Clinical adaptive test/clinical linguistic auditory milestone scale in early cognitive assessment

Hoon, Alexander H.; Pulsifer, Margaret B.; Gopalan, Ramana; Palmer, Frederick B.; Capute, Arnold J.

doi:10.1016/s0022-3476(05)81587-2

Cited by 77 publications

(36 citation statements)

References 7 publications

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“…By comparing each child's CAT/CLAMS score with the MDI at 18 months' corrected gestational age, receiver operator curves were constructed for each age (4,8,12, and 18 months' corrected age) to estimate the area under the curve. To determine the optimal CAT/CLAMS score that predicted an MDI Ͻ70, the statistic measuring chance independent agreement between the CAT/ CLAMS and the MDI Ͻ70 was calculated for each CAT/CLAMS score, and the highest was used.…”

Section: Methodsmentioning

confidence: 99%

“…2 The CAT/CLAMS is a simple screening tool for pediatricians to learn and generally takes Ͻ10 minutes to administer, even by pediatric residents. 3 Correlation coefficients comparing the CAT/CLAMS index score with the Bayley Scales of Infant Development II (BSID-II) MDI have been reported to be as high as 95%, 4 with sensitivities for identifying MDI Ͻ70 to be 88% 4 and specificity to be 97%. 5 It has been suggested that the pediatrician is in an important position to conduct early screening of children for developmental delay so that appropriate early intervention services can be initiated.…”

mentioning

confidence: 99%

“…6 In addition, the American Academy of Pediatrics has recommended that pediatricians acquire skills in administering and interpreting reliable and valid developmental screening tools. 7 Previous research has evaluated the CAT/CLAMS for (1) children with suspected developmental delay, 4,8,9 (2) follow-up for infants who recovered from aseptic meningitis, 10 (3) the evaluation of normal infants recruited from a well-infant clinic, 11 and (4) a high-risk follow-up clinic. 5 The results obtained from a high-risk follow-up clinic prompted us to examine our own experience of using the CAT/CLAMS in a follow-up population.…”

mentioning

confidence: 99%

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A Population-Based Study to Determine the Performance of the Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale to Predict the Mental Developmental Index at 18 Months on the Bayley Scales of Infant Development-II in Very Preterm Infants

Vincer

Cake²,

Graven

et al. 2005

Pediatrics

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ABSTRACT. Objectives. To determine optimal ages to perform the Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS) and optimal "cutoff" score of the CAT/CLAMS to screen very preterm infants (<31 weeks) for severe cognitive-adaptive delay and to ascertain the sensitivity, specificity and likelihood ratios using optimal cutoff scores compared with the Mental Developmental Index (MDI) of the Bayley Scales of Infant Development II.Methods. A population-based cohort of very preterm infants who were born to mothers who resided in Nova Scotia or Prince Edward Island were evaluated at 4, 8, 12, and 18 months' corrected gestational age, which included a CAT/CLAMS by a physician. At 18 months' corrected gestational age, each child was assessed using the Bayley Scales of Infant Development II, the "gold standard" for developmental delay in young infants. The results of each CAT/CLAMS was compared with the 18-month MDI to identify significant developmental delay (MDI <70).Results. Optimal scores on the CAT/CLAMS to identify correctly MDI <70 were determined by using the statistic for chance independent agreement. Sensitivities and specificities for optimal cutoff scores were as follows: 4-month score <109 (88% and 37%), 8-month score <98 (75% and 82%), 12-month score <81 (63% and 99%), and 18-month score <83 (88% and 98%).Conclusion. Sensitivity and specificity of the CAT/ CLAMS are high in very preterm infants at identifying major developmental delay at 12 and 18 months. For follow-up programs without psychology services, the CAT/CLAMS at 12 and 18 months is a reasonable screening tool to determine which children need expedited psychology referral for cognitive delay.

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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A Population-Based Study to Determine the Performance of the Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale to Predict the Mental Developmental Index at 18 Months on the Bayley Scales of Infant Development-II in Very Preterm Infants

Vincer

Cake²,

Graven

et al. 2005

Pediatrics

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“…It has been found to have a significant correlation with the Bayley Scales of Infant Development-Mental Scale with a sensitivity of 0.66, specificity of 0.79, and positive predictive value of 0.80. 27,28 The mean for our country is 100 developmental quotient (DQ). The test evaluates 2 streams of development namely: longitudinal language pathway based on sequential milestone language (CLAMS) acquisitions mainly provided by the mother, and visual motor problem-solving tasks (CAT), which are performed directly with the child.…”

Section: Neurodevelopmental Screeningmentioning

confidence: 99%

Tagum Study II: Follow-up Study at Two Years of Age After Prenatal Exposure to Mercury

Ramirez

Pagulayan

Akagi³

et al. 2003

Pediatrics

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ABSTRACT. Objectives. To correlate the presence and levels of total mercury (THg) in cord blood and meconium indicating prenatal exposure with developmental milestones at 2 years and to compare these subjects with controls of comparable age using cognitive adaptive test and clinical linguistic auditory milestone scale (CAT/CLAMS).Methods. In 48 of the original Tagum (T) subjects, cord blood and meconium Hg levels, head circumference (HC) at birth, and duration of breastfeeding were correlated with CAT/CLAMS at 2 years. At 2 years, THg levels using cold atomic vapor absorption spectrometry were determined in the hair of 46 T subjects and 88 Saranggani (S) controls; THg levels in blood were tested in 48 T subjects and 45 S controls. These levels were correlated with CAT/CLAMS. Both groups had standard physical and neurologic examinations, hearing screen using transitory evoked otoacoustic emissions, serum glutamate pyruvate transaminase, and routine urinalysis. A prevalidated Socioeconomic Means Test was given to both groups.Results. The Hg level in cord blood was negatively correlated with CAT/CLAMS at 2 years. The HC at birth was negatively correlated with levels of Hg in hair of T subjects 2 years later. HC at birth and 2 years hence were positively correlated with CAT/CLAMS. The following were significantly higher in S controls than in T subjects: expressive language quotient 82. 569

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“…Assessments included neurologic examinations, visual and auditory screenings, and developmental testing using the Clinical Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS). 27,28 A developmental quotient (DQ) was calculated by dividing the CAT/CLAMS score by the chronologic age (ϫ100) and greater than 80 was considered normal. The developmental testing reported was based on the 24-month evaluation in all cases.…”

mentioning

confidence: 99%

Ultrasonographic Differential Diagnosis and Neurodevelopmental Outcome of Cerebral White Matter Lesions in Premature Infants

et al. 1999

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Clinical adaptive test/clinical linguistic auditory milestone scale in early cognitive assessment

Cited by 77 publications

References 7 publications

A Population-Based Study to Determine the Performance of the Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale to Predict the Mental Developmental Index at 18 Months on the Bayley Scales of Infant Development-II in Very Preterm Infants

A Population-Based Study to Determine the Performance of the Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale to Predict the Mental Developmental Index at 18 Months on the Bayley Scales of Infant Development-II in Very Preterm Infants

Tagum Study II: Follow-up Study at Two Years of Age After Prenatal Exposure to Mercury

Ultrasonographic Differential Diagnosis and Neurodevelopmental Outcome of Cerebral White Matter Lesions in Premature Infants

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