Screening Results of Children with Developmental Disorders, Loei Hospital, Thailand, 2013-2015 - การศึกษาผลการคัดกรองเด็กที่มีปัญหาพัฒนาการ โรงพยาบาลเลย ปี 2556-2558

Abstract

               Loei Hospital started developmental disordered child clinic since the year 2000, but there had been no study about developmental disordered screening result, amount and type of children with developmental disorders, effectiveness and coverage of child care system within the hospital. This study was a retrospective descriptive study using data collected from medical record in the neonatal intensive care unit (NICU), patients in “Jao Tua Lek Clinic”(small child clinic) and children with developmental disorders who attended pediatric outpatient department in Loei hospital. Data were collected from October 2012 to September 2015. Data analysis described in term of numeral, percentages and average. As for the results, there were 1,545 patients (newborn babies) admitted in NICU, and 1,026 patients (66.4%) had followed up in the small child clinic. There were 10 patients with cerebral palsy, aged between 5-24 months (average 12 months). In addition, there were 119 patients with suspect delayed development with gross motor condition, age between 3-7 months (average 5 months), and 55 patients with suspect delayed development with expressive language condition, age between 10 – 15 months (average 13 months). The screening of developmental disorders at pediatric outpatient department detected 60 children, age between 13 – 56 months (average 29 months) with cerebral palsy, of whom 4 cases, aged between 26-60 months (average 47 months), had contracture and dislocated joint; 7 patients aged between 23 – 48 months (average 30 months) had autistic spectrum disorders; 28 patients aged between 10 -21 months (average 15 months) had suspect delayed development of gross motor; and 82 patients aged between 18– 36 months (average 25 months) were suspect delayed development with expressive language condition. In conclusion, the management of care for newborn babies at risk for cerebral palsy and delayed development by a screening program at the small child clinic or “Jao Tua Lek Clinic” was able to diagnose developmental disorders earlier than the patient screening system at pediatric outpatient department. However, the existing screening program was still unable to detect all risk children. Thus, further improvement of child screening together with capacity building and networking should be continued.

Key words: screening for developmental disability, cerebral palsy, autistic spectrum