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    Outcome and Prognosis GDD

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    Ifah Inayah D'zatricha
    1. Children with a history of global developmental delay (GDD) often have poor outcomes across developmental and functional domains at school age. 2. Predictors of worse outcomes for GDD include perinatal factors like prematurity, IUGR, neonatal hypoxia, as well as low socioeconomic status and poor compliance with habilitation plans. 3. At school age, most children with a history of GDD require special schools or classes, as over 50% have cognitive and behavioral difficulties that impact their participation and performance in regular academic environments.

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    Outcome and Prognosis GDD

    Uploaded by

    Ifah Inayah D'zatricha
    81 views20 pages
    1. Children with a history of global developmental delay (GDD) often have poor outcomes across developmental and functional domains at school age. 2. Predictors of worse outcomes for GDD include perinatal factors like prematurity, IUGR, neonatal hypoxia, as well as low socioeconomic status and poor compliance with habilitation plans. 3. At school age, most children with a history of GDD require special schools or classes, as over 50% have cognitive and behavioral difficulties that impact their participation and performance in regular academic environments.

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    1. Children with a history of global developmental delay (GDD) often have poor outcomes across developmental and functional domains at school age. 2. Predictors of worse outcomes for GDD include perinatal factors like prematurity, IUGR, neonatal hypoxia, as well as low socioeconomic status and poor compliance with habilitation plans. 3. At school age, most children with a history of GDD require special schools or classes, as over 50% have cognitive and behavioral difficulties that impact their participation and performance in regular academic environments.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    81 views20 pages

    Outcome and Prognosis GDD

    Uploaded by

    Ifah Inayah D'zatricha
    1. Children with a history of global developmental delay (GDD) often have poor outcomes across developmental and functional domains at school age. 2. Predictors of worse outcomes for GDD include perinatal factors like prematurity, IUGR, neonatal hypoxia, as well as low socioeconomic status and poor compliance with habilitation plans. 3. At school age, most children with a history of GDD require special schools or classes, as over 50% have cognitive and behavioral difficulties that impact their participation and performance in regular academic environments.

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    Curriculum vitae

    Nama : dr. Alifiani Hikmah Putranti SpA(K


    Pendidikan S1 : Fakultas Kedokteran UGM ,1987
    Pendidikan Spesialis : Dokter SpesialisAnak, FK Undip 1989
    Dokter Spesialis Anak Konsultan Syaraf Anak 2006.
    Pekerjaan : Kepala divisi Neurologi Anak.Departemen/KSM
    Ilmu Kesehatan Anak FK UNDIP/RSUP Dr. Kariadi
    Outcome and Prognosis
    Global Developmental Delay
    Alifiani Hikmah Putranti
    Objective

    • Etiology and diagnose of GDD

    • Predictor of severity and outcome GDD

    • Outcome GDD
    Why is finding an aetiology important ?
    • Prognostic information

    • Prevent co-morbidity

    • Appropriate counselling about recurrence risk

    • Accessing more support

    • Treatment
    Problem of diagnose
    • Neurologia 2014;29(7):402-407

    31%

    Diagnose
    (+)
    Outcome GDD at scholl age
    Languange skill

    Motoric

    Cognitive

    Academic performance
    Development Medicine & Child Neurology 2005,4:68-83
    Language and motoric
    (Shevell M et all 2005)

    BDI
    Measures of developmental ability;
    Motor,adaptive,communication,cognitive,
    personal social

    VABS
    Measures of functional status of
    communication, socialization ,daily living
    skill and communication

    BDI and VABS score are low

    Developmental Medicine & Child Neurology 2005; 47:678-83


    Developmental and Functional ourcome of GDD
    (Shevell M et all 2005)
    Functional performance of school children with GDD ( Lilian de Fatima D et all 2015)

    Participation in school environment <<

    Cognitive and behavioral <<

    Activity performance <<

    Rev Paul Pediatr, 2016;34(1);78-85


    Special school needed for children with history of GDD
    (Shevell M et all 2005)

    53,2 % Children with history of GDD need special class / special school

    Developmental medicine and child neurology 2005,4: 68-83


    Outcome GDD

    • Children with GDD need help during school tasks


    (cognitive and behavioural)
    • (J.Child Neurol 2016;31 (1041-1051)

    • Persistent difficulties with motor deficit, restriction and


    low participation in school activity
    • (Rev Paul Pediatr,2016;34(1): 8-85 )

    • At school age, children of GDD show persistent and consistenly


    poor performance across all developmental and functional
    domains (BDI and VABS)
    • ( J.child Neurol 2005;20:648-654)

    •
    Global developmental delay and its relationship to cognitive skills ( Emilie et all 2009)

    73 % of children with history of GDD displaying a global IQ score below average normal IQ

    Development medicine Child Neurology 2009,51:600-606


    Factors that can affect the level of IQ

    Performance IQ correlated with


    Expressive languange and Fine motor
    scores

    Development medicine Child Neurology 2009,51:600-606


    Predictor of severity and outcome GDD

    • Prematurity
    • IUGR
    • Low socioeconomic
    • Non compliance to habilitaton plan

    BMC Pediatrics 2014 14:40


    Prematurity ,IUGR ?
    • Prematurity :
    • Interruption of brain development at early and critical neurodevelopment
    stages
    • Pertubs the trajectory of normal cerebral development after birth
    • IUGR
    • Disturbances in the architecture and maturation of the developing cortical
    neuron network
    Summary

    Outcome global developmental delay

    1. Etiology Global Developmental Delay

    2. Predictors outcome of GDD


    o Perinatal factors : IUGR,prematurity,neonatal hypoxia
    o Low social economy
    o Poor compliance to habilitation plan
    summary
    3. School age performance of children with history of GDD

    • Regular school 17 %,
    • Developmental and Functional status
    • Batelle Developmental Inventory score is low
    Vineland Adaptive Behaviour Scale score is low
    • IQ score 73% less than 90 (average)

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