[P1-12] The Clinical Presentation of Children with Developmental Delay – Early and Late years
[Introduction] In our country, children (six years of age and younger) with developmental delay (DD), should be promptly diagnosed and provided with individualized early intervention by law. As an evaluation center, we here report a 6-year experience. 2 groups are divided: the young (first 3 years) and old (3 years and older).
[Method] From January 1, 2010 to December 31, 2015, all children with borderline and definite developmental delay after a full survey are enrolled. We try hard to obtain accurate etiological (and other neurological disorders as well as non-neurological disorders) and functional diagnoses. Etiology is categorized into symptomatic, familial, and unknown subgroups. Functional delay is classified as gross motor, fine motor, cognitive, speech, socially interactive, emotional/behavioral and others.
[Result] There are 1308 children, 680 (52%) in young and 628 (48%) in old group. Males are more prevalent than females: 440/240 (1.83) in young and 446/182 (2.45) in old group. Etiology is 45.4% symptomatic/8.5% familial/50.9% unknown in young group, and 35.5% symptomatic/16.3% familial/54.5% unknown in old group. As for functional delay, 70.7% speech/57.4% motor/48.8% cognitive/15.4% socially interactive/9.4% emotional/behavioral in young group, 65.6% speech/33.0% motor/64.7% cognitive/24.2% socially interactive/54.1% emotional/behavioral in old group, are found. Other neurological disorders are 27.5% in young and 11.5% in old group.
[Conclusion] Children with DD are potential cases for intellectual disability, learning disability, autism spectrum disorder, attention deficit/hyperactivity disorder and other neurodevelopmental disorders. There are differences in clinical presentation among early and later years. They should be promptly diagnosed, managed and intervened, so that a better outcome can be achieved.
[Method] From January 1, 2010 to December 31, 2015, all children with borderline and definite developmental delay after a full survey are enrolled. We try hard to obtain accurate etiological (and other neurological disorders as well as non-neurological disorders) and functional diagnoses. Etiology is categorized into symptomatic, familial, and unknown subgroups. Functional delay is classified as gross motor, fine motor, cognitive, speech, socially interactive, emotional/behavioral and others.
[Result] There are 1308 children, 680 (52%) in young and 628 (48%) in old group. Males are more prevalent than females: 440/240 (1.83) in young and 446/182 (2.45) in old group. Etiology is 45.4% symptomatic/8.5% familial/50.9% unknown in young group, and 35.5% symptomatic/16.3% familial/54.5% unknown in old group. As for functional delay, 70.7% speech/57.4% motor/48.8% cognitive/15.4% socially interactive/9.4% emotional/behavioral in young group, 65.6% speech/33.0% motor/64.7% cognitive/24.2% socially interactive/54.1% emotional/behavioral in old group, are found. Other neurological disorders are 27.5% in young and 11.5% in old group.
[Conclusion] Children with DD are potential cases for intellectual disability, learning disability, autism spectrum disorder, attention deficit/hyperactivity disorder and other neurodevelopmental disorders. There are differences in clinical presentation among early and later years. They should be promptly diagnosed, managed and intervened, so that a better outcome can be achieved.