1. Criterios de Remisión
Entran dentro de este concepto todos aquellos niños menores de 6 años que presenten retraso en la aparición de los hitos esperables para su edad o presenten síntomas que sugieren una desviación cualitativa significativa respecto al desarrollo normal.
1.1 Tipos de Remisión
- “High Resolution” Submission: Incluye regresión del desarrollo o pérdida de habilidades cognitivas o motoras previamente adquiridas.
- Preferential Referral: Children under 12 months with delayed gross motor development and/or hypotonia.
- Ordinary Referral: Over 12 months with developmental delay in any of the areas of development (motor, language, socialization, adaptive) or more than 1 area (global developmental delay). Includes suspected language delay, language disorder, psychomotor delay, or autism spectrum disorder.
- NOT indicated referral: Over 36 months in active follow-up by another service for the same reason for consultation (USMIA) in whom there is NO additional neurological comorbidity (epilepsy, etc.) that justifies the need for specific care in pediatric neurology.
2. Datos Mínimos de la Interconsulta
- Family history of neurodevelopmental disorders, consanguinity.
- Family structure, socioeconomic situation and coexistence dynamics.
- Family language if it is different from the community language (Valencian or Spanish).
- Perinatal history.
- Development history. It should include a Haizea-Llevant screening if developmental delay is suspected, and an M-CHAT if autism spectrum disorder is suspected.
- History of early schooling (kindergarten).
- Neurological examination.
- Analysis with iron metabolism and CK (in case of delayed gross motor development).
- Referral to early care (indicated in children under 36 months with developmental disorders, or risk of having them).