Which Bayley-III cut-off values should be used in different developmental levels?
| Autor: | Halil İbrahim Yakut, İclal Ayranci Sucakli, Pelin Çelik |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty BSID-II Bayley-III 6-42 months of age developmental delay levels cut-off scores Developmental Disabilities 6–42 months of age 030204 cardiovascular system & hematology Neuropsychological Tests BSID-II Bayley-III Bayley Scales of Infant Development Severity of Illness Index cut-off scores Article 03 medical and health sciences 0302 clinical medicine Medicine Humans Prospective Studies Psychomotor learning Mental development index 0303 health sciences 030306 microbiology business.industry Cognitive delay Infant Cognition General Medicine developmental delay levels Motor delay Bayley iii Child Preschool Female business |
| Zdroj: | Turkish Journal of Medical Sciences Volume: 50, Issue: 4 764-770 |
| ISSN: | 1303-6165 1300-0144 |
| Popis: | Background/aim: Latest version of Bayley Scales Bayley-III and its predecessor BSID-II are the most widely used standardized developmental tools in infancy and early childhood. Recent studies showed that Bayley-III scores were higher than BSID-II in 18-24 month-old and mostly premature infants. We aimed to evaluate the generalization of inflated scores of Bayley-III to children aged 6-42 months with different disease groups, and to find out which cut-off points should be used in Bayley-III to detect mild, moderate, and severe developmental delay according to BSID-II standard cut-off points. Materials and methods: Two hundred and fifty-five children aged 6-42 months with different diseases and developmental levels were administered both the Bayley-III and BSID-II in the same session between 15 November 2017 and 15 April 2018. Results: The mean Bayley-III Cognitive Composite CC and Cognitive Language Composite CLC scores were respectively 13.1 ± 9.1 and 8.6 ± 8 points higher than BSID-II Mental Development Index MDI scores P < 0.001 . The mean Bayley-III Motor Composite MC scores were 14.4 ± 10.5 points higher than BSID-II Psychomotor Developmental Index PDI scores P < 0.001 . Cognitive delay was found in 126 49.4% and 59 23.1% children according to BSID-II MDI and Bayley-III CC scores, respectively. Motor delay was found in 174 69.3% and 86 34.3% children according to the BSID-II PDI and Bayley-III MC scores, respectively. Children had less cognitive 48.6% and motor delay 54.5% according to Bayley-III scores. Bayley-III scores were significantly higher than BSID-II scores for all ages P < 0.001 . According to ROC analysis the cut-off scores for mild, moderate, and severe delay were 92.5, 83.2, and 71.2 for Bayley-III CLC; and 98.5, 86.5, and 74.5 for Bayley-III MC, respectively. Conclusion: Bayley-III scores should be interpreted carefully for all age ranges and different diagnosis. The risk for underestimation of developmental delays by Bayley-III should be kept in mind. Different Bayley-III cut-off scores should be used to define developmental delay levels. |
| Databáze: | OpenAIRE |
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