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Abstract Objectives: to evaluate the agreement of the results in two screening tests on children's development - Denver II and Early Language Milestone Scale (ELM) aged two to three years old, born prematurely and with low weight. Methods: two screening instruments: Denver II and ELM were applied for the development in an observational cross-sectional descriptive study. The agreement between Denver II Test and its language sector and ELM were assessed by Kappa coefficient. Results: 77 children evaluated, 36.3% had an overall loss of the development performed by Denver II and 32.5% loss of the language by ELM. The agreement between the results of Denver II test considering all sectors versus ELM showed Kappa coefficient of 0.856 (p<0.001) and considering only the language sector of Denver II versus ELM, the Kappa coefficient was 0.886 (p<0.001). Conclusions: the developmental impairment observed in the children studied by assessing Denver II and through its language sector showed agreement with changes in the language abilities observed in ELM.

Resumo Objetivos: avaliar a concordância dos resultados da linguagem de dois testes de triagem do desenvolvimento infantil - Denver II e Early Language Milestone Scale (ELM) em crianças de dois a três anos de idade cronológica, nascidas prematuras e com baixo peso. Métodos: estudo observacional descritivo transversal através da aplicação dois instrumentos de triagem de desenvolvimento: Denver II e a ELM (Early Language Milestone Scale). A concordância entre o teste de Denver II e seu setor de linguagem e a ELM foi avaliada pelo coeficiente Kappa. Resultados: das 77 crianças avaliadas, 36,3% tiveram prejuízo global do desenvolvimento pelo Denver II e 32,5% prejuízo da linguagem pela ELM. A concordância entre os resultados do teste de Denver II considerando todos os setores versus ELM mostrou coeficiente Kappa de 0,856 (p<0,001) e considerando somente o setor da linguagem do Denver II versus ELM o coeficiente Kappa foi de 0,886 (p<0,001). Conclusões: o comprometimento do desenvolvimento observado nas crianças estudadas através da avaliação do Denver II e através do seu setor de linguagem mostrou concordância com as alterações de habilidades de linguagem observadas na ELM.

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Objetivo: Analisar as habilidades do desenvolvimento da linguagem em crianças de 2 a 3 anos de idade, nascidas prematuras e com baixo peso e os fatores de risco associados. Métodos Estudo transversal com aplicação do teste de Denver II (Denver Developmental Screening Test) e escala ELM (Early Language Milestone Scale). Foi utilizado o teste de Qui-quadrado e todas variáveis com p<0,20 entraram no modelo de regressão logística binária, nível de significância (p<0,05). Resultados: Das 77 crianças avaliadas, 36,4% apresentaram desempenho global alterado no teste de Denver II, considerando os quatro setores, e 37,6% apresentaram cautelas e atrasos no setor da linguagem, especificamente na avaliação da habilidade de linguagem pela escala ELM, 32,5% das crianças apresentaram alterações. O desempenho alterado, considerando os quatro setores do teste de Denver II e da linguagem na escala ELM, após regressão logística, permaneceu associado com: suspeita dos pais de alterações no desenvolvimento (Denver II e ELM); peso <1500 g e cesariana (Denver II somente); hemorragia intracraniana e renda familiar mensal per capita ≤1/2 salário mínimo (ELM somente). Conclusão Crianças nascidas prematuras e com baixo peso apresentaram atraso na aquisição de habilidades no desenvolvimento da linguagem, com maior comprometimento da função auditiva expressiva, associado a fatores de risco socioeconômicos e de histórico. .

Purpose : To examine the language development at chronological age 2 to 3 years of children born preterm with low birth weight and its associated risk factors. Methods In this cross-sectional study, children were assessed using the Denver Developmental Screening Test (Denver II test) and Early Language Milestone Scale (ELM scale). The chi-square test was used and all variables with p<0.20 were entered in a binary logistic regression model; statistical significance was set at p<0.05. Results Among the 77 children studied, 36.4% had abnormal Denver II test performance in its four sectors and 37.6% had cautions and delays in the area of language specifically. On assessment of language ability by the ELM scale, 32.5% of the children showed altered responses. The abnormal performance of the four sectors of the Denver II and language in the ELM scale, after logistic regression, remained associated with suspected developmental abnormalities by parents (Denver II and ELM), weight less than 1500 g and caesarean section (Denver II only), and intracranial hemorrhage and family per capita income less than half the minimum wage (ELM only). Conclusion Children born preterm with low birth weight showed delayed language development, with greater impairment in the expressive auditory function associated with socioeconomic risk factors and child’s history. .

