Türkiye’deki bir eğitim araştırma hastanesinin yatan hasta birimindeki çocukların psikomotor gelişim tarama sonuçları

Year 2019, Volume: 44 Issue: 2, 453 - 458, 30.06.2019

Meryem Özlem Kütük , Cem Gökçen , Gülen Güler Aksu , Fatih Akın Ayşenur Kardaş , Ayşe Sevde Sarp Ali Evren Tufan

https://doi.org/10.17826/cumj.462821

Abstract

Amaç: Bu çalışmanın amacı pediatri servisinde yatan çocuklarda psikomotor
gelişimi değerlendirmek ve sorun tespit edilen çocukları tedaviye yönlendirmektir.

Yöntem: Bu çalışmaya yaşları 4-72 ay arasında olan Konya Eğitim Araştırma
hastanesi pediatri servisinde yatan 420 çocuk dahil edilmiştir. Çocukların geçmiş
öykü ve nörolojik muayenelerini bilmeyen bir çocuk gelişim uzmanı bütün çocuklara
Denver Gelişimsel tarama testini (DDST) 2 uygulamıştır. Testin sonucuna göre
anormal veya tartışmalı gelişimde olan çocuklar daha ileri değerlendirme için bir
çocuk ve ergen psikiyatristine yönlendirilmişlerdir.

Bulgular: Olguların 345 (%82)’i normal, 12 (%2.8)’si şüpheli
ve 64 (%15.2)’ü anormal bulunmuştur. Şüpheli ve anormal vakaların çocuk ve
ergen psikiyatristi tarafından değerlendirilmesi sonucu, 26 olgu gelişim geriliği
ve 2 olgu otizm spektrum bozukluğu tanısıyla özel eğitime yönlendirilmiştir. 

Sonuç: Gelişim geriliğinin erken teşhisi açısından
pediatri servisinde yatan her çocuğa gelişim testlerinin uygulanması önem arz etmektedir.
Gelişim geriliği olan çocukların uygun tedavileri alması açısından erken tanı ve
tedavi kritik önem taşımaktadır.

Keywords

Denver gelişimsel tarama testi, gelişme geriliği

Screening results of the psychomotor development of children at inpatient unit of a training and research hospital in Turkey

Abstract

Purpose: This study  aimed to assess the psychomotor development of inpatient children in the pediatrics clinic and referring the children to the child and adolescent psychiatry clinic who have problems in their developmental process for early intervention

Materials and Methods: Four hundred twenty children between 4-72 months at inpatient unit of the department of Pediatrics at Konya State Research hospital were included in the present study. A child development specialist who was unaware of the history and neurological examination of the cases administered Denver developmental screening test (DDST) II to all children once.  Children who were found to be abnormal or questionable were further evaluated by the child and adolescent psychiatrist. 

Results: Three hundred forty five (82%) were found to be ‘normal’, 12 (2.8%) were found to be ‘questionable’ and 64 (15.2%) cases were found to be ‘abnormal’ with regard to DDST II. Post evaluation of questionable and abnormal cases by the child and adolescent psychiatrist, 26 cases were referred to special education institutions with the diagnosis of global developmental delay and 2 cases with the diagnosis of pervasive developmental disorder. 

Conclusion: It is important to apply screening tests for developmental evaluation to each child at inpatient pediatric clinics in order to diagnose developmental delays earlier. It has critical importance of early diagnosis and intervention in children who have developmental delay in the interest of proper treatment for them.

