Parent-Completed Developmental Screening in Premature Children
Author Information
Author(s): Cyril Flamant, Bernard Branger, The Tich Sylvie Nguyen, Elise de La Rochebrochard, Christophe Savagner, Isabelle Berlie, Jean-Christophe Rozé
Primary Institution: Department of Neonatal Medicine, University Hospital, Nantes, France
Hypothesis
Can the Ages and Stages Questionnaires (ASQ) effectively screen for psychomotor development in ex-premature infants at 2 years of age?
Conclusion
The ASQ is a simple and reliable tool for predicting normal neurologic outcomes in ex-premature infants at 2 years of age.
Supporting Evidence
- 630 infants (89.6%) had an optimal neuromotor examination at 2 years.
- ASQ scores produced an area under the receiver operator curve value of 0.85.
- An ASQ cut-off score of ≤220 had optimal discriminatory power for identifying a DQ score ≤85.
Takeaway
This study shows that parents can use a simple questionnaire to help check if their premature babies are developing normally by age 2.
Methodology
The study evaluated 703 ex-premature infants at 2 years using the ASQ, clinical examinations, and the Brunet-Lezine test.
Potential Biases
No evidence that the accuracy of ASQ reports was influenced by socio-economic level or maternal education.
Limitations
The psychometric properties of the ASQ French version have not been studied in a control population.
Participant Demographics
Infants were very preterm (<35 weeks gestational age), with detailed socio-economic data available for 419 infants.
Statistical Information
Confidence Interval
95% CI: 0.82–0.87
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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