早期视觉功能与患脑或其他神经发育障碍风险的婴儿的认知结果之间的相关性:系统性审查
Olena Chorna1,2, Giulia Corsi2, Sabrina Del Secco2
1Department of Neuroscience, Psychology, Drug Research and Child Health NEUROFARBA, University of Florence, 50121 Florence, Italy.
Children (Basel, Switzerland)
|June 27, 2024
概括
婴儿早期的视觉技能,如跟踪和注意力,对于认知发展至关重要. 这次审查发现,在生命早期评估这些视觉能力可以预测以后的认知结果.
科学领域:
- 神经科学是一个神经科学.
- 发育儿科 发育儿科
- 眼科医生 眼科 眼科
背景情况:
- 早期的视觉技能 (跟踪,凝视,注意) 在最初的6个月内迅速发展.
- 这些技能对于认知发展至关重要,但在患神经发育障碍的婴儿中,这些技能往往会受到损害.
- 早期发现视力障碍可以帮助预测神经发育轨迹.
研究的目的:
- 系统地审查早期视觉功能对12个月或以上认知结果的预测潜力.
- 为了确定特定的早期视觉评估,以强大的预测有效性,以后的认知.
- 评估证据的质量,将早期视力与风险婴儿的认知发育联系起来.
主要方法:
- 对五个数据库进行系统审查.
- 使用诊断准确性研究质量评估 (QUADAS) 工具进行质量评估.
- 包括8项涉及521名风险患脑的早产婴儿的研究.
主要成果:
- 所有包括的研究都表明,早期视觉功能和认知结果之间存在显著的相关性.
- 预测分析 (灵敏度和特异性) 在三项研究中是可行的.
- 对于视觉功能评估,灵敏度在57-100%,特异性在59-100%.
结论:
- 早期视力评估显示,与12个月及以上的认知发展有很强的相关性.
- 没有一个单一的视力测试是绝对优越的,但固定和跟进能力特别具有预测性.
- 评估特定的视觉功能,如固定和跟踪,在术语年龄和6个月之间,为认知结果提供了强大的预测有效性.
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