父母查问卷以检测高风险婴儿2岁时的认知和语言延迟:维多利亚婴儿协作研究2016-2017年队列分析
Kate L Rawnsley1,2, Lex W Doyle2,3,4,5, Peter J Anderson2,6
1Department of Physiotherapy, The University of Melbourne, Carlton, Victoria, Australia kate.rawnsley@student.unimelb.edu.au.
Archives of disease in childhood. Fetal and neonatal edition
|April 11, 2024
概括
无论是儿童能力修订的家长报告 (PARCA-R) 还是年龄和阶段问卷第三版 (ASQ-3) 都没有准确地查极度早产婴儿的认知延迟. 这两种工具在识别语言延迟方面都更好,PARCA-R的表现优于ASQ-3.
科学领域:
- 发育儿科 发育儿科
- 新生儿随访 新生儿随访
- 选工具 精度 精度 精度
背景情况:
- 极度早产 (EP) 婴儿和出生体重极低 (ELBW) 的婴儿面临发育迟缓的高风险.
- 准确及时的发育查对于在这个脆弱人群中进行早期干预至关重要.
- 贝利婴儿和幼儿发展尺度-第三版 (Bayley-III) 是评估婴儿发展的标准指标.
研究的目的:
- 评估"儿童能力修订的家长报告" (PARCA-R) 和"年龄和阶段问卷第三版" (ASQ-3) 在检测EP/ELBW婴儿的认知和语言延迟方面的准确性.
- 将PARCA-R和ASQ-3的性能与贝利-III作为黄金标准进行比较.
- 评估结合两种选工具的实用性.
主要方法:
- 一项前性队列研究在澳大利亚维多利亚州进行.
- 211名出生于EP/ELBW的婴儿在2岁时被评估.
- 发育迟缓被定义为贝利-III认知和语言尺度上<-1 SD的得分. PARCA-R和ASQ-3被用于查.
主要成果:
- 无论是PARCA-R还是ASQ-3都没有证明与Bayley-III在认知延迟检测方面存在实质性一致 (卡帕值:PARCA-R 0.43,ASQ-3 0.15).
- 与ASQ-3相比,PARCA-R对认知延迟的敏感性 (70%) 和特异性 (73%) 高于ASQ-3 (62%的敏感性,53%的特异性).
- 结合PARCA-R和ASQ-3增加了敏感度 (78%),但在检测延迟方面降低了特异性 (45%);在语言延迟方面观察到类似的趋势.
结论:
- 目前的发育查问卷PARCA-R和ASQ-3在识别极度早产婴儿的认知延迟方面具有有限的准确性.
- 这两种工具在查语言延迟方面都更有效,PARCA-R比ASQ-3更准确.
- 虽然PARCA-R和ASQ-3的结合提高了检测发育迟缓的灵敏度,但它显著损害了特异性,需要在临床应用中仔细考虑.
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