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Development and validation of a parent-report measure for detection of cognitive delay in infancy

AIM: To develop a brief, parent-completed instrument (ERIC - Early Report by
Infant Caregivers) for detection of cognitive delay in 10- to 24-month-olds born
preterm, or of low birthweight, or with perinatal complications, and to establish
ERIC's diagnostic properties. METHOD: Scores for ERIC were collected from the
parents of 317 children meeting >/=inclusion criterion (birthweight <1500 g,
gestational age <34 completed weeks, 5 min Apgar score <7, or presence of
hypoxic-ischaemic encephalopathy) and no exclusion criteria. Children were
assessed using a criterion score of below 80 on the Bayley Scales of Infant and
Toddler Development-III cognitive scale. Items were retained according to their
individual associations with delay. Sensitivity, specificity, and positive and
negative predictive values were estimated and a truncated ERIC was developed for
use in children <14 months old. RESULTS: ERIC correctly detected developmental
delay in 17 out of 18 children in the sample, with 94.4% sensitivity, 76.9%
specificity, 19.8% positive predictive value, 99.6% negative predictive value,
4.09 likelihood ratio positive, and 0.07 likelihood ratio negative.
INTERPRETATION: ERIC has potential value as a quickly administered diagnostic
instrument for the absence of early cognitive delay in 10- to 24-month-old
preterm infants and as a screen for cognitive delay.
CI - (c) 2014 Mac Keith Press.

Langue : ANGLAIS

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