Wisconsin Fetal Alcohol Syndrome Surveillance Project: Characteristics of Children Screened in a Multi-Stage Process

2.50
Hdl Handle:
http://hdl.handle.net/10755/161378
Type:
Presentation
Title:
Wisconsin Fetal Alcohol Syndrome Surveillance Project: Characteristics of Children Screened in a Multi-Stage Process
Abstract:
Wisconsin Fetal Alcohol Syndrome Surveillance Project: Characteristics of Children Screened in a Multi-Stage Process
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Zirbel, Sara, MSN, RN, ANP
Contact Address:CON, PO Box 1881, Milwaukee, WI, 53201-1881, USA
Co-Authors:Marianne Weiss, DNSc, RN, Associate Professor
As part of a five state CDC funded project to estimate prevalence of fetal alcohol syndrome (FAS), the Wisconsin FAS Surveillance Project used a multi-stage screening ascertainment system to assess children at age 2 to 3 years for criteria included in the CDC FAS case definition (small for age, small head circumference, facial dysmorphology). Using the 1998-1999 birth cohort from an 8 county region (n=56,257), Screen 1 identified 3,291 birth records of children who were small for gestational age at birth. Screen 2 consisted of medical records review of Screen 1 children to identify those with a head circumference <10th percentile at birth (n=615). 177 Screen 3 evaluations, consisting of clinical assessments of growth, development (DDST 2) and facial appearance, were completed. A substantial portion of the screen 3 group exhibited physical growth delays (47%) and developmental delays (33%) at age 2 to 3 years. Thirteen children, none of whom had a previous FAS diagnosis, met the case definition criteria. The estimated prevalence of FAS was 2.31 per 10,000 births. This rate was likely an underestimate as children not located in Screen 3 had greater demographic and alcohol/substance use risk factors. Conclusions and Implications: The results of this population-based multi-stage approach to FAS screening suggest that (1) this method was useful in identifying children not previously diagnosed with FAS; (2) this method obtained a prevalence estimate similar to other methods previously reported but detected children at an earlier age than other surveillance methods, (3) the use of screen 1 and 2 criteria which are identifiable at birth may be useful criteria for early identification of children in the general population at risk for physical and developmental growth delay.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleWisconsin Fetal Alcohol Syndrome Surveillance Project: Characteristics of Children Screened in a Multi-Stage Processen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161378-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Wisconsin Fetal Alcohol Syndrome Surveillance Project: Characteristics of Children Screened in a Multi-Stage Process</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Zirbel, Sara, MSN, RN, ANP</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">CON, PO Box 1881, Milwaukee, WI, 53201-1881, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Marianne Weiss, DNSc, RN, Associate Professor </td></tr><tr><td colspan="2" class="item-abstract">As part of a five state CDC funded project to estimate prevalence of fetal alcohol syndrome (FAS), the Wisconsin FAS Surveillance Project used a multi-stage screening ascertainment system to assess children at age 2 to 3 years for criteria included in the CDC FAS case definition (small for age, small head circumference, facial dysmorphology). Using the 1998-1999 birth cohort from an 8 county region (n=56,257), Screen 1 identified 3,291 birth records of children who were small for gestational age at birth. Screen 2 consisted of medical records review of Screen 1 children to identify those with a head circumference &lt;10th percentile at birth (n=615). 177 Screen 3 evaluations, consisting of clinical assessments of growth, development (DDST 2) and facial appearance, were completed. A substantial portion of the screen 3 group exhibited physical growth delays (47%) and developmental delays (33%) at age 2 to 3 years. Thirteen children, none of whom had a previous FAS diagnosis, met the case definition criteria. The estimated prevalence of FAS was 2.31 per 10,000 births. This rate was likely an underestimate as children not located in Screen 3 had greater demographic and alcohol/substance use risk factors. Conclusions and Implications: The results of this population-based multi-stage approach to FAS screening suggest that (1) this method was useful in identifying children not previously diagnosed with FAS; (2) this method obtained a prevalence estimate similar to other methods previously reported but detected children at an earlier age than other surveillance methods, (3) the use of screen 1 and 2 criteria which are identifiable at birth may be useful criteria for early identification of children in the general population at risk for physical and developmental growth delay.</td></tr></table>en_GB
dc.date.available2011-10-26T23:20:23Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:20:23Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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