第十七屆 前導研究：以醫院為基礎的發展篩檢及其相關之正式評估

前導研究：以醫院為基礎的發展篩檢及其相關之正式評估

Pilot Study about Hospital-based Developmental Screening and its related Formal Assessment

李述富^1*  郭煌宗^1,2

Sot-Fu Lei^1* Huang-Tsung Kuo^1,2

¹中國醫藥大學兒童醫院兒童發展與行為科

¹Children’s Hospital of China medical University Division of Pediatric Development & Behavior, Children’s Hospital of China medical University, Taichung,

²中國醫藥大學醫學院

² College of Medicine, China Medical University

Introduction: Preschool children were usually referred to assessment center for further assessment, because of the suspicion of developmental delays in different domains. Yet, how much of this referral will turn out to be children with confirmed (or suspicion) developmental delays, we can’t find related hospital-based data. The issue related to this is, 1). The effect of the referral (economic consideration), 2). Professional cut point of referral (professional consideration), 3). Necessity of the referral (human consideration). In this study, we try to use our data, which collected in the last 10 years, and try to answer the above mentioned question.

Material & Methods: A 10 years’ data, which were registried in our own hospital chart system, were reviewed. A special code with developmental screening (advance level of developmental screening with CCDI- Chinese child developmental inventory) and a special code with formal assessment were collected, those data were put into statistical program (SPSS), and result will be analyzed according to the above question.

Result: There are totally 28649 advance developmental screening were performed, and if abnormal results noted (any domains QD-developmental quotient below 80%), further assessment will be arranged. The formal assessment afterward related to those screening turn out to be 22904. This means that about 80.0% of the referred preschool children received formal assessment. The confirmed results are developmental delay 65%, borderline 11% and normal 24%. About the related age, gender, region, and month distribution will be reported in the conference.

Discussion: Four significant findings include: 1). Male predominant phenomena in screening and assessment populations (64.2%/35.8%), 2). Age distribution (mean age) by screening is 2.98 (and by assessment is 3.1) years old, 3). Regional distribution outside Taichung (our hospital location) includes 14.4%, 4). Higher afterward assessment rate appear on male gender, age below 3 y/o, region inside Taichung and the afterward assessment rate in average of this hospital-based study is 83.4%. The related literature review will be given in the conference!

Keywords: Hospital-based, Developmental Screening, Formal Assessment, developmental delay