<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1665-1146</journal-id>
<journal-title><![CDATA[Boletín médico del Hospital Infantil de México]]></journal-title>
<abbrev-journal-title><![CDATA[Bol. Med. Hosp. Infant. Mex.]]></abbrev-journal-title>
<issn>1665-1146</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-11462025000700052</article-id>
<article-id pub-id-type="doi">10.24875/bmhim.24000163</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Validity of administering the child development evaluation test through telemedicine to children aged 18-72 months]]></article-title>
<article-title xml:lang="es"><![CDATA[Validez de la aplicación de la prueba evaluación del desarrollo infantil a través de telemedicina en niños de 18 meses a 72 meses de edad]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-Escobar]]></surname>
<given-names><![CDATA[Ilma R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villasis-Keever]]></surname>
<given-names><![CDATA[Miguel Á.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zapata-Tarrés]]></surname>
<given-names><![CDATA[Martha M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Trejo]]></surname>
<given-names><![CDATA[Laura A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delaflor-Wagner]]></surname>
<given-names><![CDATA[Christian A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rizzoli-Córdoba]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Developmental-Behavioral Pediatrics Service ]]></institution>
<addr-line><![CDATA[ Mexico City]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Méxicano del Seguro Social Centro Médico Nacional Siglo XXI Evidence Analysis and Synthesis Research Unit]]></institution>
<addr-line><![CDATA[ Mexico City]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Comisión Coordinadora de los Institutos Nacionales de Salud y Hospitales de Alta Especialidad General Direction ]]></institution>
<addr-line><![CDATA[ Mexico City]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Facultad de Psicología, Universidad Nacional Autónoma de México Clinical and Health Psychology Coordination ]]></institution>
<addr-line><![CDATA[ Mexico City]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto de Servicios y Seguridad Social para los Trabajadores del Estado Investigación Biomédica, Centro Médico Nacional 20 de Noviembre ]]></institution>
<addr-line><![CDATA[ Mexico City]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>82</volume>
<fpage>52</fpage>
<lpage>58</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-11462025000700052&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-11462025000700052&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-11462025000700052&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Early childhood development is a complex process that requires reliable tools for the timely detection of alterations that may affect a child&#8217;s progress. The Child Development Evaluation test (EDI, in its Spanish acronym) is a screening test developed and validated in Mexico to be administered in person by a professional. The objective is to evaluate the validity of administering the EDI test through telemedicine in terms of its diagnostic concordance with the face-to-face modality.  Methods: This analytical, prospective, and cross-sectional study included patients aged 18-72 months and was conducted at a tertiary care hospital in Mexico City. The test was administered through telemedicine and subsequently in person. In addition, sensitivity and specificity data were reported with confidence interval of 95% (95% CI). The face-to-face evaluator was blinded to the telemedicine results.  Results: Fifty children with a median age of 47 months participated in the study. A sensitivity of 100% (95% CI, 91-100) and specificity of 100% (95% CI, 70-100) overall were obtained. Language was the higher area with a sensitivity of 100 (95% CI: 91-100) and specificity of 90 (59-98); the results for the other areas are shown. The lowest sensitivity was neurological examination (67; CI 95%: 30-90) but has the highest specificity (98; CI 95%: 88-99).  Conclusion: The EDI test implemented through telemedicine shows high correlation with the face-to-face modality, maintaining high sensitivity and specificity. These results make it an appropriate method for screening children of this age, although further larger studies are needed to corroborate it.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El desarrollo infantil tempano es un proceso complejo que requiere de herramientas confiables para la detección oportuna de alteraciones que puedan afectar el progreso del niño/a. La prueba Evaluación del Desarrollo Infantil (EDI), es un tamiz desarrollado y validado en México, para ser aplicada por un profesional de manera presencial. El objetivo es evaluar la validez de la prueba EDI aplicada por telemedicina en tanto a su concordancia diagnóstica con la modalidad presencial.  Métodos: Estudio transversal analítico prospectivo con pacientes de 18-72 meses de edad, en un hospital de tercer nivel en la Ciudad de México. Se aplicó la prueba EDI por medio de telemedicina y posteriormente en forma presencial. Se reportó la sensibilidad y especificidad con intervalo de confianza de 95% (IC95%). El evaluador presencial fue cegado al resultado de telemedicina.  Resultados: Participaron 50 niños con mediana de edad de 47 meses. Se encontró una sensibilidad 100% (IC95% 91-100) y especificidad del 100% (IC95% 70-100). El área de lenguaje tuvo la mayor sensibilidad 100 (IC95%: 91-100) con una especificidad de 90 (59-98); el resto de rsultados por área se describen. El examen neurológico tuvo la menor sensibilidad (67; CI 95%: 30-90) pero la mayor especificidad (98; CI 95%: 88-99).  Conclusiones: La prueba EDI aplicada por telemedicina demuestra alta concordancia con la modalidad presencial, manteniendo alta sensibilidad y especificidad por lo que es adecuada para tamizaje en niños de esta edad, aunque se requieren estudios más grandes y en diferentes contextos para corroborarlo.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Child development]]></kwd>
<kwd lng="en"><![CDATA[Telemedicine]]></kwd>
<kwd lng="en"><![CDATA[Diagnostic agreement]]></kwd>
<kwd lng="en"><![CDATA[Developmental assessment]]></kwd>
<kwd lng="es"><![CDATA[Desarrollo Infantil]]></kwd>
<kwd lng="es"><![CDATA[Telemedicina]]></kwd>
<kwd lng="es"><![CDATA[Concordancia Diagnóstica]]></kwd>
<kwd lng="es"><![CDATA[Evaluación del Desarrollo]]></kwd>
</kwd-group>
</article-meta>
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