How to use the Bayley Scales of Infant and Toddler Development

Rosario, Chelo Del; Slevin, Marie; Molloy, Eleanor J.; Quigley, Jean; Nixon, Elizabeth

doi:10.1136/archdischild-2020-319063

Cited by 94 publications

(60 citation statements)

References 13 publications

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“…BSID III is considered the gold standard developmental assessment tool for this age group. 36,37 Early identification of developmental delay is critical as early intervention may ameliorate subsequent neurodevelopmental impairment. 38 Most of the infants in this study had BSID III scores within the normal range at one and two years of age.…”

Section: Discussionmentioning

confidence: 99%

Neonatal stroke: Clinical characteristics and neurodevelopmental outcomes

Elgendy

Puthuraya

LoPiccolo

et al. 2022

Pediatrics & Neonatology

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Background: Neonatal stroke can potentially result in significant neurological sequelae in affected infants. Studies on neurodevelopmental outcomes and the need for rehabilitation therapies in the first two years are limited. We aimed to describe the clinical characteristics, diagnostic evaluation, and neurodevelopmental outcomes of a cohort of infants with neonatal stroke. Methods: A retrospective cohort study of infants with neonatal stroke, from 2011 to 2020. Maternal and infant characteristics were described. Placental pathology, echocardiogram results, and prothrombotic evaluations were reported. The neurodevelopmental outcomes using Bayley scale of infant development (BSID III), rates of epilepsy and cerebral palsy, and the need for rehabilitation therapies at two years were described. Results: During the study period, 55 infants had neonatal stroke. Majority (93%) were term or late preterm infants. Maternal chorioamnionitis and perinatal HIE were diagnosed in about a third of the infants. Most (66%) of the infants presented with seizures. On brain MRI, the lesions were unilateral in 76% and arterial in origin in 86% of the infants. Meconium exposure (42%), intrauterine inflammation/infection (37%) and fetal vascular malperfusion (16%) were seen on placental histopathology. At two-year BSID III assessment, median (min, max) composite cognitive, language, and motor scores were 100 (55e145), 97 (47e124), and 100 (46e141), respectively. Among this cohort, epilepsy (27%), cerebral palsy (16%) and the need for rehabilitation therapies (physical À24%, occupational À18%, speech À21%) were reported at two years. Conclusion: Neonatal stroke presented commonly in term or late preterm infants with seizures. It was unilateral and arterial in origin in most infants. Maternal chorioamnionitis and perinatal HIE were the most commonly associated conditions at birth.

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Section: Discussionmentioning

confidence: 99%

Neonatal stroke: Clinical characteristics and neurodevelopmental outcomes

Elgendy

Puthuraya

LoPiccolo

et al. 2022

Pediatrics & Neonatology

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“…A protocol for the collection, measurement, and interpretation of data was discussed and defined before starting the study. It has been demonstrated that BSID-III tends to underestimate neurodevelopmental delay compared with other scales [49]. However, measurement of NDV using different scales, exploring further domains other than those evaluated by BSID, could overcame this bias.…”

Section: Discussionmentioning

confidence: 99%

Neonatal Hyperglycemia Related to Parenteral Nutrition Affects Long-Term Neurodevelopment in Preterm Newborn: A Prospective Cohort Study

et al. 2021

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(1) Background: Recent evidence reported a reduced tolerance of macronutrient parenteral intakes in subjects in critically ill conditions. We designed a prospective cohort study to evaluate the effects of hyperglycemia (HG) related to parenteral nutrition (PN) on neurodevelopment (NDV) in survived preterm newborns. (2) Methods: Enrolled newborns with gestational age < 32 weeks or birth weight < 1500 g, were divided in two cohorts: (A) exposed to moderate or severe HG (glucose blood level > 180 mg/dL) in the first week of life; (B) not exposed to HG. We considered as the primary outcome the rate of preterm newborns survived without NDV delay at 24 months of life, evaluated with Bayley Scales of Infants Development III edition. (3) Results: We analyzed 108 (A 32 vs. B 76) at 24 months of life. Newborns in cohort A showed a higher rate of cognitive and motor delay (A 44% vs. B 22 %, p = 0.024; A 38% vs. B 8%, p < 0.001). When adjusting for background characteristics, HG remained a risk factor for motor delay. (4) Conclusions: High nutritional intakes through PN soon after birth increase the risk of HG. The consequences of this severe metabolic complication affect long-term NDV and survival in preterm newborns.

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“…Reduced perioperative variability in NIRS values is also believed to be a sign of impaired cerebral vascular autoregulation and has been found to be associated with poor neurodevelopmental outcomes at 21 months of age in a mixed population of neonatal cardiac surgery patients [ 20 ]. Neurodevelopmental assessment in that study consisted of the Bayley scales of infant development, which is a standard series of developmental play tasks that derive developmental quotient scores in different domains that can be compared to norm scores obtained from typically developing children of the same age [ 21 ].…”

Section: Reviewmentioning

confidence: 99%

Near-Infrared Spectroscopy Monitoring in Pediatric Anesthesiology: A Pro-Con Discussion

Rao

Gourkanti

Helmond

2021

Cureus

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Near-infrared spectroscopy (NIRS) has been increasingly used as a non-invasive measurement of cerebral tissue oxygen saturation. The aim of this short review is to discuss the benefits and drawbacks of its use in the pediatric anesthesia population. In the context of cardiac surgery, lower intraoperative NIRS values have shown a modest association with neurodevelopmental outcomes while lower neonatal intensive care unit NIRS values have been correlated with reduced neurodevelopment in children. However, it is still unclear if management aimed at increasing cerebral tissue oxygenation would have any benefit on these outcomes. Without prospective research looking into the effects of intervention given proper thresholds, the true benefit of NIRS use is still up for debate. Even with current research gaps, its use in the clinical setting continues.

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How to use the Bayley Scales of Infant and Toddler Development

Cited by 94 publications

References 13 publications

Neonatal stroke: Clinical characteristics and neurodevelopmental outcomes

Neonatal stroke: Clinical characteristics and neurodevelopmental outcomes

Neonatal Hyperglycemia Related to Parenteral Nutrition Affects Long-Term Neurodevelopment in Preterm Newborn: A Prospective Cohort Study

Near-Infrared Spectroscopy Monitoring in Pediatric Anesthesiology: A Pro-Con Discussion

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