Predictive Validity of the Bayley-III Cognitive Scores at 6 Months for Cognitive Outcomes at 24 Months in Very-Low-Birth-Weight Infants

Liu, Tzu-Yu; Chang, Jui‐Hsing; Peng, Chun-Chih; Hsu, Chyong-Hsin; Jim, Wai-Tim; Lin, Jiaying; Chen, Chia-Huei; Li, Sung-Tse; Chang, Hung‐Yang

doi:10.3389/fped.2021.638449

Cited by 11 publications

(7 citation statements)

References 35 publications

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“…In fact, to the best of our knowledge, there are a growing number of studies evaluating neurodevelopment in infants around 6 months of age [37][38][39]. A study had shown that infants with neurodevelopmental delays would have better neurodevelopmental outcomes in future if interventions were given at 6 months of age [40]. This might highlight the importance of early identification and intervention of high-risk infants to promote an improved neurodevelopmental outcome.…”

Section: Discussionmentioning

confidence: 99%

Impact of early term and late preterm birth on infants’ neurodevelopment: evidence from a cohort study in Wuhan, China

et al. 2022

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Background The incidences of early term and late preterm birth have increased worldwide during recent years. However, there is a lack of prospective study about the influence of early term and late preterm birth on infants’ neurodevelopment, especially at the early stage. Therefore, we conducted this cohort study to investigate the impact of early term and late preterm birth on infants’ neurodevelopment within 6 months. Methods This cohort study was conducted in Wuhan, China, between October 2012 and September 2013. A total of 4243 singleton infants born within 34-41 weeks of gestation at Wuhan Children’s Hospital were included. The Gesell Developmental Scale (GDS) was utilized to evaluate the neurodevelopment of infants. Results Among the 4243 included participants, 155 (3.65%) were late preterm infants, 1288 (30.36%) were early term infants, and 2800 (65.99%) were full term infants. After adjusted for potential confounders, significant negative relationship was shown between late preterm birth and development quotient (DQ) in all domains of neurodevelopment: gross motor (β = − 17.42, 95% CI: − 21.15 to − 13.69), fine motor (β = − 23.61, 95% CI: − 28.52 to − 18.69), adaptability (β = − 10.10, 95% CI: − 13.82 to − 6.38), language (β = − 6.28, 95% CI: − 9.82 to − 2.74) and social behavior (β = − 5.99, 95% CI: − 9.59 to − 2.39). There was a significant negative trend for early term birth in DQ of fine motor (β = − 2.01, 95% CI: − 3.93 to − 0.09). Late preterm infants had a significantly elevated risk of neurodevelopmental delay in domains of gross motor (adjusted OR = 3.82, 95% CI: 2.67 to 5.46), fine motor (adjusted OR = 3.51, 95% CI: 2.47 to 5.01), and adaptability (adjusted OR = 1.60, 95% CI: 1.12 to 2.29), whereas early term birth was significantly associated with neurodevelopmental delay of fine motor (adjusted OR = 1.22, 95% CI: 1.05 to 1.42). Conclusions This study suggested that late preterm birth mainly elevated the risk of neurodevelopmental delay of gross motor, fine motor, and adaptability, whereas early term birth was associated with the developmental delay of fine motor within 6 months. Further research is needed to determine the effectiveness and necessity of the interventions at the early stage for early term and late preterm infants who had suspected neurodevelopmental delay.

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Section: Discussionmentioning

confidence: 99%

Impact of early term and late preterm birth on infants’ neurodevelopment: evidence from a cohort study in Wuhan, China

et al. 2022

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“…This developmental assessment tool is usually administered by psychologists, paediatricians or physiotherapists and takes 30–70 min to complete, with extra time needed for scoring 26 . It is resource intensive and is generally used for high risk populations, such as preterm or low birth weight infants 27 . Studies of its use in the general population are limited, but evidence suggests that if it was performed in early life, particularly the first 24 months, it would have poor to modest correlations with later cognitive ability 28 …”

Section: Discussionmentioning

confidence: 99%

“…26 It is resource intensive and is generally used for high risk populations, such as preterm or low birth weight infants. 27 Studies of its use in the general population are limited, but evidence suggests that if it was performed in early life, particularly the first 24 months, it would have poor to modest correlations with later cognitive ability. 28 Our study has limitations.…”

