Division of General Pediatrics, Department of Pediatrics, Medical University of South Carolina, Charleston, SC.
The Hilltop Institute, University of Maryland, Baltimore County, Baltimore, MD.
J Pediatr. 2015 Jan;166(1):188-90. doi: 10.1016/j.jpeds.2014.09.018. Epub 2014 Oct 14.
Transcranial Doppler screening reduces the risk of stroke in children with sickle cell disease. We tested the effect of informational letters sent to parents and doctors of Medicaid-insured children on improving screening efficiency. The letters did not improve the low baseline screening rates, suggesting the need for more aggressive outreach. Hematologist visits were correlated with increased screening rates.
经颅多普勒筛查可降低镰状细胞病患儿的中风风险。我们检测了向医疗补助保险儿童的家长和医生发送告知信对提高筛查效率的影响。这些信件并没有提高本来就很低的基础筛查率，这表明需要更积极的外联。血液科就诊与增加的筛查率相关。
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