Back to Search
Start Over
Using the Bayley-III to assess neurodevelopmental delay: which cut-off should be used?
- Source :
-
Pediatric research [Pediatr Res] 2014 May; Vol. 75 (5), pp. 670-4. Date of Electronic Publication: 2014 Feb 03. - Publication Year :
- 2014
-
Abstract
- Background: As the latest edition of the Bayley Scales (Bayley-III) produces higher scores than its predecessor (BSID-II), there is uncertainty about how to classify moderate-severe neurodevelopmental delay. We have investigated agreement between classifications of delay made using the BSID-II and Bayley-III.<br />Methods: BSID-II Mental Development Index (MDI) and Bayley-III cognitive and language scales were administered in 185 extremely preterm (<27 wk) children. A combined Bayley-III score (CB-III) was computed. Agreement between delay classified using MDI scores <70 and various Bayley-III cut-offs was assessed.<br />Results: Bayley-III cognitive and language scores were close to the normative mean and were higher than BSID-II MDI scores. Nineteen (10.2%) children had MDI <70. Bayley-III scores <70 significantly underestimated the proportion with MDI <70. Bayley-III cognitive and language scores <85 had 99% agreement with MDI <70 and underestimated delay by 1.1%. CB-III scores <80 had 98% agreement and produced the same proportion with delay.<br />Conclusion: Bayley-III cognitive and language scores <85 or CB-III scores <80 provide the best definition of moderate-severe neurodevelopmental delay for equivalence with MDI <70. CB-III scores have the advantage of producing a single continuous outcome measure but require further validation. The relative accuracy of both tests for predicting long-term outcomes requires investigation.
- Subjects :
- Child Development
Child, Preschool
Cognition
Cognition Disorders diagnosis
Female
Humans
Infant, Premature
Language Disorders diagnosis
Male
Reproducibility of Results
Severity of Illness Index
Surveys and Questionnaires
Treatment Outcome
Developmental Disabilities diagnosis
Neuropsychological Tests standards
Subjects
Details
- Language :
- English
- ISSN :
- 1530-0447
- Volume :
- 75
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Pediatric research
- Publication Type :
- Academic Journal
- Accession number :
- 24492622
- Full Text :
- https://doi.org/10.1038/pr.2014.10