Overview of the national health screening program for infant and children

Eun, Baik-Lin; Kim, Seong-Woo; Kim, Young Key; Kim, Jung Wook; Moon, Jin Soo; Park, Su Kyung; Sung, In Kyung; Shin, Son Moon; Yoo, Sun Mi; Lee, Hea Kyoung; Lim, Hyun Taek; Chung, Hee Jung

doi:10.3345/kjp.2008.51.3.225

Cited by 18 publications

(18 citation statements)

References 3 publications

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“…According to the report on the effects of the health screening for infants and children, developmental delays were suspected in 0.6%-2.5% of the children tested and 99% of these children were diagnosed with neurodevelopmental disorders. The final distribution of diagnoses included global developmental delay (50%), developmental language disorder (26%), cerebral palsy (10%), motor developmental delay (9%), and autistic disorders (4%) 1) .…”

Section: Introductionmentioning

confidence: 99%

Recent update of autism spectrum disorders

Kim

2015

Korean J Pediatr

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In patients with a language developmental delay, it is necessary to make a differential diagnosis for autism spectrum disorders (ASDs), specific language impairment, and mental retardation. It is important that pediatricians recognize the signs and symptoms of ASDs, as many patients with language developmental delays are ultimately diagnosed with ASDs. Pediatricians play an important role in the early recognition of ASDs, because they are usually the first point of contact for children with ASDs. A revision of the diagnostic criteria of ASDs was proposed in the Diagnostic and Statistical Manual of Mental Disorders , fifth edition (DSM-5) that was released in May 2013. The autism spectrum describes a range of conditions classified as neurodevelopmental disorders in the fifth edition of the DSM. The new diagnostic criteria encompasses previous elements from the diagnosis of autistic disorder, Asperger disorder, childhood disintegrative disorder, and pervasive developmental disorder-not otherwise specified. An additional change to the DSM includes synthesizing the section on social and communication deficits into one domain. In ASD patients, the appropriate behavioral therapies and rehabilitation treatments significantly affect the prognosis. Therefore, this makes early diagnosis and treatment very important. In conclusion, pediatricians need to be able to recognize the signs and symptoms of ASDs and be attentive to them in order to make an early diagnosis and provide treatment.

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Section: Introductionmentioning

confidence: 99%

Recent update of autism spectrum disorders

Kim

2015

Korean J Pediatr

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“…Some of the developmental delays could resolve to an almost normal status with early interventions and rehabilitation programs 12 13 14 22 23) . Early detection of developmental delay needs comprehensive judgment of developmental status evaluation, medical history, and physical and neurological examination with a developmental screening test 12 13 14 15 22 23) .…”

Section: Discussionmentioning

confidence: 99%

“…The Korean government also realized that an early detection of developmental delays among infants and children is crucial for a better prognosis and earlier rehabilitation therapy 1 5 12 13) . To achieve this purpose, the government has started a national health screening program for infants and children in Korea 1 14 15 16) and the K-DST has been used for developmental screening. Therefore, the usefulness of the K-DST was investigated via a cross-tabulation analysis between the K-DST results and those of other tests, such as detailed language tests (Preschool Receptive-Expressive Language Scale [PRES] and Sequenced Language Scale for Infants [SELSI]), Childhood Autism Rating Scale (CARS), Modified Checklist for Autism in Toddlers (M-CHAT), electroencephalography (EEG), and magnetic resonance imaging (MRI); further, the necessity of appropriate specific complete medical examination and follow-up evaluation was examined.…”

Section: Introductionmentioning

confidence: 99%

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

2017

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PurposeTo evaluate the usefulness of the Korean Developmental Screening Test (K-DST) for infants and children for developmental delay assessment.MethodsThis study was based on retrospective studies of the results of the K-DST, Preschool Receptive-Expressive Language Scale (PRES), Sequenced Language Scale for Infants (SELSI), Childhood Autism Rating Scale (CARS), Modified Checklist for Autism in Toddlers (M-CHAT), electroencephalography, magnetic resonance imaging, and extensive tests conducted in 209 of 1,403 patients, of whom 758 underwent the K-DST at the Korea University Guro Hospital between January 2015 and December 2016 and 645 were referred from local clinics between January 2015 and June 2016.ResultsBased on the K-DST results, the male children significantly more frequently required further or follow-up examination than the female children in most test sections, except for gross motor. The male children had notably lower mean scores than the female children. The PRES/SELSI results showed that when more further or follow-up evaluations were required in the K-DST communication section, significantly more problems in language delay or disorder emerged. When further or follow-up evaluation was required in the cognitive section in the CARS/M-CHAT, the possibility of autism increased significantly. A child tended to score low in the CARS test and show autism when further or follow-up evaluation was recommended in the K-DST.ConclusionThis study demonstrated the usefulness of the K-DST as a screening test early in the development of infants and children in Korea. Data of normal control groups should be examined to determine the accuracy of this investigation.

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“…To achieve early referral, early detection and suspicion of neuromuscular disorders by clinician would be necessary. Considering that all infants and toddlers are to be seen by doctors on a regular basis for the national early childhood health examination under unified national health insurance system [23], screening of developmental milestones should better be done by certified pediatricians for this purpose. In addition, for floppy infants found in neonatal intensive care unit in their neonatal period, it is important that the neonatologist suspect and consult to pediatric neurologist or genetic specialist as early as possible [24][25][26].…”

Section: New Era Of Molecular Genetic Testing and Integrated Diagnostmentioning

confidence: 99%

Integrated diagnostic approach of pediatric neuromuscular disorders

Lee

2018

J Genet Med

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Clinical and genetic heterogeneity in association with overlapping spectrum is characteristic in pediatric neuromuscular disorders, which makes confirmative diagnosis difficult and time consuming. Considering evolution of molecular genetic diagnosis and resultant upcoming genetically modifiable therapeutic options, rapid and cost-effective genetic testing should be applied in conjunction with existing diagnostic methods of clinical examinations, laboratory tests, electrophysiologic studies and pathologic studies. Earlier correct diagnosis would enable better clinical management for these patients in addition to new genetic drug options and genetic counseling.

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Overview of the national health screening program for infant and children

Cited by 18 publications

References 3 publications

Recent update of autism spectrum disorders

Recent update of autism spectrum disorders

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

Integrated diagnostic approach of pediatric neuromuscular disorders

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