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American Academy of Pediatrics
Commentary

Is Developmental Screening Enough in High-Risk Populations?

Julia S. Anixt and Susan Wiley
Pediatrics February 2021, 147 (2) e2020033043; DOI: https://doi.org/10.1542/peds.2020-033043
Julia S. Anixt
Division of Developmental and Behavioral Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio
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Susan Wiley
Division of Developmental and Behavioral Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio
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  • Abbreviations:
    AAP —
    American Academy of Pediatrics
    ASQ —
    Ages & Stages Questionnaire
    BASC-2 —
    Behavior Assessment System for Children-2
    CHD —
    congenital heart disease
  • In this issue of Pediatrics, Sananes et al1 leverage the Pediatric Heart Network Single Ventricle Reconstruction Trial to describe developmental and behavioral concerns in a cohort of children with hypoplastic left heart syndrome and related single right ventricle conditions. The Pediatric Heart Network recognized the importance of conducting developmental screening as recommended by the American Academy of Pediatrics (AAP)2,3 in this population at high risk for neurodevelopmental concerns.

    The researchers evaluate how well a diagnostic developmental evaluation at 14 months of age, with the Bayley Scales of Infant Development-II,4 and developmental screening at 3, 4, and 5 years of age, with the Ages & Stages Questionnaire (ASQ),5 predicted the outcome of “developmental functioning” as measured by the Adaptive Score on the Behavior Assessment System for Children-2 (BASC-2)6 at 6 years of age.

    There were some correlations between early developmental evaluations and later outcomes at age 6 years, such as a “failure” (scoring 2 SDs below the mean) on the Psychomotor Developmental Index of the Bayley Scales of Infant Development-II …

    Address correspondence to Susan Wiley, MD, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave, ML 4002, Cincinnati, OH 45229. E-mail: susan.wiley{at}cchmc.org

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    Pediatrics
    Vol. 147, Issue 2
    1 Feb 2021
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    Is Developmental Screening Enough in High-Risk Populations?
    Julia S. Anixt, Susan Wiley
    Pediatrics Feb 2021, 147 (2) e2020033043; DOI: 10.1542/peds.2020-033043

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    Is Developmental Screening Enough in High-Risk Populations?
    Julia S. Anixt, Susan Wiley
    Pediatrics Feb 2021, 147 (2) e2020033043; DOI: 10.1542/peds.2020-033043
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