在18个月使用婴幼儿检查清单对发育迟缓的查:一个验证研究.
Cornelia M Borkhoff1,2, Haris Imsirovic3, Imaan Bayoumi3,4
1Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
PloS one
|June 26, 2025
概括
婴幼儿检查清单 (ITC) 显示,对于检测幼儿的发育问题,其特异性很高. 虽然它具有较低的灵敏度,但积极的ITC评分预测了医疗保健使用的增加,包括神经发育咨询.
科学领域:
- 儿科健康 儿科健康
- 发育儿科 发育儿科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 早期发现发育问题对于及时干预至关重要.
- 婴幼儿检查清单 (ITC) 是在18个月健康儿童检查时进行查的潜在工具.
- 了解与积极的ITC查相关的预测有效性和医疗保健利用是很重要的.
研究的目的:
- 检查婴幼儿检查清单 (ITC) 的预测有效性.
- 评估积极的ITC查和随后的医疗保健利用 (HCU) 之间的关联.
主要方法:
- 对1460名18个月初级保健访问的儿童进行前性队列研究.
- 父母填写了ITC;卫生行政数据库跟踪了医疗保健使用情况.
- 神经发育咨询是主要的结果指标.
主要成果:
- 11%的儿童被选为ITC阳性;2.6%的儿童在8岁时接受了神经发育咨询.
- 在检测神经发育咨询方面,ITC显示了40%的灵敏度和90%的特异性.
- 阳性ITC与7种HCU类型中的6种增加率显著相关,包括神经发育咨询 (aRR2.78).
结论:
- ITC具有很高的特异性和低的假阳性率,最大限度地减少了大多数儿童不必要的焦虑和资源使用.
- ITC的低灵敏度强调了持续发展监测的必要性.
- 调查结果表明,ITC可以是一个有价值的选工具,当不断的发展监测的补充.
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