Comparative analysis of developmental outcomes in very preterm infants: BSID-II versus Bayley-III German norms.

<h4>Introduction</h4>After the release of the Bayley Scales of Infant and Toddler Development, third edition (Bayley-III), US norms, an overestimation of outcome was observed. But, the conformity between the Bayley Scales of Infant Development, second edition (BSID-II), and the Bayley-II...

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Main Authors: Marlene Hammerl, Martina Zimmermann, Anna Posod, Ulrike Pupp Peglow, Michaela Höck, Elke Griesmaier, Ursula Kiechl-Kohlendorfer, Vera Neubauer
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0318263
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author Marlene Hammerl
Martina Zimmermann
Anna Posod
Ulrike Pupp Peglow
Michaela Höck
Elke Griesmaier
Ursula Kiechl-Kohlendorfer
Vera Neubauer
author_facet Marlene Hammerl
Martina Zimmermann
Anna Posod
Ulrike Pupp Peglow
Michaela Höck
Elke Griesmaier
Ursula Kiechl-Kohlendorfer
Vera Neubauer
author_sort Marlene Hammerl
collection DOAJ
description <h4>Introduction</h4>After the release of the Bayley Scales of Infant and Toddler Development, third edition (Bayley-III), US norms, an overestimation of outcome was observed. But, the conformity between the Bayley Scales of Infant Development, second edition (BSID-II), and the Bayley-III German norms is unknown. This retrospective analysis aimed to compare outcomes of very preterm infants tested with BSID-II and Bayley-III German norms.<h4>Methods</h4>Infants born from November 2007 to July 2018 were included. Exclusion criteria were death or missing outcome. Infants underwent testing with either BSID-II until December 2013 or Bayley-III from January 2014 onward, at 12 and/or 24 months. BSID-II Mental Developmental Index (MDI) was compared to Bayley-III cognitive score and a combined Bayley-Score (CB-III) consisting of the cognitive and language composite score. BSID-II Psychomotor Developmental Index (PDI) was compared to Bayley-III motor composite score. Abnormal outcomes were defined as scores <85 (delay) or <70 (impairment).<h4>Results</h4>649 infants were included. At 12 months, the Bayley-III cohort achieved higher scores in all domains compared to the BSID-II cohort (all p<0.05), with lower rates of motor delay in the Bayley-III cohort (p<0.001). At 24 months, only Bayley-III motor composite scores were higher than the BSID-II PDI (p<0.001). Rates of cognitive impairment were higher in the Bayley-III cohort (p = 0.013).<h4>Interpretation</h4>Our findings indicate that the Bayley-III German norms effectively identify children needing interventions, particularly at 24 months corrected age. This supports both clinical application and scientific comparability with the BSID-II.
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spelling doaj-art-ab33f5aa623c42119a141efc24dd2c7d2025-02-05T05:32:01ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031826310.1371/journal.pone.0318263Comparative analysis of developmental outcomes in very preterm infants: BSID-II versus Bayley-III German norms.Marlene HammerlMartina ZimmermannAnna PosodUlrike Pupp PeglowMichaela HöckElke GriesmaierUrsula Kiechl-KohlendorferVera Neubauer<h4>Introduction</h4>After the release of the Bayley Scales of Infant and Toddler Development, third edition (Bayley-III), US norms, an overestimation of outcome was observed. But, the conformity between the Bayley Scales of Infant Development, second edition (BSID-II), and the Bayley-III German norms is unknown. This retrospective analysis aimed to compare outcomes of very preterm infants tested with BSID-II and Bayley-III German norms.<h4>Methods</h4>Infants born from November 2007 to July 2018 were included. Exclusion criteria were death or missing outcome. Infants underwent testing with either BSID-II until December 2013 or Bayley-III from January 2014 onward, at 12 and/or 24 months. BSID-II Mental Developmental Index (MDI) was compared to Bayley-III cognitive score and a combined Bayley-Score (CB-III) consisting of the cognitive and language composite score. BSID-II Psychomotor Developmental Index (PDI) was compared to Bayley-III motor composite score. Abnormal outcomes were defined as scores <85 (delay) or <70 (impairment).<h4>Results</h4>649 infants were included. At 12 months, the Bayley-III cohort achieved higher scores in all domains compared to the BSID-II cohort (all p<0.05), with lower rates of motor delay in the Bayley-III cohort (p<0.001). At 24 months, only Bayley-III motor composite scores were higher than the BSID-II PDI (p<0.001). Rates of cognitive impairment were higher in the Bayley-III cohort (p = 0.013).<h4>Interpretation</h4>Our findings indicate that the Bayley-III German norms effectively identify children needing interventions, particularly at 24 months corrected age. This supports both clinical application and scientific comparability with the BSID-II.https://doi.org/10.1371/journal.pone.0318263
spellingShingle Marlene Hammerl
Martina Zimmermann
Anna Posod
Ulrike Pupp Peglow
Michaela Höck
Elke Griesmaier
Ursula Kiechl-Kohlendorfer
Vera Neubauer
Comparative analysis of developmental outcomes in very preterm infants: BSID-II versus Bayley-III German norms.
PLoS ONE
title Comparative analysis of developmental outcomes in very preterm infants: BSID-II versus Bayley-III German norms.
title_full Comparative analysis of developmental outcomes in very preterm infants: BSID-II versus Bayley-III German norms.
title_fullStr Comparative analysis of developmental outcomes in very preterm infants: BSID-II versus Bayley-III German norms.
title_full_unstemmed Comparative analysis of developmental outcomes in very preterm infants: BSID-II versus Bayley-III German norms.
title_short Comparative analysis of developmental outcomes in very preterm infants: BSID-II versus Bayley-III German norms.
title_sort comparative analysis of developmental outcomes in very preterm infants bsid ii versus bayley iii german norms
url https://doi.org/10.1371/journal.pone.0318263
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