Screening for developmental dysplasia of the hip: current practices in Ireland.

Hdl Handle:
http://hdl.handle.net/10147/203233
Title:
Screening for developmental dysplasia of the hip: current practices in Ireland.
Authors:
O'Grady, M J; Mujtaba, G; Hanaghan, J; Gallagher, D
Affiliation:
Department of Paediatrics, Mayo General Hospital, Castlebar, Co, Mayo, Republic, of Ireland. michael_ogrady2001@hotmail.com
Citation:
Ir J Med Sci. 2010 Jun;179(2):279-83. Epub 2009 May 2.
Journal:
Irish journal of medical science
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/203233
DOI:
10.1007/s11845-009-0339-z
PubMed ID:
19408041
Abstract:
OBJECTIVE: To ascertain the current approach to screen for developmental dysplasia of the hip in the Republic of Ireland. METHODS: Two-pronged prospective and retrospective study. (1) Postal questionnaire to consultant paediatricians responsible for the routine neonatal care of infants in the Irish Republic in June 2006. (2) Retrospective database review to identify infants undergoing radiological follow-up and their outcome. RESULTS: All maternity units surveyed responded. Most units (84%) were dependent on radiographs at 4-6 months for imaging hips, only two units primarily used ultrasound (10.5%). We estimate that neonatal hip examination is performed by an experienced examiner in less than 30% of routine newborn examinations. On retrospective analysis, 94% of radiographs performed were normal. CONCLUSIONS: The most effective interventions, selective ultrasound and examination by an experienced clinician are not widely practiced. There is a need for the development of national guidelines based on available resources.
Language:
eng
MeSH:
Female; Health Care Surveys/statistics & numerical data; Hip Dislocation, Congenital/*diagnosis/pathology/radiography/ultrasonography; Hip Injuries/*diagnosis/pathology/radiography/ultrasonography; Hip Joint/*pathology; Humans; Infant, Newborn; Ireland; Male; *Neonatal Screening; Pediatrics; Prospective Studies; Questionnaires; Retrospective Studies; Risk Factors
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Grady, M Jen_GB
dc.contributor.authorMujtaba, Gen_GB
dc.contributor.authorHanaghan, Jen_GB
dc.contributor.authorGallagher, Den_GB
dc.date.accessioned2012-01-31T15:55:17Z-
dc.date.available2012-01-31T15:55:17Z-
dc.date.issued2012-01-31T15:55:17Z-
dc.identifier.citationIr J Med Sci. 2010 Jun;179(2):279-83. Epub 2009 May 2.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid19408041en_GB
dc.identifier.doi10.1007/s11845-009-0339-zen_GB
dc.identifier.urihttp://hdl.handle.net/10147/203233-
dc.description.abstractOBJECTIVE: To ascertain the current approach to screen for developmental dysplasia of the hip in the Republic of Ireland. METHODS: Two-pronged prospective and retrospective study. (1) Postal questionnaire to consultant paediatricians responsible for the routine neonatal care of infants in the Irish Republic in June 2006. (2) Retrospective database review to identify infants undergoing radiological follow-up and their outcome. RESULTS: All maternity units surveyed responded. Most units (84%) were dependent on radiographs at 4-6 months for imaging hips, only two units primarily used ultrasound (10.5%). We estimate that neonatal hip examination is performed by an experienced examiner in less than 30% of routine newborn examinations. On retrospective analysis, 94% of radiographs performed were normal. CONCLUSIONS: The most effective interventions, selective ultrasound and examination by an experienced clinician are not widely practiced. There is a need for the development of national guidelines based on available resources.en_GB
dc.language.isoengen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHealth Care Surveys/statistics & numerical dataen_GB
dc.subject.meshHip Dislocation, Congenital/*diagnosis/pathology/radiography/ultrasonographyen_GB
dc.subject.meshHip Injuries/*diagnosis/pathology/radiography/ultrasonographyen_GB
dc.subject.meshHip Joint/*pathologyen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInfant, Newbornen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMaleen_GB
dc.subject.mesh*Neonatal Screeningen_GB
dc.subject.meshPediatricsen_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.meshQuestionnairesen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshRisk Factorsen_GB
dc.titleScreening for developmental dysplasia of the hip: current practices in Ireland.en_GB
dc.contributor.departmentDepartment of Paediatrics, Mayo General Hospital, Castlebar, Co, Mayo, Republic, of Ireland. michael_ogrady2001@hotmail.comen_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceConnacht-
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.