ETD Collection

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Author: search.filters.author.Madini, Katlego Babo Boitumelo JostinahSubject: search.filters.subject.SDG-3: Good health and well-being

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    The accuracy of the denver developmental screening test II in identifying developmental delay in high risk newborns at Charlotte Maxeke Johannesburg Academic Hospital
    (2020) Madini, Katlego Babo Boitumelo Jostinah
    Background: The Denver Developmental Screening Test II (Denver II) is used to assess the development of high risk newborns at a tertiary hospital in Johannesburg. Aim: This article aims at assessing the accuracy of the Denver II in identifying developmental delay 6 in high risk newborns. The Bayley Scales of Infant and Toddler Development III (BSID III) is used as a gold standard test, to determine the level of agreement between the two tests. Method: This is a retrospective descriptive study. The study population consisted of both normal and high 10 risk neonates born between 1 July 2013 and 31 December 2015. The results of infants that had both a Denver II and a BSID III were assessed. Results: The sensitivity of the Denver II in identifying developmental delay was .8% and 44.0% for a 14 BSID III composite score cutoff of <85 (“at risk”), and <70 (“handicapped”) respectively. The Denver II had a specificity greater than 90%.for both BSID III composite cutoff values. The agreement between the results of the two tests were represented by a Kappa value of 0.111 for the BSID III assessed as “at risk” (p = 0.014), and 0.423 for the BSID III assessed as “handicapped” (p < 0.000). Conclusion: The Denver II is not accurate in identifying developmental delay. There is a slight to moderate agreement between the Denver II and the BSID III tests. The Denver II is not a suitable screening test for use in South African infants, and further research is required.