TO IDENTIFY CLINICAL UTILITY OF TDSC IN SCREENING OF DEVELOPMENTAL DELAY IN CHILDREN (0-3 yrs.) AS COMPARED TO DDST
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 32
Abstract
BACKGROUND The optimal development of child milestones during infancy plays an important role in determining the overall functional adequacy of the child. Early detection of developmental deviances through screening helps in early intervention and thus will prevent setting-in of childhood disability. This study was done to identify clinical utility of TDSC in screening of developmental delay in children (0-3 yrs.) as compared to DDST, and know the sensitivity and specificity of TDSC. METHODS A convenient sample of 100 apparently healthy children, between 0-36 month’s age, attending the outpatient clinic of Department of Paediatrics, Raja Rajeshwari Medical College and Hospital, Bangalore, were included in the study. It is a crosssectional study. Each child was subjected to TDSC (0-3 yrs.) and DDST by two separate examiners. If the child was not able to achieve any one test item falling on the left side of the chronological age line in both TDSC and DDST, it is taken as “delay” and those children who achieved all the items in the chart are taken as “normal” for development in the test. RESULTS The mean as well as median age of the children in the study is 10 months. The study showed prevalence of 7% for developmental delay using screening chart. It also showed sensitivity of 57.4% and specificity of 100% for TDSC as against DDST for screening developmental delay CONCLUSIONS TDSC (0-3 yrs.) was found to be simple screening test with better sensitivity, which can be easily administered in routine office practices. If one can diagnose developmental delay in the early stages of development, early intervention can reduce a longterm sequel. If a child is found to be normal on screening with TDSC, he is more likely to be normal developmentally.
Authors and Affiliations
Kishore K. K. , Pankaj Sharma, Dipti V. Chavan, Madhusudhan B. K, Adarsh E.
Keywords
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- EP ID EP670420
- DOI 10.18410/jebmh/2019/438
- Views 91
- Downloads 0
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