Screening for Developmental Delay in the Setting of a Community Pediatric Clinic: A Prospective Assessment of Parent-Report Questionnaires

Rydz, David; Srour, Myriam; Oskoui, Maryam; Marget, Nancy; Shiller, Mitchell; Birnbaum, Rena; Majnemer, Annette; Shevell, Michael

doi:10.1542/peds.2006-0466

Cited by 197 publications

(181 citation statements)

References 28 publications

Supporting

Mentioning

158

Contrasting

Unclassified

Order By: Relevance

“…Moreover, we analyzed growth longitudinally and assessed development using a validated, easy-to-fillout developmental screener. 25 Our study also has some limitations. First, no data on fetal growth were available to us.…”

Section: Discussionmentioning

confidence: 87%

Symmetrical and Asymmetrical Growth Restriction in Preterm-Born Children

Bocca-Tjeertes

Bos²,

Kerstjens³

et al. 2014

Pediatrics

View full text Add to dashboard Cite

OBJECTIVE: To determine how symmetric (proportionate; SGR) and asymmetric (disproportionate; AGR) growth restriction influence growth and development in preterms from birth to 4 years. METHODS: This community-based cohort study of 810 children comprised 86 SGR, 61 AGR, and 663 non–growth restricted (NGR) preterms, born in 2002 and 2003. Symmetrical growth restriction was defined as a birth weight below the 16th percentile (–1 SD) compared with full-terms and a head circumference (HC) z score not exceeding the infant’s birth weight z score by >1 SD. Asymmetric growth restriction was defined as a HC z score exceeding that for by >1 SD as a proxy of brain sparing. Developmental delay was assessed by the Ages and Stages Questionnaire at 4 years. RESULTS: Longitudinal gains in weight and height were similar for SGR and AGR children and less compared with NGR children. At age 4, z scores for weight were –1.1 for SGR and –0.7 for AGR children vs –0.3 for NGR children. z scores for height were –0.8 and –0.5 vs –0.2. HC gain were 2 cm more in SGR, but at 1 year, they were –0.2 vs 0.2 (AGR) and 0.1 (NGR). Developmental delay increased with odds ratios of 2.5 (95% confidence interval 1.1–6.0) for SGR and 2.1 (95% confidence interval 0.7–5.9) for AGR. CONCLUSIONS: Weight and height gains were similar for AGR and SGR children but poorer compared with NGR children. SGR children caught up on HC. Developmental delay was more likely in growth-restricted preterms independent of HC at birth.

show abstract

Section: Discussionmentioning

confidence: 87%

Symmetrical and Asymmetrical Growth Restriction in Preterm-Born Children

Bocca-Tjeertes

Bos²,

Kerstjens³

et al. 2014

Pediatrics

View full text Add to dashboard Cite

show abstract

“…Unfortunately, clinicians frequently postpone the referral of these children to early interventional services, and moreover, experienced clinicians have demonstrated difficulties in the identification of children with mild DD who are eligible for early intervention [12,13]. Very few studies have been conducted in Africa and none in Cameroon on the causes of developmental delay.…”

Section: Introductionmentioning

confidence: 99%

Causes of developmental delay in children of 5 to 72 months old at the child neurology unit of Yaounde Gynaeco-Obstetric and Paediatric Hospital (Cameroon)

Nguefack¹,

Kamga²,

Moifo³

et al. 2013

OJPed

View full text Add to dashboard Cite

Background: According to the World Health Organization, about 5% of children world-wide of 14-year-old and under have a moderate to severe developmental disability, and up to 15% of children under 5-year-old are developmentally delayed. Purpose: To determine the prevalence, socio-demographic profile, aetiologies, and the clinical presentation of developmental delay in children less than 6-year-old at the child neurology unit in a university-affiliated hospital in Yaounde. Materials and methods: It was a crosssectional descriptive study carried out in Yaounde Gynaeco-Obstetric and Paediatric Hospital (Cameroon) from August to December 2012. Children aged between 5 -72 months with a developmental quotient less than 70 were enrolled. Developmental delay (DD) was diagnosed and classified using the Denver developmental screening test (DDST). Data concerning the child (age, gender, severity of DD), the mother (age, age at conception, educational level, marital status), history of pregnancy and delivery, perinatal and postnatal events, results of para-clinical explorations (EEG, CT-scan, genetic tests), the severity of DD and the probable or demonstrate cause of DD were recorded on a standardized questionnaire. The chisquare test was used to compare variables. Results: During the study period, 2171 children aged 5 -72 months consulted the paediatric department of the hospital, 296 were examined at the child neurology unit of which 153 had a developmental quotient less than 70, giving a hospital prevalence of 7.0% and a prevalence of 51.7% at the child neurology unit. The mean age was 26.6 ± 18.0 months and there were 56% males. The main reason for consulting was tonus disorder (43.8%) and the developmental area of parental concern was the motor domain (90.2%). Regarding the clinical presentation, 75.2% of our population were children with cerebral palsy. DD was severe, mild, moderate and profound respectively in 14.2%, 13.5%, 12.2%, and 11.1%. Gross DD represented 90.2% of all DD children. The causes of DD were hypoxic-ischemic encephalopathy (41.8%), epilepsy (13.7%), sequelae of meningitis (6.5%), sequelae of kernicterus (6.5%), and infectious embryofoetopathies (5.2%). Conclusion: Developmental delay is frequent in paediatric neurology, with perinatal disorders being the leading aetiologies in Cameroon. Prevention of perinatal hypoxic-ischemic encephalopathy risk factors needs to be reinforced.

show abstract

“…The OPQ was written in simple language, to accommodate the varied education levels and language differences of the caregivers in South Africa 47 . As suggested in the literature, progress in the occupational performance of pre-school children with ASD was measured from their parents' perspective 31,48 . Thus a caregiver report assessment appeared to be the best choice for measuring occupational performance outcomes for this population as well as the effect of the child's delay in occupational performance on family functioning 49 .…”

Section: Results Step 1: Development Of the Opqmentioning

confidence: 99%