Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis
Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis
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DOI：
10.1503/cmaj.1040302
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发表时间：
2005-01-01
影响因子：
14.6
通讯作者：
LeBlanc, N
中科院分区：
文献类型：
--
作者：
Chudley, AE;Conry, J;LeBlanc, N
胎儿酒精谱系障碍 (FASD) 的诊断很复杂，需要制定指南。加拿大公共卫生局胎儿酒精谱系障碍国家咨询委员会的一个小组委员会审查、分析和整合了当前的诊断方法，以就加拿大的标准达成一致。本文的目的是回顾和澄清当前诊断系统的使用，并就其在所有年龄段人群中诊断 FASD 相关残疾的应用提出建议。该指南基于该领域专家从业者和合作伙伴的广泛咨询。该指南分为 7 类：筛选和转诊；体格检查和鉴别诊断；神经行为评估；以及治疗和随访；母亲怀孕期间有饮酒史；胎儿酒精综合征（FAS）、部分FAS和酒精相关神经发育障碍的诊断标准；医学研究所和 4 位数诊断代码方法的协调。诊断需要全面的病史以及身体和神经行为评估；需要采取多学科方法。这是加拿大首个 FAS 及其相关残疾诊断指南，由诊断专家广泛协商制定。
THE DIAGNOSIS OF FETAL ALCOHOL SPECTRUM DISORDER (FASD) is complex and guidelines are warranted. A subcommittee of the Public Health Agency of Canada's National Advisory Committee on Fetal Alcohol Spectrum Disorder reviewed, analysed and integrated current approaches to diagnosis to reach agreement on a standard in Canada. The purpose of this paper is to review and clarify the use of current diagnostic systems and make recommendations on their application for diagnosis of FASD-related disabilities in people of all ages. The guidelines are based on widespread consultation of expert practitioners and partners in the field. The guidelines have been organized into 7 categories: screening and referral; the physical examination and differential diagnosis; the neurobehavioural assessment; and treatment and follow-up; maternal alcohol history in pregnancy; diagnostic criteria for fetal alcohol syndrome (FAS), partial FAS and alcohol-related neurodevelopmental disorder; and harmonization of Institute of Medicine and 4-Digit Diagnostic Code approaches. The diagnosis requires a comprehensive history and physical and neurobehavioural assessments; a multidisciplinary approach is necessary. These are the first Canadian guidelines for the diagnosis of FAS and its related disabilities, developed by broad-based consultation among experts in diagnosis.