Bernes et al report a postnatal score that can help to identify a child with prenatal alcohol exposure. The authors are from multiple universities in the United States.
Patient selection: pediatric patient 5 to 17 years
Parameters:
(1) dysmorphology 1 (short palpebral fissure length, vermillion border lipometer score > 3, and philtrum lipometer > 3)
(2) dysmorphology 2 (ptosis, incomplete extension of one or more fingers
(3) Vineland Adaptive Behavior Scale second edition (VABS, 3 domains)
(4) Child Behavior Checklist (CBCL, 5 domains)
Parameter
Findings
Points
dysmorphology 1
0
0
1 to 3
1
dysmorphology 2
0
0
1 or 2
1
VABS
0 to 1 domains with standard score LT 86
0
2 or 3 domains with standard scores LT 86
2
CBCL
0 subscales with a T score GT 65
0
1 to 5 subscales with T score GT 65
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 5
• Two different cutoffs measures were used, one at >= 2 and one >= 3.
Score
Risk Group
0 to 2
low
3 to 5
high
Continue Reading
