Table 2.
Statement ratings: criteria for conducting a full diagnostic evaluation
| Statements | N | % Agree (IQD) |
|---|---|---|
|
Prenatal alcohol exposure criteria: What level of alcohol exposure, at any time during pregnancy, would alone be sufficient to indicate the need for a full diagnostic evaluation for FASD:
|
|
|
| Q1. Less than 7 standard drinks per week, and no more than 2 standard drinks on any one day |
80 |
37.5 (2) |
| Q2. Less than 7 standard drinks per week, and between 3 and 4 standard drinks on any one day |
78 |
61.5 (1) |
| Q3. 7 or more standard drinks per week, and no more than 2 standard drinks on any one day |
79 |
59.5 (2) |
| Q4. 7 or more standard drinks per week, and between 3 and 4 standard drinks on any one day |
81 |
81.5 (1)1 |
| Q5. Binge drinking (5 or more standard drinks per occasion) less than once per week |
84 |
78.6 (1)1 |
| Q6. Binge drinking (5 or more standard drinks per occasion) once or twice per week |
83 |
84.3 (1)2 |
| Q7. No level of prenatal alcohol exposure is alone sufficient to indicate the need for a full diagnostic evaluation for FASD |
72 |
45.8 (3) |
|
Other criteria: In the absence of other known causes, a full diagnostic evaluation for FASD is required when there is evidence of:
|
|
|
| Q8. Concern by a parent or foster parent that their child might have a FASD |
88 |
88.6 (1)1 |
| Q9. All 3 of the characteristic FAS facial anomalies (smooth philtrum, thin vermillion border, and small palpebral fissures) |
83 |
95.2 (1)2 |
| Q10. 2 of the characteristic FAS facial anomalies |
78 |
76.9 (1)1 |
| Q11. The characteristic pattern of FAS facial anomalies (number unspecified) |
79 |
72.2 (2)2 |
| Q12. 2 of the characteristic FAS facial anomalies, and a growth deficit or any CNS abnormality (structural, neurological or functional) |
80 |
93.8 (1)2 |
| Q13. 2 of the characteristic FAS facial anomalies, and a growth deficit and any CNS abnormality |
82 |
92.7 (1)2 |
| Q14. 1 of the characteristic FAS facial anomalies, and a growth deficit or any CNS abnormality |
81 |
67.9 (1) |
| Q15. 1 of the characteristic FAS facial anomalies, and a growth deficit and any CNS abnormality |
81 |
85.2 (1)1 |
| Q16. Known or probable prenatal alcohol exposure, and 1 of the characteristic FAS facial anomalies, and a growth deficit or any CNS abnormality |
83 |
92.8 (1)1 |
| Q17. Known or probable prenatal alcohol exposure, and 1 of the characteristic FAS facial anomalies, and a growth deficit and any CNS abnormality |
82 |
96.3 (1)2 |
| Q18. Growth deficit and any CNS abnormality |
79 |
55.7 (1) |
| Q19. Known or probable prenatal alcohol exposure, and growth deficit and any CNS abnormality |
83 |
94.0 (1)2 |
| Q20. Known or probable prenatal alcohol exposure, and any CNS abnormality |
82 |
87.8 (1)1 |
| Q21. 2 or more CNS abnormalities |
73 |
43.8 (2) |
| Q22. Known or probable prenatal alcohol exposure, and 2 or more CNS abnormalities |
82 |
95.1 (1)2 |
| Q23. Known or probable prenatal alcohol exposure, and 1 or more birth defects |
81 |
87.7 (1)1 |
|
Other statement about the use of the criteria:
|
|
|
| Q24. A full diagnostic evaluation for FASD should occur outside standard criteria when health professionals have concerns or doubts about FASD screening results | 75 | 82.7 (1) |
IQD: inter-quartile deviation.
Results for statements that reached consensus agreement (≥70% agree) are presented in bold.
1Statement defined minimum consensus criteria for referral at the 70% level of consensus.
2Statement did not define minimum consensus criteria for referral at the 70% level of consensus.
A standard drink is defined as containing 10 g of alcohol [36].