Usefulness of the Korean Developmental Screening Test for infants and children for the evaluation of developmental delay in Korean infants and children: a single-center study
Korean Journal of Pediatrics 2017³â 60±Ç 10È£ p.312 ~ p.319
ÀÓÁ¤Çõ(Yim Chung-Hyuk) - Korea University College of Medicine Department of Pediatrics
±è°ÇÇÏ(Kim Gun-Ha) - Korea University College of Medicine Department of Pediatrics
Àº¹é¸°(Eun Baik-Lin) - Korea University College of Medicine Department of Pediatrics
Abstract
Purpose: To evaluate the usefulness of the Korean Developmental Screening Test (K-DST) for infants and children for developmental delay assessment.
Methods: This study was based on retrospective studies of the results of the K-DST, Preschool Receptive-Expressive Language Scale (PRES), Sequenced Language Scale for Infants (SELSI), Childhood Autism Rating Scale (CARS), Modified Checklist for Autism in Toddlers (M-CHAT), electroencephalography, magnetic resonance imaging, and extensive tests conducted in 209 of 1,403 patients, of whom 758 underwent the K-DST at the Korea University Guro Hospital between January 2015 and December 2016 and 645 were referred from local clinics between January 2015 and June 2016.
Results: Based on the K-DST results, the male children significantly more frequently required further or follow-up examination than the female children in most test sections, except for gross motor. The male children had notably lower mean scores than the female children. The PRES/SELSI results showed that when more further or follow-up evaluations were required in the K-DST communication section, significantly more problems in language delay or disorder emerged. When further or follow-up evaluation was required in the cognitive section in the CARS/M-CHAT, the possibility of autism increased significantly. A child tended to score low in the CARS test and show autism when further or follow-up evaluation was recommended in the K-DST.
Conclusion: This study demonstrated the usefulness of the K-DST as a screening test early in the development of infants and children in Korea. Data of normal control groups should be examined to determine the accuracy of this investigation.
Å°¿öµå
Korean Developmental Screening Test, Screening test, Growth and development, Infant, Child
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)
The K-DST is an appropriate screening tool; it is also important that an adequate treatment is provided and developmental delays are diagnosed in advance through detailed examinations when further evaluation and follow-up evaluation are recommended.