The child with developmental delay: An approach to etiology

Meschino, Wendy S.

doi:10.1093/pch/8.1.16

Cited by 13 publications

(10 citation statements)

References 7 publications

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“…4 As per the review of Meschino, which encompassed time frames from 1997 to 2001, etiology detection rate varies from 20 to 60%. 22 The etiology was detected in 155 children (92.26%) in the present study, which is high compared with previous studies. 1,18,23 Compared with previous similar studies, there is a very high rate of etiology found for the children presenting with GDD in this study.…”

Section: Discussioncontrasting

confidence: 49%

Etiological Profile of Children with Global Developmental Delay: A Single Center Study

et al. 2018

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Global developmental delay (GDD) is a relatively common pediatric issue. It can have plethora of causes. Early intervention in these children by finding the cause of developmental delay is often challenging but can definitely improve ultimate developmental outcome. The study was undertaken to study the clinical profile of children with GDD to assess the etiology of delay in these children. The study was performed in the Department of Pediatrics, SMS Medical College, Jaipur, from June 2014 to May 2015. One hundred sixty-eight children with GDD attending the child development clinic with age ≤ 5 years and development quotient < 70% were enrolled. After detailed clinical history and thorough examination, specific investigations were obtained. Data analysis was done to determine the underlying etiology. Out of 168 children studied, etiology was detected in 155 (92.3%). Most common etiology was perinatal insult (63.1%) followed by genetic (8.93%), postnatal (7.14%), metabolic (5.95%), mixed (2.98%), cerebral dysgenesis (2.38%), and congenital infections (1.79%). Microcephaly was present in 100 children. Most common etiology was found to be perinatal insult, which is a preventable cause to much extent. Newer and sophisticated investigations such as metabolic profile, genetic studies should be incorporated in the planned investigations to increase the diagnostic yield.

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Section: Discussioncontrasting

confidence: 49%

Etiological Profile of Children with Global Developmental Delay: A Single Center Study

et al. 2018

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“…Developmental delay is diagnosed when a child does not attain normal developmental milestones at the expected age. [1] Speech is the sound produced, while language is a measure of comprehension. [2] The acquisition of intelligible speech and language is a useful marker for the child's overall development and intellect.…”

Section: Introductionmentioning

confidence: 99%

Speech and language delay in children: Prevalence and risk factors

Sunderajan

Kanhere

2019

J Family Med Prim Care

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Context: Intelligible speech and language is a useful marker for the child's overall development and intellect. Timely identification of delay by primary care physicians can allow early intervention and reduce disability. Data from India on this subject is limited. Aims: To study the prevalence and risk factors of speech-language delay among children aged 1-12 years. Settings and Design: A cross sectional study was conducted at the Pediatric outpatient department of a teaching hospital. Materials and Methods: Eighty four children (42 children with delayed speech and 42 controls) aged 1-12 years were included. The guardians of these children were requested to answer a questionnaire. History of the child's morbidity pattern and the risk factors for speech delay were recorded. The child's developmental milestones were assessed. Statistical Analysis Used: Data entry was analyzed using SPSS software, version 16. Standard statistical tests were used. A p value of less than 0.05 was taken as statistically significant. Results: Speech and Language delay was found in 42 out of 1658 children who attended the OPD. The risk factors found to be significant were seizure disorder ( P =< 0.001)), birth asphyxia ( P =0.019), oro-pharyngeal deformity ( P =0.012), multilingual family environment ( P =< 0.001), family history ( P =0.013), low paternal education ( P =0.008), low maternal education ( P =< 0.001), consanguinity ( P =< 0.001) and inadequate stimulation ( P =< 0.001). Conclusions: The prevalence of speech and language delay was 2.53%. and the medical risk factors were birth asphyxia, seizure disorder and oro-pharyngeal deformity. The familial causes were low parental education, consanguinity, positive family history, multilingual environment and inadequate stimulation.

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“…These may include prenatal factors such as genetics (including metabolic), malformations and toxins; perinatal factors such as hypoxia and prematurity; and postnatal (acquired) factors such as infections and status epilepticus. 2 Nutrition, growth and other factors have also been associated with DD. 3,4 Outcomes in development should not be viewed in isolation, but with the interactions of the various risks and protective factors that influence early child development.…”

Section: Introductionmentioning

confidence: 99%

Developmental delay in a resource-constrained environment: Screening, surveillance and diagnostic assessment

Govender¹,

Naidoo

Govender

2021

S Afr Fam Pract

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The range and severity of developmental delays vary, and a systematic approach to ensuring early detection for early intervention is essential. The formative years are considered critical for nurturing and maximising developmental potential. In this article, the authors describe a clinical approach to developmental delay within resource-constrained environments of South Africa. The article unpacks the history and examination, developmental screening, surveillance and diagnostic assessment and social determinants of health. For timely interventions to occur, early and accurate assessment is necessary. Medical officers and other health professionals such as nurses, general practitioners and therapists working in low-resourced contexts may use this information in their approach to the assessment of developmental delay.

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The child with developmental delay: An approach to etiology

Cited by 13 publications

References 7 publications

Etiological Profile of Children with Global Developmental Delay: A Single Center Study

Etiological Profile of Children with Global Developmental Delay: A Single Center Study

Speech and language delay in children: Prevalence and risk factors

Developmental delay in a resource-constrained environment: Screening, surveillance and diagnostic assessment

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