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Updated: May 26, 2026
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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Performance analysis of the Rio de Janeiro State Neonatal Screening Program, 2005-2007]
Judy Botler1, Luiz Antonio Bastos Camacho, Marly Marques da Cruz
1Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rua Leopoldo Bulhões 1480, Rio de Janeiro, RJ, Brazil. jbotler@ensp.fiocruz.br
Cadernos De Saude Publica
|January 6, 2012
Summary
Neonatal screening in Rio de Janeiro showed increased coverage but significant delays in diagnosis. Early detection benefits are hindered, impacting public health and social burden.
Area of Science:
- Public Health
- Pediatrics
- Genetics
Context:
- Neonatal screening is crucial for early detection of congenital disorders.
- Effective treatment for conditions like congenital hypothyroidism and phenylketonuria requires timely intervention within the first two weeks of life to prevent neurological damage.
- The Rio de Janeiro State Neonatal Screening Program implemented two models (A and B) under the National Neonatal Screening Program.
Purpose:
- To analyze the performance of the Rio de Janeiro State Neonatal Screening Program between 2005 and 2007.
- To evaluate coverage rates and timeliness of diagnosis in relation to established guidelines.
Summary:
- Neonatal screening coverage in Rio de Janeiro reached 80.4% by 2007, but only 33.8% of samples were collected within the recommended first 7 days.
- Both program models underperformed, with 50% of confirmed cases diagnosed after 48 days of life.
- Significant delays were observed across various stages of the screening process.
Impact:
- Delayed diagnosis compromises the effectiveness of early intervention, negating the primary benefit of neonatal screening.
- These delays result in significant long-term health consequences for affected individuals.
- The inefficiencies create a substantial burden on the healthcare system and society.
