Do currently recommended Bayley-III cutoffs overestimate motor impairment in infants born <27 weeks gestation?

A. F. Duncan, C. Bann, C. Boatman, S. R. Hintz, Y. E. Vaucher, B. R. Vohr, K. Yolton, R. J. Heyne

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective:To determine whether a Bayley-III motor composite score of 85 may overestimate moderate-severe motor impairment by analyzing Bayley-III motor components and developing cut-point scores for each.Study Design:Retrospective study of 1183 children born <27 weeks gestation at NICHD Neonatal Research Network centers and evaluated at 18-22 months corrected age. Gross Motor Function Classification System determined gross motor impairment. Statistical analyses included linear and logistic regression and sensitivity/specificity.Results:Bayley-III motor composite scores were strong indicators of gross/fine motor impairment. A motor composite cut-point of 73 markedly improved the specificity for identifying gross and/or fine motor impairment (94% compared with a specificity of 76% for the proposed new cut-point of 85). A Fine Motor Scaled Score <3 differentiated mild from moderate-severe fine motor impairment.Conclusions:This study indicates that a Bayley-III motor composite score of 85 may overestimate impairment. Further studies are needed employing term controls and longer follow-up.

Original languageEnglish (US)
Pages (from-to)516-521
Number of pages6
JournalJournal of Perinatology
Volume35
Issue number7
DOIs
StatePublished - Jul 27 2015

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National Institute of Child Health and Human Development (U.S.)
Linear Models
Retrospective Studies
Logistic Models
Sensitivity and Specificity
Pregnancy
Research

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Do currently recommended Bayley-III cutoffs overestimate motor impairment in infants born <27 weeks gestation? / Duncan, A. F.; Bann, C.; Boatman, C.; Hintz, S. R.; Vaucher, Y. E.; Vohr, B. R.; Yolton, K.; Heyne, R. J.

In: Journal of Perinatology, Vol. 35, No. 7, 27.07.2015, p. 516-521.

Research output: Contribution to journalArticle

Duncan, A. F. ; Bann, C. ; Boatman, C. ; Hintz, S. R. ; Vaucher, Y. E. ; Vohr, B. R. ; Yolton, K. ; Heyne, R. J. / Do currently recommended Bayley-III cutoffs overestimate motor impairment in infants born <27 weeks gestation?. In: Journal of Perinatology. 2015 ; Vol. 35, No. 7. pp. 516-521.
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AU - Boatman, C.

AU - Hintz, S. R.

AU - Vaucher, Y. E.

AU - Vohr, B. R.

AU - Yolton, K.

AU - Heyne, R. J.

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