Paediatria Croatica, Vol. 58 No. 1, 2014.
Original scientific paper
https://doi.org/10.13112/PC.2014.2
Early detection of developmental disorders in primary health care
Lidija Ristovska
; City General Hospital “8 September”, Department of Otorhinolaryngology, Division of Audiology, Skopje, Republic of Macedonia
Zora Jachova
; University “Ss Cyril and Methodius”, Faculty of Philosophy, Institute of Special Education and Rehabilitation, Skopje, Republic of Macedonia
Vladimir Trajkovski
orcid.org/0000-0002-8369-9501
; University “Ss Cyril and Methodius”, Faculty of Philosophy, Institute of Special Education and Rehabilitation, Skopje, Republic of Macedonia
Abstract
The aim of this paper is to analyze the ways of detecting developmental disorders in children in primary health care. We processed
data from medical records of 2 634 children examined at Pediatric Dispensary, Military Hospital, Skopje, Republic of Macedonia, during
the 2000-2009 period. Children were born between 1990 and 2009. In this retrospective study, we analyzed the High Risk Registry
and collected data on 211 588 visits. We also conducted unstructured interview with pediatricians. For statistical data analysis, we
used chi-square test with the level of signifi cance of p<0.05. During the 2000-2009 period, developmental disorders were detected in
172 (6.5%) children, 112 male and 60 female. Most children (81.9%) had specifi c developmental disorders of speech and language.
From all children, 272 (10.3%) had perinatal biological risk factors. Fifty-seven (21%) children with risk factors had developmental
disorders. Our study showed that in most children, developmental disorders were detected after 24 months of age. Most children
with developmental disorders were males. Because of the more intensive follow up, developmental disorders in children born with
perinatal biological risk factors were detected earlier than in children born without these risk factors. Further studies could focus on
the prevention of risk factors and developmental disorders.
Keywords
early diagnosis; developmental disabilities; risk factors
Hrčak ID:
119996
URI
Publication date:
24.3.2014.
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