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 journalArticlepeer-review

19 Scopus citations

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

ASJC Scopus subject areas

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

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