Congenital hypothyroidism in neonates.

Autor: Anjum A; Department of Paediatrics, King Edward Medical University/Mayo Hospital, Lahore, Pakistan., Afzal MF; Department of Paediatrics, King Edward Medical University/Mayo Hospital, Lahore, Pakistan., Iqbal SM; Department of Paediatrics, King Edward Medical University/Mayo Hospital, Lahore, Pakistan., Sultan MA; Department of Paediatrics, King Edward Medical University/Mayo Hospital, Lahore, Pakistan., Hanif A; Department of Biostatistics, PGMI, Gulab Devi Hospital, Lahore, Pakistan.
Jazyk: angličtina
Zdroj: Indian journal of endocrinology and metabolism [Indian J Endocrinol Metab] 2014 Mar; Vol. 18 (2), pp. 213-6.
DOI: 10.4103/2230-8210.129114
Abstrakt: Context: Congenital hypothyroidism (CH) is one of the most common preventable causes of mental retardation in children and it occurs in approximately 1:2,000-1:4,000 newborns.
Aims and Objectives: The aim of this study is to determine the frequency of CH in neonates.
Settings and Design: This cross-sectional study was conducted in neonatal units of the Department of Pediatrics Unit-I, King Edward Medical University/Mayo Hospital, Lahore and Lady Willington Hospital Lahore in 6 months (January-June 2011).
Materials and Methods: Sample was collected by non-probability purposive sampling. After consent, 550 newborn were registered for the study. Demographic data and relevant history was recorded. After aseptic measures, 2-3 ml venous blood analyzed for thyroid-stimulating hormone (TSH) level by immunoradiometric assay. Treatment was started according to the individual merit as per protocol.
Statistical Analysis Used: Data was analyzed by SPSS 17 and Chi-square test was applied to find out the association of CH with different variables.
Results: The study population consisted of 550 newborns. Among 550 newborns, 4 (0.8%) newborns had elevated TSH level. CH had statistically significant association with mother's hypothyroidism (P value 0.000) and mother's drug intake during the pregnancy period (P value 0.013).
Conclusion: CH is 0.8% in neonates. It has statistically significant association with mother's hypothyroidism and mother's drug intake during pregnancy.
Databáze: MEDLINE