Which Bayley-III cut-off values should be used in different developmental levels?

yakut, ibrahim; Celik, Pelin; sucaklı, iclal ayrancı

doi:10.3906/sag-1910-69

Which Bayley-III cut-off values should be used in different developmental levels?

Pelin ÇELİK, (Ankara Şehir Hastanesi, Gelişimsel ve Davranışsal Pediatri Bölümü, Pediatri Kliniği, Ankara, Türkiye)

İclal SUCAKLI, (Ankara Şehir Hastanesi, Gelişimsel ve Davranışsal Pediatri Bölümü, Pediatri Kliniği, Ankara, Türkiye)

Halil YAKUT (Ankara Şehir Hastanesi, Çocuk Sağlığı ve Hastalıkları Kliniği, Ankara, Türkiye)

Turkish Journal of Medical Sciences

5 1

Yıl: 2020 Cilt: 50 Sayı: 4 Sayfa Aralığı: 764 - 770 Metin Dili: İngilizce DOI: 10.3906/sag-1910-69 İndeks Tarihi: 28-08-2020

Which Bayley-III cut-off values should be used in different developmental levels?

Öz:

Background/aim: Latest version of Bayley Scales (Bayley-III) and its predecessor (BSID-II) are the most widely used standardizeddevelopmental tools in infancy and early childhood. Recent studies showed that Bayley-III scores were higher than BSID-II in 18–24month-old and mostly premature infants. We aimed to evaluate the generalization of inflated scores of Bayley-III to children aged 6–42months with different disease groups, and to find out which cut-off points should be used in Bayley-III to detect mild, moderate, andsevere developmental delay according to BSID-II standard cut-off points.Materials and methods: Two hundred and fifty-five children aged 6–42 months with different diseases and developmental levels wereadministered both the Bayley-III and BSID-II in the same session between 15 November 2017 and 15 April 2018.Results: The mean Bayley-III Cognitive Composite (CC) and Cognitive Language Composite (CLC) scores were respectively 13.1 ± 9.1and 8.6 ± 8 points higher than BSID-II Mental Development Index (MDI) scores (P < 0.001). The mean Bayley-III Motor Composite(MC) scores were 14.4 ± 10.5 points higher than BSID-II Psychomotor Developmental Index (PDI) scores (P < 0.001). Cognitive delaywas found in 126 (49.4%) and 59 (23.1%) children according to BSID-II MDI and Bayley-III CC scores, respectively. Motor delay wasfound in 174 (69.3%) and 86 (34.3%) children according to the BSID-II PDI and Bayley-III MC scores, respectively. Children had lesscognitive (48.6%) and motor delay (54.5%) according to Bayley-III scores. Bayley-III scores were significantly higher than BSID-IIscores for all ages (P < 0.001). According to ROC analysis the cut-off scores for mild, moderate, and severe delay were 92.5, 83.2, and71.2 for Bayley-III CLC; and 98.5, 86.5, and 74.5 for Bayley-III MC, respectively.Conclusion: Bayley-III scores should be interpreted carefully for all age ranges and different diagnosis. The risk for underestimation ofdevelopmental delays by Bayley-III should be kept in mind. Different Bayley-III cut-off scores should be used to define developmentaldelay levels.

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APA	Celik P, sucaklı i, yakut i (2020). Which Bayley-III cut-off values should be used in different developmental levels?. , 764 - 770. 10.3906/sag-1910-69
Chicago	Celik Pelin,sucaklı iclal ayrancı,yakut ibrahim Which Bayley-III cut-off values should be used in different developmental levels?. (2020): 764 - 770. 10.3906/sag-1910-69
MLA	Celik Pelin,sucaklı iclal ayrancı,yakut ibrahim Which Bayley-III cut-off values should be used in different developmental levels?. , 2020, ss.764 - 770. 10.3906/sag-1910-69
AMA	Celik P,sucaklı i,yakut i Which Bayley-III cut-off values should be used in different developmental levels?. . 2020; 764 - 770. 10.3906/sag-1910-69
Vancouver	Celik P,sucaklı i,yakut i Which Bayley-III cut-off values should be used in different developmental levels?. . 2020; 764 - 770. 10.3906/sag-1910-69
IEEE	Celik P,sucaklı i,yakut i "Which Bayley-III cut-off values should be used in different developmental levels?." , ss.764 - 770, 2020. 10.3906/sag-1910-69
ISNAD	Celik, Pelin vd. "Which Bayley-III cut-off values should be used in different developmental levels?". (2020), 764-770. https://doi.org/10.3906/sag-1910-69

APA	Celik P, sucaklı i, yakut i (2020). Which Bayley-III cut-off values should be used in different developmental levels?. Turkish Journal of Medical Sciences, 50(4), 764 - 770. 10.3906/sag-1910-69
Chicago	Celik Pelin,sucaklı iclal ayrancı,yakut ibrahim Which Bayley-III cut-off values should be used in different developmental levels?. Turkish Journal of Medical Sciences 50, no.4 (2020): 764 - 770. 10.3906/sag-1910-69
MLA	Celik Pelin,sucaklı iclal ayrancı,yakut ibrahim Which Bayley-III cut-off values should be used in different developmental levels?. Turkish Journal of Medical Sciences, vol.50, no.4, 2020, ss.764 - 770. 10.3906/sag-1910-69
AMA	Celik P,sucaklı i,yakut i Which Bayley-III cut-off values should be used in different developmental levels?. Turkish Journal of Medical Sciences. 2020; 50(4): 764 - 770. 10.3906/sag-1910-69
Vancouver	Celik P,sucaklı i,yakut i Which Bayley-III cut-off values should be used in different developmental levels?. Turkish Journal of Medical Sciences. 2020; 50(4): 764 - 770. 10.3906/sag-1910-69
IEEE	Celik P,sucaklı i,yakut i "Which Bayley-III cut-off values should be used in different developmental levels?." Turkish Journal of Medical Sciences, 50, ss.764 - 770, 2020. 10.3906/sag-1910-69
ISNAD	Celik, Pelin vd. "Which Bayley-III cut-off values should be used in different developmental levels?". Turkish Journal of Medical Sciences 50/4 (2020), 764-770. https://doi.org/10.3906/sag-1910-69