Department of Psychiatry, Penn State Hershey College of Medicine, Hershey, PA 17033, USA.
Community Ment Health J. 2013 Oct;49(5):611-4. doi: 10.1007/s10597-012-9563-5. Epub 2013 Jan 18.
This study attempted to challenge the CDC recommendations regarding routine screening blood lead levels in children. The purpose was to determine the efficacy of obtaining routine lead levels on all patients admitted to a child psychiatric inpatient unit. A retrospective chart review of children admitted to a psychiatric inpatient unit during a 12 month period. The audit determined average lead levels and costs associated with the screening program. 1 of 61 admitted children was found to have an elevated lead level. Number needed to treat was determined to be 98. The cost per case detected was determined to be over $8,600. Routine screening for blood lead levels in all children admitted to a psychiatric inpatient unit does not appear efficacious or cost effective.
这项研究试图对疾病预防控制中心关于儿童常规筛查血铅水平的建议提出挑战。目的是确定对所有入住儿童精神病住院病房的患者进行常规铅水平检测的效果。对 12 个月期间入住精神病住院病房的儿童进行回顾性图表审查。该审计确定了筛查计划相关的平均铅水平和成本。在 61 名入院儿童中，发现 1 名儿童的铅水平升高。确定所需的治疗人数为 98。每个检测到的病例的成本被确定为超过 8600 美元。对所有入住精神病住院病房的儿童进行常规血铅水平筛查似乎既无效也不经济。
