Document Detail


Profile of referrals for early childhood developmental delay to ambulatory subspecialty clinics.
MedLine Citation:
PMID:  11575603     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to determine the profile and pattern of referral to subspecialty clinics of young children with suspected developmental delay together with the factors prompting their referral. All children under 5 years of age referred to either developmental pediatrics or pediatric neurology clinics at a single tertiary hospital over an 18-month period were prospectively identified. Standardized demographic and referral information were collected at intake, final developmental delay subtype diagnosed was identified, and referring physicians were surveyed regarding factors prompting referral. A total of 224 children met study criteria. There was a marked male preponderance (166/224), especially among those with either cognitive or language delay. Two delay subtypes, global developmental delay and developmental language disorder, accounted for two thirds of the diagnoses made. For slightly more than one third of the children (75/224), the delay subtype diagnosed following specialty evaluation was different from that initially suspected by the referring physician. A mean delay of 15.5 months was observed for the cohort as a whole between initial parental concern and specialty assessment. For referring physicians, the major factor prompting referral was the severity of the observed delay. The most important aspects of the specialty evaluation according to referral sources were the identification of a possible etiology and confirmation of delay. A profile of referrals and the rationale thereof for a cohort of children with suspected developmental delay is presented that, although locale specific, has implications for service provision and training.
Authors:
M I Shevell; A Majnemer; P Rosenbaum; M Abrahamowicz
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of child neurology     Volume:  16     ISSN:  0883-0738     ISO Abbreviation:  J. Child Neurol.     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-09-28     Completed Date:  2002-02-13     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8606714     Medline TA:  J Child Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  645-50     Citation Subset:  IM    
Affiliation:
Department of Neurology/Neurosurgery, McGill University, Montreal, QC, Canada. michael.shevell@muhc.mcgill.ca
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care
Child, Preschool
Developmental Disabilities / diagnosis,  etiology*,  rehabilitation
Diagnosis, Differential
Female
Humans
Infant
Infant, Newborn
Language Development Disorders / diagnosis,  etiology,  rehabilitation
Male
Neurology*
Patient Care Team
Prospective Studies
Referral and Consultation*
Risk Factors
Specialization*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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