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Developmental screen or developmental testing?

Samantha Johnson1, Neil Marlow

  • 1Academic Division of Child Health, E Floor, East Block, Queen's Medical Centre, Nottingham, NG7 2UH, United Kingdom. sam.johnson@nottingham.ac.uk

Early Human Development
|March 1, 2006
PubMed

Insights

Neurodevelopmental follow-up is vital for preterm infants to monitor for disabilities. Standardized developmental tests at corrected age 2 years are recommended for accurate assessment in high-risk neonates.

Area of Science:

  • Neonatal care
  • Developmental pediatrics
  • Neuroscience

Background:

  • Preterm infants face a high risk of residual disability, necessitating careful outcome monitoring.
  • National recommendations emphasize neurodevelopmental follow-up until at least 2 years corrected age.
  • Developmental assessment at 2 years is crucial for identifying disabilities in this population.

Purpose of the Study:

  • To review standardized developmental tests for assessing preterm infants.
  • To discuss practical considerations for using these tests in neonatal follow-up.
  • To provide guidelines for developmental testing at 2 years corrected age.

Main Methods:

  • Review of commonly used standardized developmental tests for infancy.
  • Discussion of the properties and utility of standardized tests versus screening tools.
  • Consideration of parental reports in developmental assessment.

Main Results:

  • Standardized developmental tests are more diagnostic and suitable for high-risk populations than screening tools.
  • Practical issues in applying these tests to preterm infants are outlined.
  • Guidelines for 2-year developmental testing are provided.

Conclusions:

  • Standardized developmental tests are essential for accurate outcome measurement in preterm infants.
  • Effective implementation requires addressing practical challenges in testing.
  • Comprehensive follow-up aids in identifying and managing neurodevelopmental impairments.

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