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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].