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Denver developmental screening test and preterm infants.

A M Elliman, E M Bryan, A D Elliman

    Archives of Disease in Childhood
    |January 1, 1985
    PubMed
    Summary
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    The Denver Developmental Screening Test may mislabel preterm infants. Using corrected age with the Denver test and Griffiths scales improves developmental delay detection in preterm children.

    Area of Science:

    • Developmental Pediatrics
    • Neonatology
    • Child Psychology

    Background:

    • Preterm infants exhibit unique developmental trajectories.
    • Accurate developmental assessment is crucial for early intervention.
    • Existing screening tools may require age adjustments for preterm populations.

    Purpose of the Study:

    • To compare the Denver Developmental Screening Test (DDST) and Griffiths Mental Development Scales (GMDS) in preterm children.
    • To evaluate the impact of using real age versus corrected age on developmental assessments.
    • To determine the sensitivity and selectivity of the DDST in identifying developmental delays in preterm infants.

    Main Methods:

    • A cohort of 198 preterm children was assessed within their first three years of life.

    Related Experiment Videos

  • The Denver Developmental Screening Test and Griffiths Mental Development Scales were administered.
  • Developmental outcomes were analyzed using both chronological (real) age and corrected age.

    • Main Results:

    • Using real age, the DDST identified developmental delay but flagged up to 42% of infants as questionable or abnormal.
    • Employing corrected age significantly reduced the identification of developmental delay by the DDST.
    • In the first year, infants with delays on the GMDS were often assessed as normal by the DDST using real age.

    Conclusions:

    • The DDST demonstrates suboptimal sensitivity and selectivity for preterm infants when using real age.
    • Adjusting for corrected age is essential for accurate developmental screening in preterm populations.
    • Utilizing both real and corrected age with the DDST can prevent unnecessary parental anxiety and ensure appropriate follow-up for preterm children.