Document Detail


Using the clinical linguistic and auditory milestone scale for developmental screening in high-risk preterm infants.
MedLine Citation:
PMID:  9391737     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Eighty-one preterm infants (mean gestational age 29 weeks, range 24-36 weeks) discharged from The Johns Hopkins Hospital Neonatal Intensive Care Unit were followed up sequentially from birth to 2 years of age by use of the Clinical Linguistic and Auditory Milestone Scale (CLAMS) to evaluate language development. Children were studied during three time intervals: Interval 1: 3-5 months chronologic age (CA); Interval 2: 9-14 months (CA); and Interval 3: 18-24 months (CA). Psychometric test scores were compared with CLAMS Language Quotients (LQ) by use of full, partial (75%, 50%, 25%), and no "correction" for weeks of prematurity to determine whether "correcting" for prematurity would yield a more accurate estimate of eventual cognitive outcome. CLAMS LQ at Interval 1 was highly correlated with CLAMS LQ at Interval 2 and CLAMS LQ at Interval 2 correlated well with CLAMS LQ at Interval 3 (r = 0.57 and 0.64, respectively, P = 0.0001). Correlations indicated that there was an orderly, sequential development of language in the preterm infant. CLAMS evaluations correlated significantly with psychometric test results during Interval 2 and Interval 3 (r = 0.34, P < 0.02 and r = 0.75, P = 0.0001, respectively). The CLAMS proved to be a useful instrument for monitoring preterm language development in the primary pediatric care setting.
Authors:
H M Belcher; A Gittlesohn; A J Capute; M C Allen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical pediatrics     Volume:  36     ISSN:  0009-9228     ISO Abbreviation:  Clin Pediatr (Phila)     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1998-01-05     Completed Date:  1998-01-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372606     Medline TA:  Clin Pediatr (Phila)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  635-42     Citation Subset:  AIM; IM    
Affiliation:
Kennedy Krieger Institute, Baltimore, MD 21205, USA.
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MeSH Terms
Descriptor/Qualifier:
Apgar Score
Auditory Threshold
Birth Weight
Child Development*
Child Psychology
Child, Preschool
Female
Gestational Age
Hearing Tests
Humans
Infant
Infant, Newborn
Infant, Premature* / psychology
Language Development
Male
Maternal Age
Psychometrics
Risk Factors

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


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