Bayley-III motor scale and neurological examination at 2 years do not predict motor skills at 4.5 years.

Bayley-III motor scale and neurological examination at 2 years do not predict motor skills at 4.5 years.
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DOI:
10.1111/dmcn.13232
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发表时间:
2017-02
影响因子:
3.8
通讯作者:
Chyld Study Team
Chyld Study Team
中科院分区:
医学2区
文献类型:
--
作者:
Burakevych N;Mckinlay CJ;Alsweiler JM;Wouldes TA;Harding JE;Chyld Study Team

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To determine whether Bayley Scales of Infant and Toddler Development (3rd edition) (Bayley-III) motor scores and neurological examination at 2 years' corrected age predict motor difficulties at 4.5 years' corrected age. A prospective cohort study of children born at risk of neonatal hypoglycaemia in Waikato Hospital, Hamilton, New Zealand. Assessment at 2 years was performed using the Bayley-III motor scale and neurological examination, and at 4.5 years using the Movement Assessment Battery for Children (2nd edition) (MABC-2). Of 333 children, 8 (2%) had Bayley-III motor scores below 85, and 50 (15%) had minor deficits on neurological assessment at 2 years; 89 (27%) scored less than or equal to the 15th centile, and 54 (16%) less than or equal to the 5th centile on MABC-2 at 4.5 years. Motor score, fine and gross motor subtest scores, and neurological assessments at 2 years were poorly predictive of motor difficulties at 4.5 years, explaining 0 to 7% of variance in MABC-2 scores. A Bayley-III motor score below 85 predicted MABC-2 scores less than or equal to the 15th centile with a positive predictive value of 30% and a negative predictive value of 74% (7% sensitivity and 94% specificity). Bayley-III motor scale and neurological examination at 2 years were poorly predictive of motor difficulties at 4.5 years.
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