Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis

Title

Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis

Creator

Chudley AE; Conry J; Cook JL; Loock C; Rosales T; LeBlanc N; Public Health Agency of Canada's National Advisory Committee on Fetal Alcohol Spectrum Disorder

Publisher

Canadian Medical Association Journal

Date

2005

Subject

Child; Female; Humans; infant; Pregnancy; Adult; Risk Factors; Non-U.S. Gov't; Research Support; Newborn; Diagnosis; Differential; Abnormalities; Multiple/diagnosis; Canada/epidemiology; Alcohol Drinking/prevention & control; Alcoholism/diagnosis/prevention & control; Ethanol; Fetal Alcohol Syndrome/diagnosis/epidemiology/prevention & control; Mass Screening/standards; Medical History Taking/standards; Nervous System Diseases/diagnosis; Physical Examination/standards; Pregnancy Complications/diagnosis/prevention & control; Prenatal Exposure Delayed Effects; Referral and Consultation/standards

Description

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.
2005

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

S1-S21

Issue

5

Volume

172

Citation

Chudley AE; Conry J; Cook JL; Loock C; Rosales T; LeBlanc N; Public Health Agency of Canada's National Advisory Committee on Fetal Alcohol Spectrum Disorder, “Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis,” Pediatric Palliative Care Library, accessed May 28, 2022, https://pedpalascnetlibrary.omeka.net/items/show/13306.

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