Purpose: To examine the language development at chronological age 2 to 3 years of children born preterm with low birth weight and its associated risk factors. Methods In this cross-sectional study, children were assessed using the Denver Developmental Screening Test (Denver II test) and Early Language Milestone Scale (ELM scale). The chi-square test was used and all variables with p<0.20 were entered in a binary logistic regression model; statistical significance was set at p<0.05. Results Among the 77 children studied, 36.4% had abnormal Denver II test performance in its four sectors and 37.6% had cautions and delays in the area of language specifically. On assessment of language ability by the ELM scale, 32.5% of the children showed altered responses. The abnormal performance of the four sectors of the Denver II and language in the ELM scale, after logistic regression, remained associated with suspected developmental abnormalities by parents (Denver II and ELM), weight less than 1500 g and caesarean section (Denver II only), and intracranial hemorrhage and family per capita income less than half the minimum wage (ELM only). Conclusion Children born preterm with low birth weight showed delayed language development, with greater impairment in the expressive auditory function associated with socioeconomic risk factors and child’s history. .

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The aim of this study was to assess the neuropsychomotor development of children enrolled in daycare centers and preschools. This cross-sectional study used 38 items from the Denver II test to assess four and five-year-olds enrolled in the municipal school system in Cuiabá, Mato Grosso State, Brazil, from August 2002 to November 2003. There were 960 children enrolled in 27 daycare centers and two public preschools. Statistical analysis used the chi2 test with a 95% confidence interval and alpha = 5%. Logistic regression was used to calculate the percentages with which the preschoolers passed the test at each respective age. Of the 960 preschoolers tested, 67% showed normal performance, 30.2% borderline, and 2.8% abnormal. In 27 of the 38 items, the proportion of correct answers was greater than 90%. Altered performance was more common in five-year-old boys. Performance in this sample was quite similar to that of preschoolers in Denver, Colorado, USA. The best results by gender were for girls, and by age in four-year-olds.

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O objetivo foi avaliar o desenvolvimento neuropsicomotor de pré-escolares na educação infantil. Estudo de corte transversal, utilizando 38 itens do teste de Denver II. Foram avaliados todos os pré-escolares com idade entre quatro e seis anos incompletos matriculados na Rede Pública Municipal de Ensino de Cuiabá, Mato Grosso, Brasil, no período de agosto 2002 a novembro 2003. Nesse período havia 960 pré-escolares matriculados em 27 creches e duas escolas públicas. Para a análise estatística foi aplicado o teste Ç2 com intervalo de 95 por cento de confiança e ± = 5 por cento. Para calcular os percentis da idade em que os pré-escolares passaram em cada prova foi realizada uma regressão logística. Dos 960 pré-escolares avaliados, 67 por cento apresentaram desempenho normal, 30,2 por cento questionável e 2,8 por cento anormal. Em 27/38 itens avaliados, o percentual de acertos ultrapassou 90 por cento. O desempenho alterado predominou no sexo masculino, no grupo de cinco a seis anos. O desempenho dessa população foi muito semelhante ao dos pré-escolares norte-americanos de Denver, Colorado. O melhor resultado segundo o gênero ocorreu no sexo feminino e segundo a idade no grupo de quatro anos.

The aim of this study was to assess the neuropsychomotor development of children enrolled in daycare centers and preschools. This cross-sectional study used 38 items from the Denver II test to assess four and five-year-olds enrolled in the municipal school system in Cuiabá, Mato Grosso State, Brazil, from August 2002 to November 2003. There were 960 children enrolled in 27 daycare centers and two public preschools. Statistical analysis used the Ç2 test with a 95 percent confidence interval and ± = 5 percent. Logistic regression was used to calculate the percentages with which the preschoolers passed the test at each respective age. Of the 960 preschoolers tested, 67 percent showed normal performance, 30.2 percent borderline, and 2.8 percent abnormal. In 27 of the 38 items, the proportion of correct answers was greater than 90 percent. Altered performance was more common in five-year-old boys. Performance in this sample was quite similar to that of preschoolers in Denver, Colorado, USA. The best results by gender were for girls, and by age in four-year-olds.

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Diversos indicadores têm apontado que no Brasil, em termos médios, as condições de vida e saúde da população infantil têm melhorado. É o que ocorre com o crescimento dos escolares que já é símile ao dos países industrializados. Assim, passa a ser importante também avalar outros indicadores como, no caso de crianças, o desenvolvimento, processo este intimamente associado ao docrescimento. / Several indicators have been pointing that in Brazil, in medium term, the life conditions and health on the infantile population have improved. Thus, it becomes important also to evaluate other indicators as, in the children's case, the development, which is intimately associated to the growth...

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