Document Detail


Screening for congenital hypothyroidism in the Islamic Republic of Iran: strategies, obstacles and future perspectives.
MedLine Citation:
PMID:  15603028     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The operational feasibility of a congenital hypothyroidism (CH) screening programme was assessed. Cord blood spot specimens were collected at seven Teheran hospitals and within the Damavand District health network. Cord thyroid-stimulating hormone (TSH) levels > or = 20 mU/L were recalled and levothyroxine (L-T4) therapy was started immediately after diagnosis of CH. Of 20,107 acceptable specimens, 22 neonates had CH (1:914 births). The recall rate was 1.3%. Screening coverage was 90% of live births. Of all cord samples, only 0.2% were unacceptable either because of delay in transportation or improper specimen collection. Median ages at the time of diagnosis and starting treatment were 12 and 8 days respectively. Screening for CH is feasible and a national screening programme is a necessity.
Authors:
A Ordookhani; P Mirmiran; R Hajipour; M Hedayati; F Azizi
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Eastern Mediterranean health journal = La revue de santé de la Méditerranée orientale = al-Majallah al-ṣiḥḥīyah li-sharq al-mutawassiṭ     Volume:  8     ISSN:  1020-3397     ISO Abbreviation:  East. Mediterr. Health J.     Publication Date:    2002 Jul-Sep
Date Detail:
Created Date:  2004-12-16     Completed Date:  2005-01-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9608387     Medline TA:  East Mediterr Health J     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  480-9     Citation Subset:  IM    
Affiliation:
Endocrine and Metabolism Research Centre, Shaheed Beheshti University of Medical Sciences, Teheran, Islamic Republic of Iran.
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Blood Specimen Collection / methods,  standards
Congenital Hypothyroidism*
Decision Trees
Feasibility Studies
Fetal Blood / chemistry
Forecasting
Health Services Research
Hospitals, Urban
Humans
Hypothyroidism / blood,  diagnosis*,  drug therapy,  epidemiology
Incidence
Infant, Newborn
Iran / epidemiology
National Health Programs
Needs Assessment
Neonatal Screening / organization & administration*
Organizational Objectives
Population Surveillance
Program Evaluation
Quality Indicators, Health Care
Thyrotropin / blood
Time Factors
Chemical
Reg. No./Substance:
9002-71-5/Thyrotropin
Comments/Corrections
Erratum In:
East Mediterr Health J. 2004 Jul-Sep;10(4-5):632

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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