Predictive utility of the Bayley Infant Neurodevelopmental Screener (BINS) risk status classifications: clinical interpretation and application

被引:34
作者
Aylward, GP
Verhulst, SJ
机构
[1] So Illinois Univ, Sch Med, Dept Paediat, Div Dev & Behav Pediat, Springfield, IL 62794 USA
[2] So Illinois Univ, Sch Med, Dept Paediat, Div Stat & Res Design, Springfield, IL 62794 USA
关键词
D O I
10.1017/S0012162200000062
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Predictive validity and clinical implications of the increasingly popular Bayley Infant Neurodevelopmental Screener (BINS) risk status classifications have not been previously reported. In this longitudinal follow-up study, the BINS was administered to high-risk infants at 6, 12, and 24 months of age, and the McCarthy Scales at 3 years of age, Ninety-two children were evaluated at 6 and 36 months, 105 at 12 and 36 months, and 118 at 24 and 36 months; 190, 125, and 140 infants were included in the comparisons at 6 to 12, 6 to 24, and 12 to 24 months. BINS risk status was classified as low, moderate, or high; or as a binary variable, LOWRISK/HIGHRISK. The three BINS items groups were moderately correlated. Consistency was most variable in the moderate-risk group, BINS risk was predictive of 36-month function in 18 out of 18 comparisons. Odds ratios, ranging from 2.76 to 54.70, were significant in 15 out of 18 logistic models. An early high-risk classification was associated with increased probability of later developmental morbidity. The BINS offers an alternative to detailed assessment in high-volume clinical applications and has good concurrent and predictive validity.
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页码:25 / 31
页数:7
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