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[PRUNAPE: screening for psychomotor development problems at primary care level].

Horacio Lejarraga1, Ana M Menéndez, Enrique Menzano

  • 1Crecimiento y Desarrollo, Hospital de Pediatría Prof. Dr. J.P. Garrahan, Ciudad de Buenos Aires. hlejarraga@garrahan.gov.ar

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Summary

A national screening for psychomotor development (PPD) in 839 children found a 20% failure rate. Early detection and treatment of developmental disorders in children are crucial for positive outcomes.

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Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Public Health

Context:

  • Screening for psychomotor development (PPD) in apparently healthy children aged 0-5 years.
  • Implementation of a national screening test in three health centers in San Isidro.
  • Inclusion of 839 children in the study.

Purpose:

  • To determine the prevalence and types of psychomotor development problems.
  • To understand the perceptions of professionals and parents regarding the screening test and program.
  • To assess the effectiveness of a national screening test for PPD.

Summary:

  • A general failure rate of 20.0% was observed in the screening test.
  • Of 170 children referred for diagnosis, 96 were confirmed with developmental disorders, including global developmental delay (60), pervasive disorders (11), and communication disorders (10).
  • Co-morbidity was present in 22 children; 43% did not complete diagnostic studies, highlighting a significant gap in follow-up care.

Impact:

  • The study identified 96 children with developmental disorders now under treatment, validating the screening procedure.
  • Qualitative insights underscore the critical role of parents and professionals in the screening process.
  • The findings support the implementation of early detection programs for psychomotor development issues in children.