Developmental Screening Among Children Born Preterm in a High-Risk Follow-Up Clinic

Allison G Dempsey1, Catherine W Abrahamson2, Milena A Keller-Margulis3

  • 1University of Texas Health Science Center at Houston and Allison.dempsey@uth.tmc.edu.

Insights

Two developmental screening tools were evaluated for preterm infants. The Brigance Screen II demonstrated better accuracy in identifying at-risk children compared to the Child Developmental Review.

Area of Science:

  • Developmental Pediatrics
  • Neonatal Follow-up
  • Psychometric Evaluation

Background:

  • Children born preterm require specialized monitoring in primary care follow-up clinics.
  • Developmental screening tools are crucial for early identification of potential delays in this high-risk population.

Purpose of the Study:

  • To present the psychometric properties of two developmental screening tools for preterm infants.
  • To compare the accuracy of the Child Development Review and Brigance Early Head Start Screen II.

Main Methods:

  • 28 extremely preterm infants (<27 weeks) were assessed at 18-24 months.
  • Participants received the Child Development Review, Brigance Early Head Start Screen II, and Bayley Scales of Infant and Toddler Development-Third Edition.

Main Results:

  • Both screeners identified most infants as at-risk.
  • Brigance Screen II showed higher sensitivity (1.00 vs. 0.44) and specificity (0.60 vs. 0.80) than Child Developmental Review.
  • Brigance Screen II had a higher positive predictive value (79% vs. 80%) and negative predictive value (100% vs. 44%).

Conclusions:

  • Direct skills assessment screening tools can efficiently identify developmental delays in high-risk settings.
  • The Brigance Screen II appears more effective for screening preterm infants in follow-up care.
  • Early identification of even lower-severity difficulties is crucial for preterm children.
Abstract