Child development in primary care: a surveillance proposal
Child development in primary care: a surveillance proposal
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DOI：
10.1016/j.jped.2015.12.006
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发表时间：
2016-10-01
影响因子：
3.3
通讯作者：
Halpern, Ricardo
中科院分区：
文献类型：
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作者：
Coelho, Renato;Ferreira, José Paulo;Halpern, Ricardo
目的：评价在初级保健中使用儿童发育监测工具的建议，同时使用丹佛II量表。方法：这是一项横断面研究，研究对象为282名36个月大的婴儿，他们在巴西南里奥格兰德州一个农村社区的公共日托中心登记。结果：儿童可能发育迟缓的发生率为53%，多数为警戒组，24%的儿童发育正常，但有危险因素。在丹佛量表上，疑似发育迟缓的患病率为32%。当评估危险因素和社会人口学变量时，没有观察到显著差异。结论：该监测工具的评估产生了客观和可比性的数据，这些数据足以用于筛查测试。它很容易作为一种筛查工具使用，尽管它最初是作为一种监视工具设计的。将风险因素纳入计分系统是一项创新，除了能够识别发育里程碑外，还可以识别疑似发育迟缓的儿童，尽管应彻底研究参数的定义和指标的选择。(C)2016年巴西儿科学会。书名/作者Elsevier Editora Ltd.
Objective: To evaluate a child development surveillance tool proposal to be used in primary care, with simultaneous use of the Denver II scale.Methods: This was a cross-sectional study of 282 infants aged up to 36 months, enrolled in a public daycare in a countryside community in Rio Grande do Sul/Brazil. Child development was assessed using the surveillance tool and the Denver II scale.Results: The prevalence of probable developmental delay was 53%; most of these cases were in the alert group and 24% had normal development, but with risk factors. At the Denver scale, the prevalence of suspected developmental delay was 32%. When risk factors and sociodemographic variables were assessed, no significant difference was observed.Conclusion: The evaluation of this surveillance tool resulted in objective and comparable data, which were adequate for a screening test. It is easily applicable as a screening tool, even though it was originally designed as a surveillance tool. The inclusion of risk factors to the scoring system is an innovation that allows for the identification of children with suspected delay in addition to developmental milestones, although the definition of parameters and choice of indicators should be thoroughly studied. (C) 2016 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda.