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. 2019 Mar;60(3):119-123.
doi: 10.11622/smedj.2019025.

Developmental delay: identification and management at primary care level

Ying Ying Choo  1 , Pratibha Agarwal  1   2 , Choon How How  3   4 , Sita Padmini Yeleswarapu  2
Affiliations

Developmental delay: identification and management at primary care level

Ying Ying Choo et al. Singapore Med J. 2019 Mar.

Abstract

Developmental delays are common in childhood, occurring in 10%-15% of preschool children. Global developmental delays are less common, occurring in 1%-3% of preschool children. Developmental delays are identified during routine checks by the primary care physician or when the parent or preschool raises concerns. Assessment for developmental delay in primary care settings should include a general and systemic examination, including plotting growth centiles, hearing and vision assessment, baseline blood tests if deemed necessary, referral to a developmental paediatrician, and counselling the parents. It is important to follow up with the parents at the earliest opportunity to ensure that the referral has been activated. For children with mild developmental delays, in the absence of any red flags for development and no abnormal findings on clinical examination, advice on appropriate stimulation activities can be provided and a review conducted in three months' time.

Keywords: developmental assessment; developmental delay; primary care; red flags.

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Figures

Box 1
Box 1
Common aetiologies of developmental delay:(2,8)
Box 2
Box 2
Additional tests for children referred to a Child Development Unit
See this image and copyright information in PMC

References

    1. Mithyantha R, Kneen R, McCann E, Gladstone M. Current evidence-based recommendations on investigating children with global developmental delay. Arch Dis Child. 2017;102:1071–6. - PMC - PubMed
    1. Bellman M, Byrne O, Sege R. Developmental assessment of children. BMJ. 2013;346:e8687. - PubMed
    1. Shevell M, Ashwal S, Donley D, et al. Quality Standards Subcommittee of the American Academy of Neurology;Practice Committee of the Child Neurology Society. Practice parameter:evaluation of the child with global developmental delay:report of the Quality Standards Subcommittee of the American Academy of Neurology and The Practice Committee of the Child Neurology Society. Neurology. 2003;60:367–80. - PubMed
    1. Hyde JS, Linn MC. Gender differences in verbal ability:a meta-analysis. Psychol Bull. 1988;104:53–69.
    1. Vitrikas K, Savard D, Bucaj M. Developmental delay:when and how to screen. Am Fam Physician. 2017;96:36–43. - PubMed