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Predictive value of...
Predictive value of Bayley-III Motor Index for later motor difficulties in children born extremely preterm
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- Montgomery, Cecilia (författare)
- Uppsala University,Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning
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- Setänen, Sirkku (författare)
- Uppsala University,Uppsala universitet,Barnonkologisk och neurologisk forskning
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- Fredriksson Kaul, Ylva (författare)
- Uppsala University,Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning
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- Farooqi, Aijaz (författare)
- Umeå Univ Hosp, Dept Neonatol Child & Adolescent Med, Umeå, Sweden.,Norrland University Hospital
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- Broström, Lina (författare)
- Karolinska Institute,Karolinska Institutet,Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.
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- Aden, Ulrika (författare)
- Karolinska Institute,Karolinska Institutet,Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.
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- Källén, Karin (författare)
- Lund University,Lunds universitet,Tornbladinstitutet,Forskargrupper vid Lunds universitet,Tornblad Institute,Lund University Research Groups
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- Serenius, Fredrik, 1939- (författare)
- Uppsala University,Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning
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(creator_code:org_t)
- 2023-02-20
- 2023
- Engelska.
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Ingår i: Acta Paediatrica. - : Wiley-Blackwell. - 0803-5253 .- 1651-2227. ; 112:4, s. 742-752
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Abstract
Ämnesord
Stäng
- Aim: To investigate the predictive ability of the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III) Motor Index, in children born extremely preterm (<27 gestational weeks) without cerebral palsy.Methods: Children from the EXPRESS study (all extremely preterm births in Sweden, 2004-2007) without neurosensory impairments assessed with Bayley-III at 2.5 years corrected age and Movement Assessment Battery for Children, Second Edition (MABC-2), at 6.5 years comprised the eligible study population (n = 282). Motor difficulty was defined as MABC-2 <= 5th percentile.Results: Motor difficulties were found in 57 of 282 children (20.2%) at 6.5 years. The Bayley-III explained 18.0% of the variance in the MABC-2 (p < 0.001). The area under the receiver operating curve was 0.71 (95% confidence interval 0.64-0.79, p < 0.001). At a Bayley-III cut-off value of 85, sensitivity, specificity and positive and negative predictive values for motor difficulties were 26.3% (15.5-39.7), 92.9% (88.1-95.9), 48.4% (33.0-64.0) and 83.3% (80.9-85.4). Likelihood ratios were inconclusive.Conclusion: The Bayley-III at 2.5 years corrected age was a modest predictor of motor outcome in children born extremely preterm at 6.5 years, and underestimated the rate of motor difficulties. Children require follow-up beyond preschool age.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- extremely preterm children
- MABC-2
- motor assessment
- motor function
- extremely preterm children
- MABC-2
- motor assessment
- motor function
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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