had a stronger correlation with predicting a failing MDI <85 than a failing PDI <85 (P<0.05). Conclusion: K-DST could be a useful screening tool for predicting mental developmental delay in VLBW infants and referring them for neurodevelopmental assessments.

Keywords

References

  1. Glass HC, Costarino AT, Stayer SA, Brett CM, Cladis F, Davis PJ. Outcomes for extremely premature infants. Anesth Analg 2015;120:1337-51. https://doi.org/10.1213/ANE.0000000000000705
  2. Hahn WH, Chang JY, Chang YS, Shim KS, Bae CW. Recent trends in neonatal mortality in very low birth weight Korean infants: in comparison with Japan and the USA. J Korean Med Sci 2011;26:467-73. https://doi.org/10.3346/jkms.2011.26.4.467
  3. Pierrat V, Marchand-Martin L, Arnaud C, Kaminski M, Resche-Rigon M, Lebeaux C, et al. Neurodevelopmental outcome at 2 years for preterm children born at 22 to 34 weeks' gestation in France in 2011: EPIPAGE-2 cohort study. BMJ 2017;358:j3448. https://doi.org/10.1136/bmj.j3448
  4. Wood NS, Marlow N, Costeloe K, Gibson AT, Wilkinson AR. Neurologic and developmental disability after extremely preterm birth. EPICure Study Group. N Engl J Med 2000;343:378-84. https://doi.org/10.1056/NEJM200008103430601
  5. Vohr BR, Wright LL, Dusick AM, Mele L, Verter J, Steichen JJ, et al. Neurodevelopmental and functional outcomes of extremely low birth weight infants in the National Institute of Child Health and Human Development Neonatal Research Network, 1993-1994. Pediatrics 2000;105:1216-26. https://doi.org/10.1542/peds.105.6.1216
  6. Silveira RC, Procianoy RS. High plasma cytokine levels, white matter injury and neurodevelopment of high risk preterm infants: assessment at two years. Early Hum Dev 2011;87:433-7. https://doi.org/10.1016/j.earlhumdev.2011.03.009
  7. Schlapbach LJ, Ersch J, Adams M, Bernet V, Bucher HU, Latal B. Impact of chorioamnionitis and preeclampsia on neurodevelopmental outcome in preterm infants below 32 weeks gestational age. Acta Paediatr 2010;99:1504-9. https://doi.org/10.1111/j.1651-2227.2010.01861.x
  8. Moore T, Johnson S, Haider S, Hennessy E, Marlow N. Relationship between test scores using the second and third editions of the Bayley Scales in extremely preterm children. J Pediatr 2012;160:553-8. https://doi.org/10.1016/j.jpeds.2011.09.047
  9. Kwun Y, Park HW, Kim MJ, Lee BS, Kim EA. Validity of the ages and stages questionnaires in Korean compared to Bayley Scales of infant development-II for screening preterm infants at corrected age of 18-24 months for neurodevelopmental delay. J Korean Med Sci 2015;30:450-5. https://doi.org/10.3346/jkms.2015.30.4.450
  10. Heo KH, Squires J, Lee SY, Lee JS. Korean ages and stages questionnaires/a parent completed development screening tool. Seoul: Seoul Community Rehabilitation Center, 2006.
  11. Yim CH, Kim GH, Eun BL. Usefulness of the Korean Developmental Screening Test for infants and children for the evaluation of developmental delay in Korean infants and children: a single-center study. Korean J Pediatr 2017;60:312-9. https://doi.org/10.3345/kjp.2017.60.10.312
  12. Jobe AH, Bancalari E. Bronchopulmonary dysplasia. Am J Respir Crit Care Med 2001;163:1723-9. https://doi.org/10.1164/ajrccm.163.7.2011060
  13. Papile LA, Burstein J, Burstein R, Koffler H. Incidence and evolution of subependymal and intraventricular hemorrhage: a study of infants with birth weights less than 1,500 gm. J Pediatr 1978;92:529-34. https://doi.org/10.1016/S0022-3476(78)80282-0
  14. Bell MJ, Ternberg JL, Feigin RD, Keating JP, Marshall R, Barton L, et al. Neonatal necrotizing enterocolitis. Therapeutic decisions based upon clinical staging. Ann Surg 1978;187:1-7. https://doi.org/10.1097/00000658-197801000-00001
  15. Martin RJ, Fanaroff AA, Walsh MC. Fanaroff and Martin's neonatalperinatal medicine. 10th ed. Philadelphia (PA): Elsevier Health Sciences, 2014.
  16. International Committee for the Classification of Retinopathy of Prematurity. The International Classification of Retinopathy of Prematurity revisited. Arch Ophthalmol 2005;123:991-9. https://doi.org/10.1001/archopht.123.7.991
  17. Pascal A, Govaert P, Oostra A, Naulaers G, Ortibus E, Van den Broeck C. Neurodevelopmental outcome in very preterm and very-lowbirthweight infants born over the past decade: a meta-analytic review. Dev Med Child Neurol 2018;60:342-55. https://doi.org/10.1111/dmcn.13675
