Neonatal Screening Program for Congenital Adrenal Hyperplasia: Adjustments to the Recall Protocol
| Autor: | César Bergadá, Laura Prieto, Graciela Bossi, Laura Gruñeiro-Papendieck, Ana Chiesa, Sonia Bengolea |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Endocrinology Diabetes and Metabolism Birth weight Gestational Age Pilot Projects Sodium Chloride Endocrinology Text mining 17-OH Progesterone medicine Birth Weight Humans Mass Screening Congenital adrenal hyperplasia Gynecology Adrenal Hyperplasia Congenital Recall Obstetrics business.industry 17-alpha-Hydroxyprogesterone Infant Newborn Gestational age medicine.disease Virilism Pediatrics Perinatology and Child Health Female Recall rate business Follow-Up Studies |
| Zdroj: | Hormone Research in Paediatrics. 55:271-277 |
| ISSN: | 1663-2826 1663-2818 |
| Popis: | Objective: To evaluate the influence of gestational age (GA) and birth weight (BW) on 17α-OH-progesterone (17-OHP) levels with respect to their impact on the recall rate of neonatal screening programs for congenital adrenal hyperplasia (CAH). Patients and Methods: In June 1997 we began a pilot screening program for CAH measuring 17-OHP using a fluoroimmunoassay method (DELFIA) on dried blood spots. Until September 1999, 24,153 babies were screened. Among them, we analyzed the levels of 17-OHP in 1,313 samples from healthy preterm babies (23–36 weeks) and 1,500 term babies (>37 weeks), grouped according to GA and BW. All preterm babies underwent another sampling in their 2nd week of life. Results: 5 CAHs were detected. The 30-nmol/l cutoff limit for 17-OHP in blood corresponded to the calculated 99th percentile in term newborns, while in preterm babies higher levels were found. GA and BW correlated inversely with 17-OHP levels. Conclusion: GA and BW were useful tools to adjust cutoff levels, obtaining a significant reduction in follow-up testing and psychological stress for families. The high false-positive recall rate in preterm babies can be substantially lowered with adjusted GA and/or BW criteria. |
| Databáze: | OpenAIRE |
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