Use of the Ages and Stages Questionnaire to predict outcome after XXXX in the neonate.

@entity1 @entity717 @entity75 @entity245
BACKGROUND: @entity1 who suffer @entity75 ( @entity75 ) at birth are at increased risk of @entity717 . In this at-risk population, reliable, inexpensive and early identification of those @entity1 who are likely to require formal developmental assessment and intervention is needed. AIM: To evaluate the ability of the Ages and Stages Questionnaire (ASQ) to detect developmentally delayed @entity1 in an Australian population of @entity1 who suffered @entity75 at birth. METHODS: Fifty-five @entity1 who survived @entity75 were followed until 12-14 months of age. Test characteristics were calculated to examine the ability of the ASQ to appropriately identify developmentally delayed @entity1 against this study's 'gold standard': the Bayley Scales of @entity1 Development II. RESULTS: Comparing the ASQ with the Bayley Scales of @entity1 Development II, the questionnaire had the following test characteristics: sensitivity 92%, specificity 95%, positive predictive value 92%, negative predictive value 95% when used to detect severe @entity245 ; and sensitivity 67%, specificity 93%, positive predictive value 92%, negative predictive value 68% when used to detect both severe and mild @entity245 . However, the ASQ used at standard cut-offs failed to detect any of the @entity1 with mild delay. CONCLUSIONS: The ASQ is extremely effective for the detection of severe @entity245 in @entity1 who have suffered @entity75 at birth. Its capacity to identify those with milder delay is limited. The ability of the test to detect only those with severe @entity245 means that the ASQ is of little value as a screening tool in this population.
