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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Neonatal screening of congenital Hypothyroidism: result of the Navarra program]
M Oyarzábal1, M Chueca, J Elso
1Unidad de Endocrinología Pediátrica, Hospital Virgen del Camino, Pamplona.
Insights
Early diagnosis of congenital hypothyroidism (CH) in newborns prevents intellectual disability. Neonatal screening programs are effective but require improved long-term developmental monitoring for affected infants.
Area of Science:
- Pediatrics
- Endocrinology
- Neonatal Medicine
Context:
- Congenital hypothyroidism (CH) affects 1 in 3,000-4,000 newborns.
- Early detection and treatment of CH are crucial for preventing cognitive impairment.
- Neonatal screening programs for CH are increasingly implemented.
Purpose:
- To evaluate the effectiveness of neonatal screening for congenital hypothyroidism.
- To highlight the benefits of early diagnosis and treatment.
- To identify areas for improvement in CH screening programs.
Summary:
- Neonatal screening significantly reduces the time to treatment for congenital hypothyroidism.
- Early intervention prevents mental retardation associated with CH.
- Ongoing challenges include the need for longitudinal follow-up and developmental quotient evaluation.
Impact:
- Successful early detection of CH leads to normal mental development in affected children.
- The implementation of screening programs demonstrates positive outcomes.
- Further development is needed in long-term monitoring and psychological evaluations for CH patients.
Abstract:
The incidence of congenital Hypothyroidism is estimated at one case per 3,000-4,000 newly born. It is a proven fact that early diagnosis and treatment of this problem prevents mental retardation, which has led to the design and utilisation of methods of systematic detection in the newly born. The implantation of the screening program is relatively recent and progressive in some autonomous communities. With respect to the achievements that are being obtained by the program outstanding is the shorter time with respect to initiation of the treatment, but there still remain some shortcomings such as that of carrying out a longitudinal follow up of these infants, with respect to the evaluation of the development quotient, hence the need to have available hospital psychologists to carry out these evaluations. The expectations of achieving a mental development within normality in the children affected by congenital Hypothyroidism detected by the neonatal screening is a fact confirmed by many authors, for which reason it is highly encouraging to view the results of early detection of this neonatal screening.
