American Academy of Pediatrics

TABLE 5

Developmental Conditions Leading to Referral: 2002–2016

	EI Referral					Specialist Referral
	2002		2016		P	2002		2016		P
	Very Likely To Refer, %	n	Very Likely To Refer, %	n	P	Very Likely To Refer, %	n	Very Likely To Refer, %	n	P
Global developmental delays	85.0	534	94.6^a	465	<.001	80.5	514	88.5^a	463	<.001
Loss of developmental milestones	74.1	514	89.6^a	462	<.001	85.5	523	92.1^a	467	.001
Delayed speech or language	74.0	535	83.9^a	465	<.001	48.7	493	46.4	446	.49
Sensory impairment	72.5	524	83.8^a	462	<.001	78.3	516	84.0^a	463	.02
Abnormal muscle tone or motor delay	70.7	523	81.9^a	458	<.001	76.1	514	77.5	463	.59
Family concern	45.3	516	60.7^a	468	<.001	32.6	485	26.9	446	.06
Newborn failing a hearing screen	45.1	517	51.3	452	.05	64.2	508	70.5^a	448	.04
Significant disruptive behavioral problem	42.8	523	37.6	447	.10	61.6	513	62.2	463	.85
Risk of neglect or abuse	42.4	533	50.4^a	446	.01	28.1	487	40.8^a	439	<.001

	EI Referral					Specialist Referral
	2002		2016		P	2002		2016		P
	Very Likely To Refer, %	n	Very Likely To Refer, %	n	P	Very Likely To Refer, %	n	Very Likely To Refer, %	n	P
Global developmental delays	85.0	534	94.6^a	465	<.001	80.5	514	88.5^a	463	<.001
Loss of developmental milestones	74.1	514	89.6^a	462	<.001	85.5	523	92.1^a	467	.001
Delayed speech or language	74.0	535	83.9^a	465	<.001	48.7	493	46.4	446	.49
Sensory impairment	72.5	524	83.8^a	462	<.001	78.3	516	84.0^a	463	.02
Abnormal muscle tone or motor delay	70.7	523	81.9^a	458	<.001	76.1	514	77.5	463	.59
Family concern	45.3	516	60.7^a	468	<.001	32.6	485	26.9	446	.06
Newborn failing a hearing screen	45.1	517	51.3	452	.05	64.2	508	70.5^a	448	.04
Significant disruptive behavioral problem	42.8	523	37.6	447	.10	61.6	513	62.2	463	.85
Risk of neglect or abuse	42.4	533	50.4^a	446	.01	28.1	487	40.8^a	439	<.001

Question wording: “How likely or unlikely would you be to refer children <36 mo old with each of the following conditions to (1) your state’s Early Intervention program or (2) to a developmental or medical specialist?” Percentage responding very likely is reported.

Result from the χ² test indicates statistically significant difference in the distribution of the variable across years (P < .05).

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