Peadon Elizabeth, Fremantle Emily, Bower Carol, Elliott Elizabeth J
Australian Paediatric Surveillance Unit, The Children's Hospital at Westmead, Locked Bag 4001, 2145 Westmead, Australia .
BMC Pediatr. 2008 Apr 15;8:12. doi: 10.1186/1471-2431-8-12.
Early diagnosis and intervention for children with Fetal Alcohol Spectrum Disorder (FASD) reduces the risk of developing a range of secondary social, emotional and behavioural problems and provides an opportunity for prevention of further alcohol exposed pregnancies. The objective of this study was to describe specialist clinical service provision for the diagnosis and assessment of children exposed to alcohol in pregnancy.
Fetal Alcohol Spectrum Disorder (FASD) diagnostic clinics were identified through literature and internet searches. Clinics were sent a questionnaire asking for information on the clinic population, clinic staff, assessment process and other services provided.
Questionnaires were completed for 34 clinics: 29 were in North America, 2 in Africa, 2 in Europe and 1 in South America. No clinics were identified in Asia or Australasia. There was a variety of funding sources, services offered, clinic populations, staff and methods of assessment. Thirty-three clinics had a multi-disciplinary team. In 32 clinics, at least one member of the team had specialist training in assessment of FASD. Neurobehavioural assessment was completed in 32 clinics. Eleven clinics used more than one set of diagnostic criteria or an adaptation of published criteria.
Diagnostic services are concentrated in North America. Most responding clinics are using a multidisciplinary approach with neurobehavioural assessment as recommended in published guidelines. Agreement on diagnostic criteria would enable comparison of clinical and research data, and enhance FASD research particularly for intervention trials.
对胎儿酒精谱系障碍（FASD）儿童进行早期诊断和干预可降低出现一系列继发性社会、情感和行为问题的风险，并为预防未来更多酒精暴露妊娠提供机会。本研究的目的是描述为孕期酒精暴露儿童提供诊断和评估的专业临床服务情况。
通过文献和互联网搜索确定胎儿酒精谱系障碍（FASD）诊断诊所。向各诊所发送问卷，询问有关诊所就诊人群、诊所工作人员、评估流程及提供的其他服务的信息。
共收到来自34家诊所的问卷回复：其中29家位于北美洲，2家在非洲，2家在欧洲，1家在南美洲。未发现亚洲或澳大拉西亚地区有此类诊所。各诊所的资金来源、提供的服务、就诊人群、工作人员及评估方法各不相同。33家诊所拥有多学科团队。在32家诊所中，团队中至少有一名成员接受过FASD评估的专业培训。32家诊所完成了神经行为评估。11家诊所使用了不止一套诊断标准或对已发表标准进行了改编。
诊断服务集中在北美洲。大多数回复的诊所采用了多学科方法，并按照已发表指南的建议进行神经行为评估。诊断标准的统一将有助于临床和研究数据的比较，并加强FASD研究，特别是干预试验方面的研究。
