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Clinical Pediatrics
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Using the Clinical Linguistic and Auditory Milestone Scale for Developmental Screening in High-Risk Preterm Infants

Harolyn M. E. Beilcher, MD

Alan Gittlesohn, PhD

Arnold J. Capute, MD

Marilee C. Allen, MD

The Kennedy Krieger Institute and The Johns Hopkins Hospital, Department of Neonatology

Eighty-one preterm infants (mean gestational age 29 weeks, range 24-36 weeks) discharged from The Johns Hopkins Hospital Neonatal Intensive Care Unit were followed up sequentially from birth to 2 years of age by use of the Clinical Linguistic and Auditory Milestone Scale (CLAM,S) to evaluate language development. Children were studied during three time intervals: Interval 1: 3-5 months chronologic age (CA); Interval 2: 9-14 months (CA); and Interval 3: 18-24 months (CA). Psychometric test scores were compared with CLAMS Language Quotients (LQ) by use of full, partial (75%, 50%, 25%), and no ‘correction’ for weeks of prematurity to determine whether ‘correcting’ for prematurity would yield a more accurate estimate of eventual cognitive outcome. CLAMS LQ at Interval 1 was highly correlated with CLAMS LQ at Interval 2 and CLAMS LQ at Interval 2 correlated well with CLAMS LQ at Interval 3 (r=0.57 and 0.64, respectively, P=0.0001). Correlations indicated that there was an orderly, sequential development of language in the preterm infant. CLAMS evaluations correlated significantly with psychometric test results during Interval 2 and Interval 3 (r=0.34, P<0.02 and r=0.75, P=0.0001, respectively). The CLAMS proved to be a useful instrument for monitoring preterm language development in the primary pediatric care setting.

Clinical Pediatrics, Vol. 36, No. 11, 635-642 (1997)
DOI: 10.1177/000992289703601104
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This article has been cited by other articles:


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