Evidence map›Paper›PMID 33240634›Full record

ArticlePeerJ2020

Development and validation of Egyptian developmental screening chart for children from birth up to 30 months.

Ali M El Shafie, Zein A L Omar, Mai M Bashir, Sorour F Mahmoud, Elsayedamr M Basma, Ahmed E Hussein, Alaa Mosad Mostafa, Wael A Bahbah

Open access · goldAbstract read
In one paragraph

Article in PeerJ, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Ali M El ShafieDepartment of Pediatrics, Menoufia Faculty of Medicine, Menoufia University, Shebin el-Kom, Menoufia, Egypt.
Zein A L OmarDepartment of Pediatrics, Menoufia Faculty of Medicine, Menoufia University, Shebin el-Kom, Menoufia, Egypt.
Mai M BashirMinistry of Health Hospitals, Cairo, Egypt.
Sorour F MahmoudMinistry of Health Hospitals, Cairo, Egypt.
Elsayedamr M BasmaDepartment of Bioinformatics and Medical Statistics, Medical Research Institute, Alexandria University, Alexandria, Egypt.
Ahmed E HusseinMinistry of Health Hospitals, Cairo, Egypt.
Alaa Mosad MostafaMinistry of Health Hospitals, Cairo, Egypt.
Wael A BahbahDepartment of Pediatrics, Menoufia Faculty of Medicine, Menoufia University, Shebin el-Kom, Menoufia, Egypt.
Ministry of Health and Population · EGMenoufia University · EGAlexandria University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDetecting developmental delay in children is an ongoing world commitment, especially for those below three years. To accurately assess the development of children; a culturally appropriate screening tool must be used. Egypt lacks such tool and multiple studies have shown that western tools are not suitable in other cultures.

objectivesTo develop and validate an easy, rapid, culturally appropriate and applicable screening chart for early detection of developmental delay among Egyptian children from birth up to 30 months and develop a Z-score chart for motor and mental development follow up based on our Egyptian screening chart.

methodsA cross sectional randomized study was carried out on 1503 Egyptian children of both genders aged from birth up to 30 months assumed to have normal development according to the inclusion and exclusion criteria. They were selected from vaccination centers and well-baby clinics. Developmental milestones from Baroda development screening test (BDST) were applied on them after items were translated and adapted to Egyptian culture. Egyptian children developmental milestones scores were analyzed and carefully prepared in tables and charts. A 97% pass level of developmental achievements represents the threshold below which children are considered delayed. A Z-score chart for motor and mental development follow up was designed by calculating each age group achievement. The developed Egyptian developmental screening chart (EDSC) was validated against Ages and Stages Questionnaires (ASQ-3) as a reference standard in another different sample of 337 children in different age groups.

resultsThe developed EDSC is represented in a chart format with two curves 50% and 97% pass level. Children considered delayed when the score below 97% pass level. Results revealed a statistically significant difference between EDSC and BDST at 50% and 97% pass levels. A Z-score chart for motor and mental development follow up was designed by calculating each age group achievement. EDSC sensitivity and specificity were calculated 84.38 (95% CI [67.21%-94.72%]) and 98.36 (95% CI [96.22%-99.47%]) respectively with an overall test accuracy 97.03 (95% CI [94.61%-98.57%]) (

conclusionsExtensive revision of the BDST was needed in order to create and validate a more culturally appropriate Egyptian screening chart. This is the first study to create and validate an Egyptian-specific screening tool, to be rapid and easy to use in Egypt for early detection of developmental delay and enabling early intervention practices. A Z-score curve is reliable for follow up motor and mental development by calculating each age group achievement.

Indexed as

Developmental delayEgyptian Developmental Screening ChartScreening toolsValidationZ-score

Identifiers

PMID33240634
PMCPMC7666562
OpenAlexW3100360767

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.