镰状细胞病患儿的现行发育筛查实践。
Current developmental screening practices in young children with sickle cell disease.
机构信息
Neurodevelopmental Medicine, Kennedy Krieger Institute, Johns Hopkins University, Baltimore, Maryland, USA.
School of Medicine, Meharry Medical College, Nashville, Tennessee, USA.
出版信息
Br J Haematol. 2023 Feb;200(3):377-380. doi: 10.1111/bjh.18575. Epub 2022 Dec 1.
Abstract
Despite recent developmental screening guidelines, rates of neurodevelopmental disorders (NDDs) remain lower than expected in children with sickle cell disease (SCD). A retrospective chart review identified 276 eligible patients; 214 charts were available for developmental screening and 207 charts for autism-specific screening. Developmental surveillance/screening was conducted in 70% of charts and autism-specific screening in 19% of charts. Validated tools were used in 32% of developmental screenings and 92% of autism-specific screenings. Many children (57%) were screened outside recommended ages. In conclusion, children with SCD are not regularly receiving appropriate developmental screening and surveillance by their healthcare providers.
摘要
尽管有最近的发育筛查指南，但患有镰状细胞病 (SCD) 的儿童的神经发育障碍 (NDD) 发生率仍低于预期。一项回顾性图表审查确定了 276 名符合条件的患者；214 份图表可用于发育筛查，207 份图表用于自闭症特异性筛查。70%的图表进行了发育监测/筛查，19%的图表进行了自闭症特异性筛查。32%的发育筛查和 92%的自闭症特异性筛查使用了经过验证的工具。许多儿童（57%）的筛查年龄不在推荐范围内。总之，SCD 患儿的医疗服务提供者并未定期对其进行适当的发育筛查和监测。
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