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. 2025 Apr 30;12(5):583. doi: 10.3390/children12050583
Training Cohort Internal Validation Cohort External Validation Cohort
Characteristics Healthy
Development
Developmental
Impairment
p HealthyDevelopment DevelopmentalImpairment p Healthy
Development
Developmental
Impairment
p
N = 107 (%) N = 143 (%) N = 43 (%) N = 62 (%) N = 72 (%) N = 80 (%)
Premature infant
NBNA High 16 (14.95) 26 (18.18) 0.706 8 (18.60) 9 (14.52) 0.7255 36 (50.00) 43 (53.75) 0.2584
Middle 32 (29.91) 45 (31.47) 14 (32.56) 18 (29.03) 21 (29.17) 28 (35.00)
Low 59 (55.14) 72 (50.35) 21 (48.84) 35 (56.45) 15 (20.83) 9 (11.25)
Sex Female 37 (34.58) 56 (39.16) 0.5423 21 (48.84) 33 (53.23) 0.8073 39 (54.17) 23 (28.75) 0.0025
Male 70 (65.42) 87 (60.84) 22 (51.16) 29 (46.77) 33 (45.83) 57 (71.25)
Gestational Age <28 W 8 (7.48) 8 (5.59) 0.0073 4 (9.30) 8 (12.90) 0.0016 5 (6.94) 16 (20.00) 0.0003
28–32 W 24 (22.43) 52 (36.36) 6 (13.95) 28 (45.16) 19 (26.39) 36 (45.00)
32–34 W 16 (14.95) 33 (23.08) 21 (48.84) 12 (19.35) 16 (22.22) 15 (18.75)
34–37 W 59 (55.14) 50 (34.97) 12 (27.91) 14 (22.58) 32 (44.44) 13 (16.25)
Delivery Mode Cesarean Section 84 (78.50) 105 (73.43) 0.4376 34 (79.07) 43 (69.35) 0.3775 57 (79.17) 64 (80.00) 1
Natural birth 23 (21.50) 38 (26.57) 9 (20.93) 19 (30.65) 15 (20.83) 16 (20.00)
Risk Factors No 68 (63.55) 59 (41.26) 0.0008 35 (81.40) 20 (32.26) <0.0001 50 (69.44) 36 (45.00) 0.0041
Yes 39 (36.45) 84 (58.74) 8 (18.60) 42 (67.74) 22 (30.56) 44 (55.00)
Primary caregivers
Apartment City 80 (74.77) 112 (78.32) 0.6593 31 (72.09) 51 (82.26) 0.3869 65 (90.28) 71 (88.75) 0.4191
Towns 10 (9.35) 14 (9.79) 4 (9.30) 5 (8.06) 6 (8.33) 5 (6.25)
Villages 17 (15.89) 17 (11.89) 8 (18.60) 6 (9.68) 1 (1.39) 4 (5.00)
Caregivers Age <20 Y 31 (28.97) 44 (30.77) 0.7018 7 (16.28) 16 (25.81) 0.2779 18 (25.00) 33 (41.25) 0.1167
20–30 Y 71 (66.36) 94 (65.73) 34 (79.07) 42 (67.74) 49 (68.06) 43 (53.75)
31–40 Y 5 (4.67) 4 (2.80) 1 (2.33) 4 (6.45) 5 (6.94) 3 (3.75)
41–50 Y 0 (0) 1 (0.70) 1 (2.33) 0 (0.00) 0 (0.00) 1 (1.25)
Educational level Primary and lower 4 (3.74) 2 (1.40) 0.0004 2 (4.65) 0 (0.00) 0.008 1 (1.39) 4 (5.00) 0.0003
Middle or high school 88 (82.24) 128 (89.51) 38 (88.37) 55 (88.71) 56 (77.78) 68 (85.00)
College and above 15 (14.02) 13 (9.09) 3 (6.98) 7 (11.29) 15 (20.83) 8 (10.00)