Keywords

Denver developmental screening test, developmental delay

References

• Referans1 Oberklaid F, Efron D. Developmental delay identification and management. Aust Fam Physicia.2005;34:739-42.
• Referans2 Glascoe FP, Dworkin PH. Obstacles to effective developmental surveillance: errors in clinical reasoning. J Dev Behav Pediatrics 1993;14:344–49.
• Referans3 Robert D. Needlman. Developmental assessment. Kliegman RM, Behrman RE, Jenson HB, Stanton BM, editors. Nelson Textbook of Pediatrics. Philadelphia: Saunders; 2004. pp. 62–6.
• Referans4 Sand N, Silverstein M, Glascoe FP, Gupta VB, Tonniges TP, O’Connor KG. Pediatricians’ reported practices regarding developmental screening: do guidelines work? Do they help? Pediatrics 2005;116:174–79.
• Referans5 Thomas SA, Cotton W, Pan X, Ratliff-Schaub K. Comparison of systematic developmental surveillance with standardized developmental screening in primary care. Clin Pediatr (Phila) 2012;51:154-59.
• Referans6 Palfrey JS, Singer JD, Walker DK, Butler JA. Early identification of children’s special needs: A study in five metropolitan communities. J Pediatr 1987;111:651-59.
• Referans7 Squires J, Nickel R, Eisert D. Early detection of developmental problems: strategies for monitoring young children in the practice setting. J Dev BehavPediatr 1996;17:420-27.
• Referans8 Bayley, N. Manual for the Bayley scales of infant development. The Psychological Corporation, 2nd ed. San Antonio (TX); 1993.
• Referans9 Frankenburg WK, Dodds J, Archer P, Shapiro H, Bresnick B. The Denver II: a major revision and restandardization of the Denver Developmental Screening Test. Pediatrics 1992;89:91-7.
• Referans10 Yalaz K, Epir S. The Denver Developmental Screening Test: normative data for Ankara children. Turk J Pediatr 1983;25:245–58.
• Referans11 Durmazlar N, Anlar B. Turkish children performance on Denver Developmental Screening Test II: Effect of sex and mothers education. Develop Med Child Neurol 1998;40:411–6.
• Referans12 American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.,textrev.). Washington, DC,2013.
• Referans13 Shevell M, Ashwal S, Donley D, Flint J, Gingold M, Hirtz D, et al. Practice parameter: evaluation of the child with global developmental delay: report of the Quality Standards Subcommittee of the American Academy of Neurology and The Practice Committee of the Child Neurology Society. Neurology 2003;60:367–80.
• Referans14 Sachdeva S, Amir A, Alam S, Khan Z, Khalique N, Ansari MA. Global Developmental Delay and Its Determinants Among Urban Infantsand Toddlers: A Cross Sectional Study. Indian J Pediatr 2010;77:975–80.
• Referans15 Eapena V, Zoubeidib T, Yunisc F, Gururajd AK, Sabrie S, Ghubasha R. Prevalence and psychosocial correlates of global develop mental delay in 3-year-old children in the United Arab Emirates. J Psychosomatic Res 2006;61:321–26.
• Referans16 Bos AR, Einspieler C, Prechtl HFR. Intrauterine growth retardation, general movements, and neurodevelopmental outcome: a review. Dev Med Child Neurol 2001;43:61-8.
• Referans17 Hollo O, Rautava P, Korhonen T, Helenius H, Kero P, Siollanpaa M. Academic achievement of small-for gestational- age children at age 10 years. Arch Pediatr Adolesc Med2002;156:179-87.
• Referans18 Zubrick SR, Kurinczuk JJ, McDermott BM, McKelvey RS, Silburn SR, Davies LC. Fetal growth and subsequent mental health problems in children 4 to 13 years. Dev Med Child Neurol 2000;42:14-20.
• Referans19 Marlow N, Wolke D, Bracewell MA, Samara M. Neurologic and developmental disability at six years of age after extremely preterm birth. N Engl J Med 2005;352:9-19.
• Referans20 Khan MR, Maheshwari PK, Shamim H, Saleem AF, Ahmed S, Ali SR, et al. Neurodevelopmental Outcomes of Premature Infants at a Tertiary Care Center in Pakistan. Pediatr Neurol 2012;47:109-13.
• Referans21 Schendel DE, Stockbauer JW, Hoffman HJ, Herman AA, Berg CJ, Schramm WF. Relation between Very Low Birth Weight and Developmental Delay among Preschool Children Without Disabilities .Am J Epidemiol 1997;146:740-49.
• Referans22 Hack M, Fanaroff AA. Outcomes of children of extremely low birth weight and gestational age in the 1990s. Semin Neonatol 2000;5:89-106.
• Referans23 Petrini JR, Dias T, McCormick MC, Massolo ML, Green NS, Escobar GJ. Increased risk of adverse neurological development for late preterm infants. J Pediatr 2009;154:169-76.
• Referans24 Macey TJ, Harmon RJ. The impact of premature birth on the development of the infant in the family. J Consul Clin Psyhol 1987;55:846-52.
• Referans25 Resnick MB, Gueorguieva RV, Carter RL, Ariet M, Sun Y, Roth J, et al. The impact of low birth weight, perinatal conditions and sociodemographic factors on educational outcome in kindergarten. Pediatrics 1999; 104:e74.
• Referans26. Ross G. Lipper E, Auld AM. Educational status and school-related abilities of very low birth weight premature children. Pediatrics 1991;88:1125-34.
• Referans27 Suing IK, Vohr B, Oh W. Growth and neurodevelopment of very low birth weight infants with intruterine growth retardation: comparison with control subjects mathched by birth weight and gestational age. J Pediatr 1993;123:618-24.
• Referans28 Durmazlar N, Ozturk C, Ural B, Karaagaoglu E, Anlar B. Turkish Children’s Performance on Denver II: Effect of sex and mother’s education. Dev Med Child Neurol 1998;40:411-16.