The Denver Developmental Screening Test

Frankenburg, William K.; Dodds, Josiah B.

doi:10.1016/s0022-3476(67)80070-2

Cited by 1,023 publications

(636 citation statements)

References 7 publications

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“…More recently, it was found that the CAT/CLAMS test is Neurodevelopment HIV Children easy to apply and has both sensibility and specificity for subjects under three years of age [19]. The Denver I test, or DDST, can be used to screen for qualitative alterations in neurodevelopment of at-risk children and has the advantage that it can be applied by general pediatricians [15,18]. Because of the reduced sensibility of the Denver I test for language development, a more complete test was developed, Denver II [16].…”

Section: Discussionmentioning

confidence: 99%

“…The so-called Denver I test [15] was initially known as the DDST (Denver Developmental Screen Test), and a more complete version, Denver II test [16,17], was derived from it. It consists of an evaluation of various areas of neurodevelopment, language, personal-social, adaptive and fine and gross motor, varying the aptitude requirements in accordance with age; it can be applied from 0 to 6 years of age.Children can pass or fail the Denver test.…”

Section: Methodsmentioning

confidence: 99%

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Neurological profile and neurodevelopment of 88 children infected with HIV and 84 seroreverter children followed from 1995 to 2002

Tahan¹,

Bruck²,

Burger³

et al. 2006

Braz J Infect Dis

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This study evaluated the degree of neurological compromise in HIV-infected children accompanied by the outpatient clinic of infectious diseases and pediatric neurology of the Clinical Hospital of the Federal University of Paraná (UFPR) starting in 1995. Long-term progressive prospective and cross sectional study of 88 children infected by HIV and 84 seroreverter children, using data from general neurological examinations, neuroimaging procedures (brain CT scan) and neurodevelopmental tests (CAT/CLAMS and DENVER I and II). Neurological and neurodevelopmental alterations were found in 82% of the HIV-infected patients and in 36% of the HIV-seroreverter group (P <0.01). In the CAT/ CLAMS test, the development quotient (DQ) of the HIV-infected group was significantly lower than that of the HIV-seroreverter group. CAT/CLAMS scores lower than 70 (mental deficiency) were found in 31% of the HIV-infected patients during the first year of life and in only 1% of the patients of the HIV-seroreverter group, demonstrating the validity of this screening test for precocious detection of alterations in the neurodevelopment of infected patients. The same occurred with the Denver I and II tests, as the HIV-infected group failed more frequently than the HIV-seroreverter group. Nine HIVinfected children presented altered brain CT scans; calcification of basal ganglia was the main finding (five cases). Encephalopathy due to HIV causes early arrest of neurodevelopment, which can be detected with screening tests during the first year of life.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Neurological profile and neurodevelopment of 88 children infected with HIV and 84 seroreverter children followed from 1995 to 2002

Tahan¹,

Bruck²,

Burger³

et al. 2006

Braz J Infect Dis

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“…The purpose of the standardization was to establish developmental norms for healthy and 'normal' Sri Lankan children. Therefore, as has been done in other standardizations (Frankenburg et al 1992a;Lim et al 1994), only children who were born at full term, who had not been clinically diagnosed with any developmental disability, not suffering from any chronic or acute health indication at the time of testing were included in the sample. The screened-out rate was 8% (n = 360).…”

Section: Sample Designmentioning

confidence: 99%

Developmental screening in context: adaptation and standardization of the Denver Developmental Screening Test‐II (DDST‐II) for Sri Lankan children

Wijedasa

2011

Child

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. AbstractBackground Developmental problems in children can be alleviated to a great extent with early detection and intervention through periodic screening for developmental delays during pre-school ages. Currently, there is no established system for developmental screening of children in Sri Lanka. Although some developmental norms, which are similar to those of Denver Developmental Screening Test-II (DDST-II), have been introduced into the Sri Lankan Child Health Developmental Record (CHDR), those norms have not been standardized to the Sri Lankan child population. The aim of this research was to establish Sri Lankan norms for DDST-II and to test the universal and regional applicability of developmental screening tests by comparing the Sri Lankan norms with the norms of DDST-II and DDST-Singapore norms, the geographically nearest standardization of DDST-II. The norms were also compared with the milestones already available in the CHDR. Methods DDST-II was adapted and standardized on a sample of 4251 Sri Lankan children aged 0-80 months. Thirteen public health nursing sisters were trained to collect the data as part of their routine work. The 25th, 50th, 75th and 90th percentile ages of acquiring each developmental milestone were then calculated using logistic regression. Results The Denver Developmental Screening Test for Sri Lankan Children (DDST-SL) was created. Most of the established DDST-SL norms were different to the comparable norms in DDST-II, DDST-Singapore and the CHDR. Conclusions In view of the results of the study, it is imperative that developmental screening tests are used in context and are adapted and standardized to the populations in question before utilization.

