Predictive value of Bayley-III Motor Index for later motor difficulties in children born extremely preterm.

Autor: Montgomery C; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden., Setänen S; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden., Kaul YF; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden., Farooqi A; Department of Neonatology: Child and Adolescent Medicine, Umeå University Hospital, Umeå, Sweden., Broström L; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden., Aden U; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden., Källén K; Department of Clinical Sciences, Lund University, Lund, Sweden.; Department of Obstetrics and Gynecology, Lund University, Lund, Sweden., Serenius F; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Jazyk: angličtina
Zdroj: Acta paediatrica (Oslo, Norway : 1992) [Acta Paediatr] 2023 Apr; Vol. 112 (4), pp. 742-752. Date of Electronic Publication: 2023 Feb 20.
DOI: 10.1111/apa.16694
Abstrakt: Aim: To investigate the predictive ability of the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III) Motor Index, in children born extremely preterm (<27 gestational weeks) without cerebral palsy.
Methods: Children from the EXPRESS study (all extremely preterm births in Sweden, 2004-2007) without neurosensory impairments assessed with Bayley-III at 2.5 years corrected age and Movement Assessment Battery for Children, Second Edition (MABC-2), at 6.5 years comprised the eligible study population (n = 282). Motor difficulty was defined as MABC-2 ≤5th percentile.
Results: Motor difficulties were found in 57 of 282 children (20.2%) at 6.5 years. The Bayley-III explained 18.0% of the variance in the MABC-2 (p < 0.001). The area under the receiver operating curve was 0.71 (95% confidence interval 0.64-0.79, p < 0.001). At a Bayley-III cut-off value of 85, sensitivity, specificity and positive and negative predictive values for motor difficulties were 26.3% (15.5-39.7), 92.9% (88.1-95.9), 48.4% (33.0-64.0) and 83.3% (80.9-85.4). Likelihood ratios were inconclusive.
Conclusion: The Bayley-III at 2.5 years corrected age was a modest predictor of motor outcome in children born extremely preterm at 6.5 years, and underestimated the rate of motor difficulties. Children require follow-up beyond preschool age.
(© 2023 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.)
Databáze: MEDLINE
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