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Published on: June 20, 2020
A clinical analysis of children with developmental delay
Jeng-Tau Tsai1, Huang-Tsung Kuo, I-Ching Chou
1Department of Pediatrics, China Medical University Hospital, Taichung, Taiwan. fernand.tsai@msa.hinet.net
This study on childhood developmental delay (DD) found cognitive, language, and motor impairments are most common. Identifying causes of DD is challenging due to its diverse nature.
Area of Science:
- Pediatric Medicine
- Developmental Psychology
- Genetics
Background:
- Developmental delay (DD) affects numerous children globally.
- Understanding functional domains and etiological factors is crucial for early intervention.
- Previous research highlights the heterogeneity of DD, complicating diagnosis and treatment.
Purpose of the Study:
- To identify the functional domains and etiological risk factors in children diagnosed with developmental delay (DD).
- To categorize subtypes of DD and analyze the prevalence of associated disorders and risk factors.
Main Methods:
- A retrospective chart review of 1192 children evaluated for DD or behavioral problems over 41 months.
- Clinical evaluation, laboratory investigations, and psychological assessments were conducted.
- Children were classified into six functional subtypes of DD.
Main Results:
- Developmental delay (DD) was diagnosed in all 1192 children, with cognitive DD (86.7%), language DD (58.4%), and motor DD (47.9%) being most prevalent.
- Males were more frequently diagnosed with DD (male to female ratio 2.3:1).
- Identifiable etiological risk factors were found in only 20.5% of cases, and 35.6% had associated disorders.
Conclusions:
- Cognitive, language, and motor delays are the most common functional domains affected in children with DD.
- Developmental delay (DD) is more prevalent in males.
- The heterogeneity of DD presents significant challenges in identifying specific etiological risk factors.
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