  18. Colvin M, McGuire W, Fowlie PW. Neurodevelopmental outcomes after preterm birth. BMJ 2004;329:1390-3. https://doi.org/10.1136/bmj.329.7479.1390
  19. Moster D, Lie RT, Markestad T. Long-term medical and social consequences of preterm birth. N Engl J Med 2008;359:262-73. https://doi.org/10.1056/NEJMoa0706475
  20. Limperopoulos C, Bassan H, Sullivan NR, Soul JS, Robertson RL Jr, Moore M, et al. Positive screening for autism in ex-preterm infants: prevalence and risk factors. Pediatrics 2008;121:758-65. https://doi.org/10.1542/peds.2007-2158
  21. Anderson PJ, De Luca CR, Hutchinson E, Roberts G, Doyle LW; Victorian Infant Collaborative Group. Underestimation of developmental delay by the new Bayley-III Scale. Arch Pediatr Adolesc Med 2010;164:352-6. https://doi.org/10.1001/archpediatrics.2010.20
  22. Aylward GP. Developmental screening and assessment: what are we thinking? J Dev Behav Pediatr 2009;30:169-73. https://doi.org/10.1097/DBP.0b013e31819f1c3e
  23. Bayley N. Bayley scales of infant and toddler development. San Antonio (TX): The Psychological Corporation, 2006.
  24. Doyle LW; Victorian Infant Collaborative Study Group. Evaluation of neonatal intensive care for extremely low birth weight infants in Victoria over two decades: I. Effectiveness. Pediatrics 2004;113(3 Pt 1):505-9. https://doi.org/10.1542/peds.113.3.505
  25. Wood NS, Costeloe K, Gibson AT, Hennessy EM, Marlow N, Wilkinson AR, et al. The EPICure study: associations and antecedents of neurological and developmental disability at 30 months of age following extremely preterm birth. Arch Dis Child Fetal Neonatal Ed 2005;90:F134-40. https://doi.org/10.1136/adc.2004.052407
  26. Kiechl-Kohlendorfer U, Ralser E, Pupp Peglow U, Reiter G, Trawoger R. Adverse neurodevelopmental outcome in preterm infants: risk factor profiles for different gestational ages. Acta Paediatr 2009;98:792-6. https://doi.org/10.1111/j.1651-2227.2009.01219.x
  27. Luttikhuizen dos Santos ES, de Kieviet JF, Konigs M, van Elburg RM, Oosterlaan J. Predictive value of the Bayley scales of infant development on development of very preterm/very low birth weight children: a meta-analysis. Early Hum Dev 2013;89:487-96. https://doi.org/10.1016/j.earlhumdev.2013.03.008
  28. Bricker D, Squires J, Mounts L. Ages and stages questionnaire: a parent-completed, child monitoring system. Baltimore (MD): Paul H. Brookes, 1995:156.
  29. Suh CR, Sohn SY, Kim GH, Jung SK, Eun BL. Single-center experience of the Korean-Developmental Screening Test for infants and children. Korean J Pediatr 2016;59:483-9. https://doi.org/10.3345/kjp.2016.59.12.483
  30. Ga HY, Kwon JY. A comparison of the Korean-ages and stages questionnaires and denver developmental delay screening test. Ann Rehabil Med 2011;35:369-74. https://doi.org/10.5535/arm.2011.35.3.369
  31. Jeong SU, Kim GC, Jeong HJ, Kim DK, Hong YR, Kim HD, et al. The Validity of the Bayley-III and DDST-II in preterm infants with neurodevelopmental impairment: a pilot study. Ann Rehabil Med 2017;41:851-7. https://doi.org/10.5535/arm.2017.41.5.851
  32. Moon JS, Lee SY, Eun BL, Kim SW, Kim YK, Shin SM, et al. One-year evaluation of the national health screening program for infants and children in Korea. Korean J Pediatr 2010;53:307-13. https://doi.org/10.3345/kjp.2010.53.3.307
  33. Eun BL, Chung HJ, Cho S, Kim JK, Shin SM, Lee JH, et al. The Appropriateness of the Items of Korean Ages and Stages Questionnaires (K-ASQ) Developmental Screening Test in Korean infants and children. J Korean Child Neurol Soc 2014;22:29-41.
  34. Council on Children With Disabilities; Section on Developmental Behavioral Pediatrics; Bright Futures Steering Committee; Medical Home Initiatives for Children With Special Needs Project Advisory Committee. Identifying infants and young children with developmental disorders in the medical home: an algorithm for developmental surveillance and screening. Pediatrics 2006;118:405-20. https://doi.org/10.1542/peds.2006-1231
  35. Glascoe FP. Screening for developmental and behavioral problems. Ment Retard Dev Disabil Res Rev 2005;11:173-9. https://doi.org/10.1002/mrdd.20068

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