Análise da utilização da escala Bayley de desenvolvimento infantil - 3° edição em crianças prematuras - uma revisão sistemática integrativa da literatura

Abstract

Newborns (NBs) with gestational age (GA) less than 37 complete weeks are characterized as premature. Worldwide, 11.1% of children are born preterm. At the time of their birth, due to their physical and immunological fragility, these children have different levels of maturity, depending on their GI. It is necessary to monitor the child's neuromotor development accurately to determine which interventions should be performed early. In order to identify developmental delays, many studies use the Bayley Scale - III, being a method that analyzes babies and young children in an individual assessment process from 1 to 42 months of age. To analyze the validation of the Bayley-III Scale as an instrument for assessing infant neuromotor development in premature individuals, through an integrative systematic review, carried out in the databases PubMed, MEDLINE, PEDro, Lilacs, Scielo, using the descriptors' Child development ',' Preterm Infant ',' Bayley - III ',' Development scale 'and' Motor development 'and their equivalents in Portuguese and Spanish. Studies published between 2010 and 2020 were considered eligible, the sample of studies needed to be formed by preterm children, without neurological involvement, of both sexes and be evaluated using the Bayley - III scale. 146 were identified, of which 7 were included in the systematic integrative review. After analyzing the articles, studies pointed to the use of the Bayley-III scale with a cut-off score above 70, in an attempt to reduce the underestimation of motor delays. Differences were observed in points of the subscales when compared with other scales and in the test-retest with Bayley-II. There is moderate evidence that the Bayley-III Scale can be administered to measure the motor development of premature children, however cut-off score scores are suggested, increasing values and avoiding underestimation of motor delay rates. Further studies are done with long-term follow-up data.