Accuracy of the Bayley-II mental development index at 2 years as a predictor of cognitive impairment at school age among children born extremely preterm

被引：25

作者：

O'Shea, Thomas M. ^{[1
]}

Joseph, Robert M. ^{[2
]}

Allred, Elizabeth N. ^{[3
,4
]}

Taylor, H. Gerry ^{[5
]}

Leviton, Alan ^{[3
,4
]}

Heeren, Tim ^{[6
]}

Douglass, Laurie M. ^{[7
]}

Frazier, Jean A. ^{[8
]}

Jara, Hernan ^{[9
]}

Kuban, Karl C. K. ^{[7
]}

机构：

[1] Univ N Carolina, Dept Pediat, Chapel Hill, NC 27515 USA

[2] Boston Univ, Dept Psychol & Neuroanat, Boston, MA 02215 USA

[3] Harvard Med Sch, Dept Neurol, Boston, MA USA

[4] Boston Childrens Hosp, Dept Neurol, Neuroepidemiol Unit, Boston, MA USA

[5] Univ Hosp Cleveland, Med Ctr, Rainbow Babies & Childrens Hosp, Dept Pediat, Cleveland, OH 44106 USA

[6] Boston Univ, Sch Publ Hlth, Dept Biostat, Boston, MA USA

[7] Boston Med Ctr, Dept Pediat, Div Pediat Neurol, Boston, MA USA

[8] Univ Massachusetts, Mem Childrens Med Ctr, UMASS Med Sch, Dept Psychiat & Pediat, Worcester, MA 01605 USA

[9] Boston Univ, Boston Med Ctr, Dept Radiol, Boston, MA 02215 USA

来源：

JOURNAL OF PERINATOLOGY | 2018年 / 38卷 / 07期

基金：

美国国家卫生研究院;

关键词：

LOW-BIRTH-WEIGHT; INFANT DEVELOPMENT; GESTATIONAL-AGE; PREMATURE-INFANTS; CAFFEINE THERAPY; MATERNAL OBESITY; 3RD EDITION; OUTCOMES; SCALES; DISABILITY;

D O I：

10.1038/s41372-017-0020-8

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective To describe the accuracy of the Bayley Scales of Infant Development-Second Edition (BSID-II) Mental Development Index (MDI) at 2 years of age for prediction of cognitive function at school age of children born extremely preterm. Design Study participants were enrolled in the Extremely Low Gestational Age Newborn Study between 2002 and 2004. Two-thirds of surviving children (n = 795) were assessed at 2 years with the BSID-II and at 10 years with an intelligence quotient (IQ) test. We computed test characteristics for a low MDI (<70), including predictive value positive. Results Almost two-thirds of children with a low MDI had a normal IQ (>= 70) at 10 years. Concordance between MDI and IQ was highest among children with major motor and/or sensory impairment, and when MDI was adjusted for gestational age. Conclusion Most children born extremely preterm with low BSID-II MDI at 2 years have normal intelligence at school age.

引用

页码：908 / 916

页数：9

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