Wu Shuihua,Liang Dazhong.Analysis of factors related to ASQ-3 age and developmental process assessment questionnaire in children with nonsyndromic craniosynostosis after surgery[J].Journal of Clinical Pediatric Surgery,,22():762-767.[doi:10.3760/cma.j.cn101785-202304003-012]
Analysis of factors related to ASQ-3 age and developmental process assessment questionnaire in children with nonsyndromic craniosynostosis after surgery
- Abstract:
- Objective To explore the influencing factors for the results of ASQ-3 age and developmental process questionnaire in children with nonsyndromic craniosynostosis (NSC) after surgery.Methods The relevant clinical data were retrospectively reviewed for 68 hospitalized NSC children from June 2016 to June 2022.ASQ-3 questionnaire was employed for assessing the five capability domains of communication, gross motor, fine motor, problem-solving and personal-social after craniosuture reconstruction skull remodeling.Operative age, gender, disease type, assessment age, postoperative fever, educational level of parents and major caregivers and questionnaire assessments were collected.The influencing factors of ASQ-3 questionnaire were examined.Results The results of 68 ASQ-3 questionnaire were evaluated.The detection rates of poor capability in communication, gross motor, fine motor, problem-solving and individual-social domains were 23.5%(16/68), 35.3%(24/68), 32.4%(22/68), 35.3%(24/68) and 26.5%(18/68) respectively.And 39 children (39/68, 57.4%) had normal development and 29 children (29/68, 42.6%) poor development.Inter-group differences existed in assessment age, postoperative fever or not and paternal and primary caregiver education (P<0.05).Multi-factorial Logistic regression analysis indicated that higher assessment age (OR=0.896, 95%CI:0.843-0.953) and postoperative fever (OR=0.173, 95%CI:0.029-0.645) were the protective factors of normal postoperative development according to the results of ASQ-3 (P<0.05).Conclusion NSC children undergoing craniosuture reconstruction and skull remodeling have varying degrees of poor capability in five functional domains based upon ASQ-3 questionnaire.Higher assessment age and postoperative fever are the protective factors of normal postoperative development.
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Memo
收稿日期:2023-04-02。
基金项目:湖南省出生缺陷协同防治科技重大专项（2019SK1010）；国家临床重点专科建设项目-湖南省儿童医院小儿外科[湘卫医发（2022）2号]
通讯作者:梁大中,Email:pt6226@sehan.ac.kr