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“…The use of a more alkaline pH (alpha-stat not corrected by temperature) has proven to confer lower cerebral protection potential. There is a positive correlation between pco 2 and development scores 26 . When combined with deep hypothermia the alpha-stat strategy plays a protective role in terms of neurological outcomes.…”

Section: Statistical Analysis and Data Processingmentioning

confidence: 85%

“…The first was in accordance with the manual criteria 26 for normal and suspicion of delay. The second took into account the tasks fulfilled successfully and those deemed compulsory according to the age of the patient.…”

Section: Instrumentsmentioning

confidence: 99%

Neuropsychomotor development before and after open-heart surgery in infants

Rocha

Guardiola

Piva

et al. 2009

Arq. Neuro-Psiquiatr.

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-There are few Brazilian studies on neuropsychomotor follow-up after open-heart surgery with circulatory bypass in infants. Twenthy infants had neurodevelopmental outcomes (neurological exam and Denver II test) assessed before open-heart surgery, after intensive care unit discharge and 3-6 months after hospital discharge. Heart lesions consisted of septal defects in 11 cases (55%). The mean circulatory bypass time was 67±23.6 minutes. Fifteen infants had altered neurological examination and also neurodevelopment delay before surgery. After 6 months it was observed normalization in 6 infants. When Denver II test indexes were analysed, it was observed an improvement in all domains except personal-social. Although those infants were in risk of new neurological findings, an early improvement on neuropsychomotor indexes were seen.Key WorDs: cardiac surgery, developmental delay, Denver II test.desenvolvimento neuropsicomotor de lactentes antes e após cirurgia cardíaca resumo -As alterações neurológicas em lactentes com cardiopatia congênita podem agravar seu quadro clínico e levar a seqüelas permanentes. Foi realizada uma coorte prospectiva, com 20 lactentes, com idade média de 6,7±4,2 meses, avaliando-se o perfil de desenvolvimento e o estado nutricional. Utilizou-se o exame neurológico e o teste de Denver II. os testes foram aplicados 24h antes da cirurgia, na alta da unidade de terapia intensiva e 3 a 6 meses após. os defeitos septais ocorreram em 11 casos (55%). o tempo médio de circulação extra-corpórea foi de 67±23,6 minutos. Quinze crianças tinham exame neurológico alterado e atraso no desenvolvimento neuropsicomotor antes da cirurgia, cuja normalização foi observada somente em seis após 6 meses .Quanto aos índices de Denver II, houve aumento em todos domínios, exceto o pessoalsocial. o escore Z médio para peso antes da cirurgia foi -2,814±1,98 e após -1,08±1,47 (p<0.05), o qual foi realizado em média 5.2±1.5 meses após a alta hospitalar. Melhora precoce tanto no desenvolvimento como no estado nutricional pôde ser observada neste grupo de lactentes após a correção cirúrgica.PAlAvrAs-cHAve: cirurgia cardíaca, atraso no desenvolvimento neurológico, teste de Denver II, cardiopatia congênita. corrective cardiac surgery involves a series of complex and high risk procedures and a large number of them expose the brain to hypoxic ischemic insults 1 . Prospective studies have shown that 100% of children who undergo cardiac surgery present with central nervous system dysfunctions in the immediate post-operative period 2 as a consequence of alterations in the cerebral blood flow. If the hypoxic ischemic insult is acute and extensive, the patients may not regain consciousness in the immediate post-operative period and stand increased chances of irreversible sequelae. some of the neurological findings that may be observed are seizures, alterations of consciousness, behavioral disorders, intellectual impairment, focal deficit, involuntary movements, and lesions to the periph-

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The Denver Developmental Screening Test

Cited by 1,023 publications

References 7 publications

Neurological profile and neurodevelopment of 88 children infected with HIV and 84 seroreverter children followed from 1995 to 2002

Neurological profile and neurodevelopment of 88 children infected with HIV and 84 seroreverter children followed from 1995 to 2002

Developmental screening in context: adaptation and standardization of the Denver Developmental Screening Test‐II (DDST‐II) for Sri Lankan children

Neuropsychomotor development before and after open-heart surgery in infants

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