Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Difficulties in evaluating abnormal lead screening results in children

B Block1, K Szekely, M Escobar

  • 1Primary Care Institute, Shadyside Hospital, Pittsburgh, PA, USA.

The Journal of the American Board of Family Practice
|November 1, 1996
PubMed
Summary

A computer-aided system improved follow-up for children with high blood lead levels, but most still missed mandated testing due to logistical issues. Focus on higher lead levels may be more beneficial.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Statistical complexity as indicator of the classical-quantum crossover.

Chaos (Woodbury, N.Y.)·2025
Same author

Molecular mimicry among human proteinase 3 and bacterial antigens: implications for development of c-ANCA associated vasculitis.

Oxford open immunology·2023
Same author

Using integrated wildlife monitoring to prevent future pandemics through one health approach.

One health (Amsterdam, Netherlands)·2023
Same author

Shorter heels are linked with greater elastic energy storage in the Achilles tendon.

Scientific reports·2021
Same author

First Report of Burkholderia glumae Causing Bacterial Panicle Blight on Rice in Ecuador.

Plant disease·2019
Same author

Supplementation of DHA-Gold pre and/or postnatally to goat kids modifies in vitro methane production and rumen morphology until 6 mo old.

Journal of animal science·2018

Area of Science:

  • Pediatric Environmental Health
  • Public Health Surveillance
  • Healthcare Management

Background:

  • Children with abnormal whole blood lead concentrations require follow-up care.
  • The 1991 Centers for Disease Control and Prevention (CDC) guidelines established follow-up protocols.
  • Efforts to implement these guidelines were studied at the Family Health Center at Shadyside Hospital.

Purpose of the Study:

  • To evaluate the effectiveness of a nurse-centered, computer-aided system in improving follow-up care for children with elevated blood lead levels.
  • To assess the outcomes and costs associated with mandated follow-up testing.
  • To identify barriers to successful follow-up care.

Main Methods:

  • An automated surveillance module identified children with abnormal lead concentrations (≥10 µg/dL) between January 1994 and July 1995.

Related Experiment Videos

  • Automated physician reminders and nursing case management were employed to enhance care and documentation.
  • Longitudinal case summaries were used to evaluate the care process.

    • Main Results:

    • All 99 children with lead levels ≥10 µg/dL had a documented follow-up plan.
    • Follow-up lead concentration measurements were documented for 47% (10-14 µg/dL), 100% (15-19 µg/dL), and 100% (≥20 µg/dL) of children.
    • Despite system improvements, follow-up was incomplete for over 70% of children, with significant costs and limited need for environmental intervention.

    Conclusions:

    • The nurse-centered, computer-aided system enhanced follow-up care for children with abnormal blood lead levels.
    • Logistic obstacles prevented most patients from receiving mandated follow-up testing.
    • Mandated follow-up for lead concentrations of 10-19 µg/dL showed no apparent benefit and may divert resources from higher-risk children.