title: The utility and financial implications of obtaining routine lead levels for child psychiatric inpatients.
abstract: This study attempted to challenge the CDC recommendations regarding routine screening blood lead levels in children. The purpose was to determine the efficacy of obtaining routine lead levels on all patients admitted to a child psychiatric inpatient unit. A retrospective chart review of children admitted to a psychiatric inpatient unit during a 12 month period. The audit determined average lead levels and costs associated with the screening program. 1 of 61 admitted children was found to have an elevated lead level. Number needed to treat was determined to be 98. The cost per case detected was determined to be over $8,600. Routine screening for blood lead levels in all children admitted to a psychiatric inpatient unit does not appear efficacious or cost effective.
authors: Department of Psychiatry, Penn State Hershey College of Medicine, Hershey, PA 17033, USA. lfeldman@hmc.psu.edu
authors: Lance
authors: L
authors: Feldman
authors: Yixing
authors: Y
authors: Chen
mesh_terms: D000293:Adolescent; D002487:Centers for Disease Control and Prevention, U.S.; D002648:Child; D003362:Cost-Benefit Analysis; D003430:Cross-Sectional Studies; D003955:Diagnostic Tests, Routine / Q000191:economics* / Q000706:statistics & numerical data; D005260:Female; D017408:Guidelines as Topic; D017048:Health Care Costs; D006760:Hospitalization; D006778:Hospitals, Psychiatric; D006801:Humans; D007854:Lead / Q000097:blood*; D007855:Lead Poisoning / Q000097:blood / Q000191:economics* / Q000209:etiology / Q000517:prevention & control*; D008297:Male; D008403:Mass Screening / Q000191:economics* / Q000379:methods*; D011314:Preventive Health Services / Q000191:economics*; D012189:Retrospective Studies; D014481:United States
chemical_list: D007854:Lead