PMID- 26193474 OWN - NLM STAT- MEDLINE DCOM- 20160428 LR - 20181113 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 7 DP - 2015 TI - The Ages and Stages Questionnaire and Neurodevelopmental Impairment in Two-Year-Old Preterm-Born Children. PG - e0133087 LID - 10.1371/journal.pone.0133087 [doi] LID - e0133087 AB - OBJECTIVE: To test the ability of the Ages and Stages Questionnaire, Third Edition (ASQ3) to help identify or exclude neurodevelopmental impairment (NDI) in very preterm-born children at the corrected age of two. METHODS: We studied the test results of 224 children, born at <32 postmenstrual weeks, who had scores on ASQ3 and Bayley Scales of Infant and Toddler Development, Third Edition (BSIDIII) and neurological examination at 22-26 months' corrected age. We defined NDI as a score of <70 on the cognitive--or motor composite scale of BSIDIII, or impairment on neurological examination or audiovisual screening. We compared NDI with abnormal ASQ3 scores, i.e., < -2SDs on any domain, and with ASQ3 total scores. To correct for possible overestimation of BSIDIII, we also analyzed the adjusted BSIDIII thresholds for NDI, i.e., scores <80 and <85. RESULTS: We found 61 (27%) children with abnormal ASQ3 scores, and 10 (4.5%) children who had NDI with original BSIDIII thresholds (<70). Twelve children had NDI at BSIDIII thresholds at <80, and 15 had <85. None of the 163 (73%) children who passed ASQ3 had NDI. The sensitivity of ASQ3 to detect NDI was excellent (100%), its specificity was acceptable (76%), and its negative predictive value (NPV) was 100%. Sensitivity and NPV remained high with the adjusted BSIDIII thresholds. CONCLUSION: The Ages and Stages Questionnaire is a simple, valid and cost-effective screening tool to help identify and exclude NDI in very preterm-born children at the corrected age of two years. FAU - Kerstjens, Jorien M AU - Kerstjens JM AD - Division of Neonatology, Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, Groningen, The Netherlands. FAU - Nijhuis, Ard AU - Nijhuis A AD - Division of Neonatology, Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, Groningen, The Netherlands. FAU - Hulzebos, Christian V AU - Hulzebos CV AD - Division of Neonatology, Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, Groningen, The Netherlands. FAU - van Imhoff, Deirdre E AU - van Imhoff DE AD - Division of Neonatology, Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, Groningen, The Netherlands. FAU - van Wassenaer-Leemhuis, Aleid G AU - van Wassenaer-Leemhuis AG AD - Department of Neonatology, Emma Children's Hospital Academic Medical Center, Amsterdam, The Netherlands. FAU - van Haastert, Ingrid C AU - van Haastert IC AD - Department of Neonatology, Wilhelmina Children's Hospital/University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Lopriore, Enrico AU - Lopriore E AD - Division of Neonatology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands. FAU - Katgert, Titia AU - Katgert T AD - Department of Medical Psychology, Maxima Medical Center, Veldhoven, The Netherlands. FAU - Swarte, Renate M AU - Swarte RM AD - Department of Neonatology, Erasmus MC-Sophia, Rotterdam, The Netherlands. FAU - van Lingen, Richard A AU - van Lingen RA AD - Princess Amalia Department of Pediatrics, Department of Neonatology, Isala, Zwolle, The Netherlands. FAU - Mulder, Twan L AU - Mulder TL AD - Department of Pediatrics, Maastricht University Medical Center, GROW-School for Oncology and Developmental Biology, Maastricht, The Netherlands. FAU - Laarman, Celeste R AU - Laarman CR AD - Division of Neonatology, Department of Pediatrics, VU University Medical Center, Amsterdam, The Netherlands. FAU - Steiner, Katerina AU - Steiner K AD - Division of Neonatology, Department of Pediatrics, Radboud University Medical Centre Nijmegen, Nijmegen, The Netherlands. FAU - Dijk, Peter H AU - Dijk PH AD - Division of Neonatology, Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, Groningen, The Netherlands. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150720 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Area Under Curve MH - Birth Weight MH - Child Development MH - Child, Preschool MH - Developmental Disabilities/*diagnosis MH - Female MH - Gestational Age MH - Humans MH - Infant MH - Infant, Premature MH - Male MH - *Neurologic Examination MH - Neurons/*physiology MH - ROC Curve MH - Surveys and Questionnaires PMC - PMC4508030 COIS- Competing Interests: The authors have declared that no competing interests exists. EDAT- 2015/07/21 06:00 MHDA- 2016/04/29 06:00 PMCR- 2015/07/20 CRDT- 2015/07/21 06:00 PHST- 2015/02/18 00:00 [received] PHST- 2015/06/22 00:00 [accepted] PHST- 2015/07/21 06:00 [entrez] PHST- 2015/07/21 06:00 [pubmed] PHST- 2016/04/29 06:00 [medline] PHST- 2015/07/20 00:00 [pmc-release] AID - PONE-D-15-07564 [pii] AID - 10.1371/journal.pone.0133087 [doi] PST - epublish SO - PLoS One. 2015 Jul 20;10(7):e0133087. doi: 10.1371/journal.pone.0133087. eCollection 2015.