Predictive value of Bayley-III Motor Index for later motor difficulties in children born extremely preterm
(2023) In Acta Paediatrica, International Journal of Paediatrics 112(4). p.742-752- Abstract
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 <... (More)
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.
(Less)
- author
- Montgomery, Cecilia ; Setänen, Sirkku ; Kaul, Ylva Fredriksson LU ; Farooqi, Aijaz ; Broström, Lina ; Aden, Ulrika ; Källén, Karin LU and Serenius, Fredrik LU
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- extremely preterm children, MABC-2, motor assessment, motor function
- in
- Acta Paediatrica, International Journal of Paediatrics
- volume
- 112
- issue
- 4
- pages
- 742 - 752
- publisher
- Wiley-Blackwell
- external identifiers
-
- scopus:85148516235
- pmid:36723223
- ISSN
- 0803-5253
- DOI
- 10.1111/apa.16694
- language
- English
- LU publication?
- yes
- id
- 127ebbc4-8f9c-4d97-8cb1-4fdc72b10c05
- date added to LUP
- 2023-03-07 13:45:54
- date last changed
- 2024-09-19 08:39:27
@article{127ebbc4-8f9c-4d97-8cb1-4fdc72b10c05, abstract = {{<p>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.</p>}}, author = {{Montgomery, Cecilia and Setänen, Sirkku and Kaul, Ylva Fredriksson and Farooqi, Aijaz and Broström, Lina and Aden, Ulrika and Källén, Karin and Serenius, Fredrik}}, issn = {{0803-5253}}, keywords = {{extremely preterm children; MABC-2; motor assessment; motor function}}, language = {{eng}}, number = {{4}}, pages = {{742--752}}, publisher = {{Wiley-Blackwell}}, series = {{Acta Paediatrica, International Journal of Paediatrics}}, title = {{Predictive value of Bayley-III Motor Index for later motor difficulties in children born extremely preterm}}, url = {{http://dx.doi.org/10.1111/apa.16694}}, doi = {{10.1111/apa.16694}}, volume = {{112}}, year = {{2023}}, }