| Journal: | Boletín médico del Hospital Infantil de México |
| Database: | PERIÓDICA |
| System number: | 000381222 |
| ISSN: | 1665-1146 |
| Authors: | Rizzoli Córdoba, Antonio1 Schnaas y Arrieta, Lourdes2 Ortega Riosvelasco, Antonio1 Rodríguez Ortega, Evelyne3 Villasís Keever, Miguel Angel4 Aceves Villagrán, Daniel5 O'Shea Cuevas, Gabriel5 Muñoz Hernández, Onofre6 |
| Institutions: | 1Hospital Infantil de México "Federico Gómez", Unidad de Investigación en Neurodesarrollo, México, Distrito Federal. México 2Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Subdirección de Investigación en Salud Pública, México, Distrito Federal. México 3Hospital Infantil de México "Federico Gómez", Departamento de Política Pública, México, Distrito Federal. México 4Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, México, Distrito Federal. México 5Comisión Nacional de Protección Social en Salud, México, Distrito Federal. México 6Hospital Infantil de México "Federico Gómez", División de Investigación, México, Distrito Federal. México |
| Year: | 2014 |
| Season: | May-Jun |
| Volumen: | 71 |
| Number: | 3 |
| Pages: | 154-162 |
| Country: | México |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Aplicado |
| English abstract | The Child Development Evaluation (CDE) Test is a screening instrument for developmental problems. In the validation study, a sensitivity of 81% and a specificity of 61% were reported, considering a cut-off value for both a total development quotient (TDQ) of 90. Given that the TDQ is obtained by calculation of the five evaluated fields in the Battelle Development Inventory, 2nd edition (BDI-2), it may occur that a child is classified as a false positive (TDQ ≥90) and may have a developmental delay in at least one of the fields (true positive). The objective of this work was to evaluate if the properties of the CDE Test are different when analyzing each field for the probability of a developmental delay. Methods: The information obtained for the study from the validation (Rizzoli-Córdoba, 2013) was analyzed. In the CDE Test, a true positive was considered when the result was yellow or red. A developmental delay was considered per domain with a scale score <80 in the BDI-2. The results were analyzed based on the correlation of what was evaluated between the CDE Test and the BDI-2. Results: For 438 children of 1- to 60-months of age, sensitivity (S) and specificity (Sp) per field were as follows: a) Motor: S=84.3% and Sp=87%; b) Communication: S=79.5% and Sp=79.4%; c) Personal-Social: S=86.9% and Sp=85%; d) Adaptive: S=91.7% and Sp=85.1%; and e) Cognitive: S=83.6% and Sp=88.8%. Conclusions: When analyzing each field separately, better scores for the CDE are observed compared with those reported for the TDQ in both sensitivity and specificity |
| Disciplines: | Medicina |
| Keyword: | Diagnóstico, Pediatría, Desarrollo infantil, Pruebas de evaluación, Tamizaje, Inventario de desarrollo de Battelle |
| Keyword: | Medicine, Diagnosis, Pediatrics, Child development, Evaluation tests, Screening, Battelle development inventory |
| Full text: | Texto completo (Ver HTML) |
