Validity of the Korean Developmental Screening Test for very-low-birth-weight infants
Purpose The importance of the neurodevelopmental outcomes of very-low-birth-weight (VLBW) infants has been emphasized as their mortality rate has markedly improved. This study aimed to assess the validity of the Korean Developmental Screening Test (K-DST), a developmental screening tool approved by...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Korean Pediatric Society
2019-05-01
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| Series: | Korean Journal of Pediatrics |
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| Online Access: | http://kjp.or.kr/upload/pdf/kjp-2018-07381.pdf |
| _version_ | 1819052726663774208 |
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| author | Chae Young Kim Euiseok Jung Byong Sop Lee Ki-Soo Kim Ellen Ai-Rhan Kim |
| author_facet | Chae Young Kim Euiseok Jung Byong Sop Lee Ki-Soo Kim Ellen Ai-Rhan Kim |
| author_sort | Chae Young Kim |
| collection | DOAJ |
| description | Purpose The importance of the neurodevelopmental outcomes of very-low-birth-weight (VLBW) infants has been emphasized as their mortality rate has markedly improved. This study aimed to assess the validity of the Korean Developmental Screening Test (K-DST), a developmental screening tool approved by the Korean Society of Pediatrics, for the timely diagnosis of neurodevelopmental delay in VLBW infants. Methods Subjects included VLBW infants enrolled in the Korean Neonatal Network database between January 2012 and December 2014. The collected data were analyzed for sensitivity, specificity, positive predictive value, and negative predictive value (NPV) in the K-DST compared to those in the Bayley Scales of Infant Development-II for VLBW infants. Results A total of 173 patients were enrolled. Their mean gestational age and mean birth weight were 27.5±2.8 weeks and 980.5±272.1 g, respectively. The frequency of failed psychomotor developmental index (PDI) <85 was similar to that in at least one domain of K-DST <1 standard deviation. Failure in more than one K-DST domain compared with a mental developmental index (MDI) <85 showed a sensitivity and NPV of 73.2% and 75.0%, respectively. Failure in more than one K-DST domain compared with PDI <85 showed a sensitivity and NPV of 60.3% and 71.6%, respectively. Each K-DST domain had a stronger correlation with predicting a failing MDI <85 than a failing PDI <85 (P<0.05). Conclusion K-DST could be a useful screening tool for predicting mental developmental delay in VLBW infants and referring them for neurodevelopmental assessments. |
| first_indexed | 2024-12-21T12:24:25Z |
| format | Article |
| id | doaj.art-26449497df4949b4a82aef45412e3a10 |
| institution | Directory Open Access Journal |
| issn | 1738-1061 2092-7258 |
| language | English |
| last_indexed | 2024-12-21T12:24:25Z |
| publishDate | 2019-05-01 |
| publisher | Korean Pediatric Society |
| record_format | Article |
| series | Korean Journal of Pediatrics |
| spelling | doaj.art-26449497df4949b4a82aef45412e3a102022-12-21T19:04:14ZengKorean Pediatric SocietyKorean Journal of Pediatrics1738-10612092-72582019-05-0162518719210.3345/kjp.2018.0738120125553526Validity of the Korean Developmental Screening Test for very-low-birth-weight infantsChae Young Kim0Euiseok Jung1Byong Sop Lee2Ki-Soo Kim3Ellen Ai-Rhan Kim Division of Neonatology, Department of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Korea Division of Neonatology, Department of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Korea Division of Neonatology, Department of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Korea Division of Neonatology, Department of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, KoreaPurpose The importance of the neurodevelopmental outcomes of very-low-birth-weight (VLBW) infants has been emphasized as their mortality rate has markedly improved. This study aimed to assess the validity of the Korean Developmental Screening Test (K-DST), a developmental screening tool approved by the Korean Society of Pediatrics, for the timely diagnosis of neurodevelopmental delay in VLBW infants. Methods Subjects included VLBW infants enrolled in the Korean Neonatal Network database between January 2012 and December 2014. The collected data were analyzed for sensitivity, specificity, positive predictive value, and negative predictive value (NPV) in the K-DST compared to those in the Bayley Scales of Infant Development-II for VLBW infants. Results A total of 173 patients were enrolled. Their mean gestational age and mean birth weight were 27.5±2.8 weeks and 980.5±272.1 g, respectively. The frequency of failed psychomotor developmental index (PDI) <85 was similar to that in at least one domain of K-DST <1 standard deviation. Failure in more than one K-DST domain compared with a mental developmental index (MDI) <85 showed a sensitivity and NPV of 73.2% and 75.0%, respectively. Failure in more than one K-DST domain compared with PDI <85 showed a sensitivity and NPV of 60.3% and 71.6%, respectively. Each K-DST domain had a stronger correlation with predicting a failing MDI <85 than a failing PDI <85 (P<0.05). Conclusion K-DST could be a useful screening tool for predicting mental developmental delay in VLBW infants and referring them for neurodevelopmental assessments.http://kjp.or.kr/upload/pdf/kjp-2018-07381.pdfVery low birth weightValidityKorean Developmental Screening Test |
| spellingShingle | Chae Young Kim Euiseok Jung Byong Sop Lee Ki-Soo Kim Ellen Ai-Rhan Kim Validity of the Korean Developmental Screening Test for very-low-birth-weight infants Korean Journal of Pediatrics Very low birth weight Validity Korean Developmental Screening Test |
| title | Validity of the Korean Developmental Screening Test for very-low-birth-weight infants |
| title_full | Validity of the Korean Developmental Screening Test for very-low-birth-weight infants |
| title_fullStr | Validity of the Korean Developmental Screening Test for very-low-birth-weight infants |
| title_full_unstemmed | Validity of the Korean Developmental Screening Test for very-low-birth-weight infants |
| title_short | Validity of the Korean Developmental Screening Test for very-low-birth-weight infants |
| title_sort | validity of the korean developmental screening test for very low birth weight infants |
| topic | Very low birth weight Validity Korean Developmental Screening Test |
| url | http://kjp.or.kr/upload/pdf/kjp-2018-07381.pdf |
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