Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis.
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.
Chudley
Albert E
AE
Children's Hospital, Health Sciences Centre, Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Man.
Conry
Julianne
J
Cook
Jocelynn L
JL
Loock
Christine
C
Rosales
Ted
T
LeBlanc
Nicole
N
D000015:Abnormalities, Multiple / Q000175:diagnosis; D000328:Adult; D000428:Alcohol Drinking / Q000517:prevention & control; D000437:Alcoholism / Q000175:diagnosis / Q000517:prevention & control; D002170:Canada / Q000453:epidemiology; D002648:Child; D003937:Diagnosis, Differential; D000431:Ethanol; D005260:Female; D063647:Fetal Alcohol Spectrum Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D006801:Humans; D007231:Infant, Newborn; D008403:Mass Screening / Q000592:standards*; D008487:Medical History Taking / Q000592:standards; D009422:Nervous System Diseases / Q000175:diagnosis; D010808:Physical Examination / Q000592:standards*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000517:prevention & control; D011297:Prenatal Exposure Delayed Effects; D012017:Referral and Consultation / Q000592:standards*; D012307:Risk Factors
D000431:Ethanol
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