Monthly Household Income <2 K 5 (4.67) 2 (1.40) 0.0472 0 (0.00) 3 (4.84) 0.0572 5 (6.94) 2 (2.50) 0.6123
2–6 K 29 (27.10) 47 (32.87) 13 (30.23) 23 (37.10) 13 (18.06) 14 (17.50)
7–10 K 40 (37.38) 67 (46.85) 15 (34.88) 27 (43.55) 36 (50.00) 44 (55.00)
>10 K 33 (30.84) 27 (18.88) 15 (34.88) 9 (14.52) 18 (25.00) 20 (25.00)
Working Condition Employee 79 (73.83) 102 (71.33) 0.4641 33 (75.00) 36 (58.06) 0.1397 56 (77.78) 62 (77.5) 0.8474
Unemployed 28 (26.17) 41 (28.67) 10 (22.73) 26 (41.94) 16 (22.22) 18 (22.50)
Caregiving Experience No 79 (73.83) 127 (88.81) 0.0036 20 (46.51) 59 (95.16) <0.0001 32 (44.44) 65 (81.25) <0.0001
Yes 28 (26.17) 16 (11.19) 23 (53.49) 3 (4.84) 40 (55.56) 15 (18.75)
Caregiving Knowledge No 76 (71.03) 129 (90.21) 0.0002 19 (44.19) 56 (90.32) <0.0001 35 (48.61) 56 (70.00) <0.0001
Yes 31 (28.97) 14 (9.79) 24 (55.81) 6 (9.68) 37 (51.39) 24 (30.00)
Length of Stay <14 D 39 (36.45) 41 (28.67) 0.4142 9 (20.93) 22 (35.48) 0.1818 52 (72.22) 52 (65.00) 0.6253
14–23 D 34 (31.78) 49 (34.27) 16 (37.21) 23 (37.10) 14 (19.44) 19 (23.75)
>23 D 34 (31.78) 53 (37.06) 18 (41.86) 17 (27.42) 6 (8.33) 9 (11.25)
Caregiver Sex Female 91 (85.05) 111 (77.62) 0.1894 35 (81.40) 40 (64.52) 0.0963 60 (83.33) 66 (82.50) 1
Male 16 (14.95) 32 (22.38) 8 (18.60) 22 (35.48) 12 (16.67) 14 (17.50)
Marital Status Married or Cohabiting 102 (95.3) 138 (96.50) 0.8859 40 (93.02) 62 (100.00) 0.1299 72 (100.00) 79 (98.75) 1
Single 5 (4.67) 5 (3.50) 3 (6.98) 0 (0.00) 0 (0.00) 1 (1.25)
Insurance payment Commercial Insurance 7 (6.54) 6 (4.20) 0.133 2 (4.65) 5 (8.06) 0.4469 0 (0.00) 1 (1.25) 0.3177
Rural Medical Care 18 (16.82) 36 (25.17) 6 (13.95) 13 (20.97) 55 (76.39) 56 (70.00)
Self-pay 9 (8.41) 20 (13.99) 8 (18.60) 6 (9.68) 12 (16.67) 11 (13.75)
Social Insurance 73 (68.22) 81 (56.64) 27 (62.79) 38 (61.29) 5 (6.94) 12 (15.00)
Relationship with Newborn Father 25 (23.36) 36 (25.17) 0.7037 9 (20.93) 16 (25.81) 0.8021 21 (29.17) 20 (25.00) 0.5874
Mother 76 (71.03) 102 (71.33) 33 (76.74) 44 (70.97) 50 (69.44 57 (71.25)
Grandparent 6 (5.61) 5 (3.50) 1 (2.33) 2 (3.23) 1 (1.39) 3 (3.75)
Other Caregivers No 23 (21.50) 79 (55.24) <0.0001 11 (25.58) 41 (66.13) <0.0001 10 (13.89) 42 (52.50) <0.0001
Yes 84 (78.50) 64 (44.76) 32 (74.42) 21 (33.87) 62 (86.11) 38 (47.50)