在全国范围的婴儿队列中区分短暂的和持久的发育迟缓
Yonatan Bilu1, Guy Amit1, Keren Mayer Lapidot2,3
1KI Research Institute, Kfar Malal, Israel.
JAMA network open
|October 27, 2025
概括
这项研究表明,常规发育监测可以区分儿童的临时和持久发育迟缓. 计数未达到的里程碑提供了一种可访问的方法,以改善全球早期儿童发展监测.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 公共卫生监督 公共卫生监督
背景情况:
- 早期儿童发育监测对于及时干预至关重要.
- 当前的政策难以区分短暂的发展延迟和持续的发展延迟.
- 这可能会导致不适当的转诊或错过的支持机会.
研究的目的:
- 评估Tipat Halav以色列监视 (THIS) 发展尺度是否可以区分短暂的发展延迟和持续的发展延迟.
- 提高幼儿监视政策的准确性.
主要方法:
- 使用以色列国家母婴健康数据 (2014-2022) 的回顾性队列研究.
- 包括在怀孕>=37周出生的婴儿,在9-12个月评估,至少有一个错过的里程碑.
- 机器学习模型和更简单的决策规则被用来预测在12-24个月内持续的里程碑成就失败.
主要成果:
- 在529,797名婴儿中,7.1%的婴儿在9-12个月时表现出发育迟缓.
- 在重新评估的人群中,持续延迟被确定为25.0%.
- 机器学习模型实现了0.71-0.77的ROC曲线下的区域;计数未满足的域显示出良好的灵敏度和特异性.
结论:
- 常规监测数据可以有效地区分短暂的发展延迟和持续的发展延迟.
- 计数未满足的发展领域是一个有效和实用的方法.
- 这提供了一种可访问的方法,以改善全球的发育监测和儿童结果.
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