Article

AIM: To evaluate the predictive and concurrent diagnostic agreement of the Ages
and Stages Questionnaire 3rd Edition (ASQ-3) with the Bayley Scales of Infant and
Toddler Development 3rd Edition (Bayley-III) in infants born preterm and very-low-birthweight (PT/VLBW; </=1250g). METHOD: We evaluated 141 PT/VLBW
infants (68 males, 73 females) born at the KK Women's and Children's Hospital
between January 2010 and December 2011, to determine predictive and concurrent
diagnostic agreement between the ASQ-3 at 9, 12, 18, and 24 months corrected age
and Bayley-III at 24 months. Cut-offs on the ASQ-3 at 24 months were estimated by
receiver operating characteristic curves. RESULTS: Sixty (43%) and 25 (18%)
failed in any domain of the ASQ-3 and Bayley-III (<70) respectively. A negative
predictive value (NPV) >98% was achieved for the motor domain from 9 months, and
>90% for the communication domain and the overall results at 24 months. Optimal
referral ASQ-3 score at 24 months to achieve 100% NPV was 243. INTERPRETATION: In
PT/VLBW infants, ASQ-3 screening at 24 months can reduce the need for costly
psychometric assessments in children with normal results. Clinicians can be
assured of normal motor development at 9 months using the ASQ-3, but should
continue to screen children on other domains.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS