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Table 2 Statement ratings: criteria for conducting a full diagnostic evaluation

From: Fetal alcohol spectrum disorder: development of consensus referral criteria for specialist diagnostic assessment in Australia

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)
  1. IQD: inter-quartile deviation.
  2. Results for statements that reached consensus agreement (≥70% agree) are presented in bold.
  3. 1Statement defined minimum consensus criteria for referral at the 70% level of consensus.
  4. 2Statement did not define minimum consensus criteria for referral at the 70% level of consensus.
  5. A standard drink is defined as containing 10 g of alcohol [36].