Literature DB >> 23328928

The utility and financial implications of obtaining routine lead levels for child psychiatric inpatients.

Lance Feldman1, Yixing Chen.   

Abstract

This study attempted to challenge the CDC recommendations regarding routine screening blood lead levels in children. The purpose was to determine the efficacy of obtaining routine lead levels on all patients admitted to a child psychiatric inpatient unit. A retrospective chart review of children admitted to a psychiatric inpatient unit during a 12 month period. The audit determined average lead levels and costs associated with the screening program. 1 of 61 admitted children was found to have an elevated lead level. Number needed to treat was determined to be 98. The cost per case detected was determined to be over $8,600. Routine screening for blood lead levels in all children admitted to a psychiatric inpatient unit does not appear efficacious or cost effective.

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Year:  2013        PMID: 23328928     DOI: 10.1007/s10597-012-9563-5

Source DB:  PubMed          Journal:  Community Ment Health J        ISSN: 0010-3853


  9 in total

1.  Interpreting and managing blood lead levels of less than 10 microg/dL in children and reducing childhood exposure to lead: recommendations of the Centers for Disease Control and Prevention Advisory Committee on Childhood Lead Poisoning Prevention.

Authors:  Helen J Binns; Carla Campbell; Mary Jean Brown
Journal:  Pediatrics       Date:  2007-11       Impact factor: 7.124

2.  Blood lead levels and specific attention effects in young children.

Authors:  Lisa M Chiodo; Chandice Covington; Robert J Sokol; John H Hannigan; James Jannise; Joel Ager; Mark Greenwald; Virginia Delaney-Black
Journal:  Neurotoxicol Teratol       Date:  2007-04-21       Impact factor: 3.763

Review 3.  The long-term consequences of exposure to lead.

Authors:  Arnold Rosin
Journal:  Isr Med Assoc J       Date:  2009-11       Impact factor: 0.892

Review 4.  Lead poisoning in children.

Authors:  Crista Warniment; Katrina Tsang; Sim S Galazka
Journal:  Am Fam Physician       Date:  2010-03-15       Impact factor: 3.292

Review 5.  Screening for elevated lead levels in childhood and pregnancy: an updated summary of evidence for the US Preventive Services Task Force.

Authors:  Gary Rischitelli; Peggy Nygren; Christina Bougatsos; Michele Freeman; Mark Helfand
Journal:  Pediatrics       Date:  2006-12       Impact factor: 7.124

6.  Recommendations for blood lead screening of Medicaid-eligible children aged 1-5 years: an updated approach to targeting a group at high risk.

Authors:  Anne M Wengrovitz; Mary J Brown
Journal:  MMWR Recomm Rep       Date:  2009-08-07

7.  Effect of environmental exposure to lead and tobacco smoke on inattentive and hyperactive symptoms and neurocognitive performance in children.

Authors:  Soo-Churl Cho; Boong-Nyun Kim; Yun-Chul Hong; Min-Sup Shin; Hee Jeong Yoo; Jae-Won Kim; Soo-Young Bhang; In Hee Cho; Hyo-Won Kim
Journal:  J Child Psychol Psychiatry       Date:  2010-04-06       Impact factor: 8.982

8.  Confirmation and extension of association of blood lead with attention-deficit/hyperactivity disorder (ADHD) and ADHD symptom domains at population-typical exposure levels.

Authors:  Joel T Nigg; Molly Nikolas; G Mark Knottnerus; Kevin Cavanagh; Karen Friderici
Journal:  J Child Psychol Psychiatry       Date:  2009-11-23       Impact factor: 8.982

9.  Lead exposure and behavior among young children in Chennai, India.

Authors:  Ananya Roy; David Bellinger; Howard Hu; Joel Schwartz; Adrienne S Ettinger; Robert O Wright; Maryse Bouchard; Kavitha Palaniappan; Kalpana Balakrishnan
Journal:  Environ Health Perspect       Date:  2009-06-26       Impact factor: 9.031

  9 in total
  1 in total

1.  Association of Lead Levels and Cerebral Palsy.

Authors:  Neha Bansal; Anju Aggarwal; M M A Faridi; Tusha Sharma; B D Baneerjee
Journal:  Glob Pediatr Health       Date:  2017-03-30
  1 in total

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