Purpose : The purpose of this study is to evaluate the effectiveness of the Korean Developmental Screening Test for infants and children (K-DST) for the evaluation of developmental delay via analysis between correlations and checkpoints in patients who were referred to a tertiary care hospital due t...
Purpose : The purpose of this study is to evaluate the effectiveness of the Korean Developmental Screening Test for infants and children (K-DST) for the evaluation of developmental delay via analysis between correlations and checkpoints in patients who were referred to a tertiary care hospital due to abnormal findings or further and follow-up evaluation recommendations based on the K-DST.
Methods : This study was based on retrospective studies of the results of the K-DST, detailed language tests (Preschool Receptive-Expressive Language Scale [PRES] and Sequenced Language Scale for Infants [SELSI]), Childhood Autism Rating Scale (CARS), Modified Checklist for Autism in Toddlers (M-CHAT), electroencephalography (EEG), magnetic resonance imaging (MRI), and extensive tests that were conducted on 209 patients (127 boys and 82 girls) out of 1,403 patients; of these 1,403 patients, 758 underwent the K-DST at Korea University Guro Hospital from January 2015 to December 2016, and 645 were referred from local clinics from January 2015 to June 2016.
Result : Based on the K-DST results, the frequency of requiring further or follow-up examination in the male children was significantly higher than that in the female children in most of the test sections, except for gross motor. Furthermore, the average scores of the male children were notably low compared with those of the female children. The PRES/SELSI results showed that the more further or follow-up evaluations were required in the K-DST communication section, the more problems there were in language delay or disorder significantly.
Although not showing a notable relation via the Fisher's exact test, a language delay or disorder in the cognitive section was more likely to occur as the result of the K-DST required for further or follow-up evaluation. As further or follow-up evaluation was required in the cognitive section in the CARS/M-CHAT, the possibility of autism increased significantly. Further, a child tended to score low in the CARS test and show autism as further or follow-up evaluation was recommended in the K-DST, although it did not show a notable relation via the Fisher's exact test. In the social interaction section, a child tended to score low in the CARS/M-CHAT and show autism as further or follow-up evaluation was recommended in the K-DST. If abnormal findings were diagnosed in EEG, further or follow-up evaluation tended to be frequently recommended in five out of six sections in the K-DST: gross motor, fine motor, cognitive, social interaction, and self-control. If more abnormal findings were diagnosed in MRI, physical developmental delay, especially in gross motor and fine motor in the K-DST, tended to be low.
Conclusion : Through this study, the K-DST was found to be useful screening test in the development of infants and children in Korea. We need to examine the data of normal control groups to determine the accuracy of the investigation.
Purpose : The purpose of this study is to evaluate the effectiveness of the Korean Developmental Screening Test for infants and children (K-DST) for the evaluation of developmental delay via analysis between correlations and checkpoints in patients who were referred to a tertiary care hospital due to abnormal findings or further and follow-up evaluation recommendations based on the K-DST.
Methods : This study was based on retrospective studies of the results of the K-DST, detailed language tests (Preschool Receptive-Expressive Language Scale [PRES] and Sequenced Language Scale for Infants [SELSI]), Childhood Autism Rating Scale (CARS), Modified Checklist for Autism in Toddlers (M-CHAT), electroencephalography (EEG), magnetic resonance imaging (MRI), and extensive tests that were conducted on 209 patients (127 boys and 82 girls) out of 1,403 patients; of these 1,403 patients, 758 underwent the K-DST at Korea University Guro Hospital from January 2015 to December 2016, and 645 were referred from local clinics from January 2015 to June 2016.
Result : Based on the K-DST results, the frequency of requiring further or follow-up examination in the male children was significantly higher than that in the female children in most of the test sections, except for gross motor. Furthermore, the average scores of the male children were notably low compared with those of the female children. The PRES/SELSI results showed that the more further or follow-up evaluations were required in the K-DST communication section, the more problems there were in language delay or disorder significantly.
Although not showing a notable relation via the Fisher's exact test, a language delay or disorder in the cognitive section was more likely to occur as the result of the K-DST required for further or follow-up evaluation. As further or follow-up evaluation was required in the cognitive section in the CARS/M-CHAT, the possibility of autism increased significantly. Further, a child tended to score low in the CARS test and show autism as further or follow-up evaluation was recommended in the K-DST, although it did not show a notable relation via the Fisher's exact test. In the social interaction section, a child tended to score low in the CARS/M-CHAT and show autism as further or follow-up evaluation was recommended in the K-DST. If abnormal findings were diagnosed in EEG, further or follow-up evaluation tended to be frequently recommended in five out of six sections in the K-DST: gross motor, fine motor, cognitive, social interaction, and self-control. If more abnormal findings were diagnosed in MRI, physical developmental delay, especially in gross motor and fine motor in the K-DST, tended to be low.
Conclusion : Through this study, the K-DST was found to be useful screening test in the development of infants and children in Korea. We need to examine the data of normal control groups to determine the accuracy of the investigation.
주제어
#Screening test K-DST Development Evaluation Infant Child
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