Neonatal Medicine

  • 제27권4호
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  • Pages.167-173
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  • 2020
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  • 2287-9412(pISSN)
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  • 2287-9803(eISSN)
대한신생아학회 (The Korean Society of Neonatology)
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Neurodevelopmental Correlations between the Korean Developmental Screening Test and Bayley Scale III in Very-Low-Birth-Weight Infants

  • Han, Sol (Department of Pediatrics, CHA Gangnam Medical Center, CHA University) ;
  • Kim, Oghyang (Department of Pediatrics, CHA Gangnam Medical Center, CHA University) ;
  • Yoo, Chaeri (Department of Pediatrics, CHA Bundang Medical Center, CHA University) ;
  • Heo, Ju Sun (Department of Pediatrics, Korea University Anam Hospital) ;
  • Lee, Hyun-Seung (Department of Pediatrics, CHA Gangnam Medical Center, CHA University) ;
  • Jeon, Jihyun (Department of Pediatrics, CHA Gangnam Medical Center, CHA University)
  • 투고 : 2020.06.05
  • 심사 : 2020.08.06
  • 발행 : 2020.11.30
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초록

Purpose: We aimed to analyze the correlations between the Bayley Scales of Infant Development (BSID)-III and Korean Developmental Screening Test (K-DST) in very-low-birth-weight (VLBW; birth weight <1,500 g) preterm infants. Methods: We enrolled 53 VLBW infants (mean gestational age, 28.9±2.11 weeks; mean birth weight, 1,158.5±241.1 g) and assessed them using the BSID-III and K-DST at a corrected age of 18 to 24 months. We analyzed the correlations between the BSID-III and K-DST subdomains and evaluated whether the estimated developmental levels were consistent with the corrected ages. Results: In the BSID-III, the composite scores for cognition, motor, and language were 105.9±13.1 (median, 105; 66th percentile; 95% confidence interval [CI], 98 to 113), 100.9±12.4 (100; 50th percentile; 95% CI, 92 to 108), and 94.9±16.8 (97.5; 34th percentile; 95% CI, 87 to 102), respectively. The scaled scores for receptive/expressive language and gross/fine motor were 9.9±2.9 (10.5)/8.2±2.7 (8) and 9.6±2.4 (9)/10.6±2.3 (10), respectively. In the K-DST, the mean scores of cognition (17.8±4.7 [18.5]), language (16.6±7.2 [20]), fine motor (19.4±3.4 [20]), gross motor (19.9±3.8 [21]), sociality (18.6±4.7 [20]), and self-control (17.3±5.1 [18]) were within the range of normal developmental status. Among the overlapping subdomains, cognition (r=0.58, P=0.003) and language (r=0.86, P<0.001), but not fine and gross motor status (r=0.05, P=0.79; r=0.16, P=0.44, respectively), showed significant correlation between the BSID-III and K-DST. Conclusion: The language and cognition domains of the K-DST were significantly correlated with the BSID-III in preterm VLBW infants. Clinicians should consider these discrepancies and correlations when evaluating the developmental status of preterm VLBW infants.

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참고문헌

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피인용 문헌

  1. Head Growth and Neurodevelopment of Preterm Infants with Surgical Necrotizing Enterocolitis and Spontaneous Intestinal Perforation vol.8, pp.10, 2020, https://doi.org/10.3390/children8100833