Section: Discussionmentioning

confidence: 99%

The predictive value of the ages and stages questionnaire in late infancy for low average cognitive ability at age 5

et al. 2022

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Aim This retrospective, longitudinal study examined the predictive value of the ages and stages questionnaire (ASQ) in late infancy for identifying children who progressed to have low cognitive ability at 5 years of age. Methods The ASQ was performed on 755 participants from the Irish BASELINE birth cohort at 24 or 27 months of age. Intelligence quotient was measured at age 5 with the Kaufmann Brief Intelligence Test, Second Edition, and low cognitive ability was defined as a score more than 1 standard deviation below the mean. The ASQ’s predictive value was examined, together with other factors associated with low cognitive ability at 5 years. Results When the ASQ was performed at 24 or 27 months, the overall sensitivity for identifying low cognitive ability at 5 years was 20.8% and the specificity was 91.1%. Using a total score cut‐off point increased the sensitivity to 46.6% and 71.4% at 24 and 27 months, but specificity fell to 74.1% and 67.2%, respectively. After adjusting for ASQ performance, maternal education and family income were strongly associated with cognitive outcomes at 5 years. Conclusion The ASQ did not detect the majority of children with low cognitive ability at age 5. Alternative methods need investigation.

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“…According to the numbers and grades of risk factors (Table 1), a corrected age (CA) to visit for neurodevelopmental surveillance and follow-up periods are suggested in Fig. 1 [3,5,10,13,14].…”

Section: Early Neurodevelopmental Assessment Planmentioning

confidence: 99%

“…For example, if any special diagnosis is made, such as genetic or neurodegenerative diseases, the follow-up schedule should be individualized through experts' and multidisciplinary care plans. Although the Bayley Scales of Infant Development (BSID) is an extensive formal developmental assessment tool for diagnosing developmental delays in early childhood for 1 to 42 months old babies (Table 2), it cannot predict long-term outcomes of development, especially when assessed at a young age such as before CA of 24 months old [13,15]. For those still undiagnosed with extremely preterm birth (<28 weeks) or extremely low birth weight (<1,000 g), BSID is strongly recommended at a CA of 36 months.…”

Section: Early Neurodevelopmental Assessment Planmentioning

confidence: 99%

Early Neurodevelopmental Assessments of Neonates Discharged From the Neonatal Intensive Care Unit: A Physiatrist’s Perspective

et al. 2023

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The survival rate of children admitted in the neonatal intensive care unit (NICU) after birth is on the increase; hence, proper evaluation and care of their neurodevelopment has become an important issue. Neurodevelopmental assessments of individual domains regarding motor, language, cognition, and sensory perception are crucial in planning prompt interventions for neonates requiring immediate support and rehabilitation treatment. These assessments are essential for identifying areas of weakness and designing targeted interventions to improve future functional outcomes and the quality of lives for both the infants and their families. However, initial stratification of risk to select those who are in danger of neurodevelopmental disorders is also important in terms of cost-effectiveness. Efficient and robust functional evaluations to recognize early signs of developmental disorders will help NICU graduates receive interventions and enhance functional capabilities if needed. Several age-dependent, domain-specific neurodevelopmental assessment tools are available; therefore, this review summarizes the characteristics of these tools and aims to develop multidimensional, standardized, and regular follow-up plans for NICU graduates in Korea.

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Predictive Validity of the Bayley-III Cognitive Scores at 6 Months for Cognitive Outcomes at 24 Months in Very-Low-Birth-Weight Infants

Cited by 11 publications

References 35 publications

Impact of early term and late preterm birth on infants’ neurodevelopment: evidence from a cohort study in Wuhan, China

Impact of early term and late preterm birth on infants’ neurodevelopment: evidence from a cohort study in Wuhan, China

The predictive value of the ages and stages questionnaire in late infancy for low average cognitive ability at age 5

Early Neurodevelopmental Assessments of Neonates Discharged From the Neonatal Intensive Care Unit: A Physiatrist’s Perspective

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