The infant neurodevelopmental assessment: A clinical interpretive manual for CAT-CLAMS in the first two years of life, part 1

Capute, Arnold J.; Accardo, Pasquale

doi:10.1016/s0045-9380(06)80061-7

Cited by 52 publications

(48 citation statements)

References 7 publications

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“…The CAT/CLAMS test (Clinical Adaptive Test/Clinical Linguistic and Auditory Milestone Scale) consists of a scale of 100 items applied in a standardized way, according to the age of the patient; it basically evaluates neuropsychomotor development between 0 and 36 months. The test is divided into two parts: CAT (CLINICAL ADAPTIVE TEST) and CLAMS (CLINICAL LINGUISTIC AND AUDITORY MILESTONE SCALE) [9][10][11][12][13][14]. The data obtained from CAT was derived from the examiner's direct evaluation, while the data obtained from CLAMS consisted of the caregivers' information on language acquisition.…”

Section: Methodsmentioning

confidence: 99%

“…The data obtained from CAT was derived from the examiner's direct evaluation, while the data obtained from CLAMS consisted of the caregivers' information on language acquisition. Each item that the child accomplished resulted in a score, also known as a development quotient (DQ), in which normal DQ is considered to be above 85, borderline DQ from 70-85, and mental deficiency with scores below 70 [9][10][11][12][13][14].…”

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: Methodsmentioning

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

View full text Add to dashboard Cite

show abstract

“…The total composite CAT/CLAMS score was determined by the age-equivalent level of function divided by the corrected gestational age multiplied by 100 to give an index score as recommended by Capute and Accardo. 12,13 Thus, if the child was functioning at his or her exact corrected gestational age, then the score would be 100.…”

Section: Methodsmentioning

confidence: 99%

“…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%

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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“…According to Colson et al [1], these reflexes and spontaneous movements develop during fetal life and observed in healthy infants born in terms. Capute and Accardo reported that they may be related to voluntary movements, originating from the brainstem, but later being suppressed by myelinization of the supraspinal centers [2].…”

Section: Introductionmentioning

confidence: 99%

Palmar Grasp Reflex in Human Newborns

Marques-de-Moraes¹,

Dionísio²,

Tan³

et al. 2017

Pediatr Ther

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The infant neurodevelopmental assessment: A clinical interpretive manual for CAT-CLAMS in the first two years of life, part 1

Cited by 52 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

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

Palmar Grasp Reflex in Human Newborns

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