we eks Ge stat ional Age in Vi ctoria 2011-2012 · Ce ntrefor Co mmu ni tyCh ildHe al th Screened
Transcript of we eks Ge stat ional Age in Vi ctoria 2011-2012 · Ce ntrefor Co mmu ni tyCh ildHe al th Screened
Cent r e f or Communi t y Chi l d Heal t h
Sc r eeni ng I nf ant s bel ow 36week s Ges t at i onal Age i n
Vi c t or i a 2011-2012
Gabr i el l e Kav anagh
Seni or Pr oj ec t Of f i c er VI HSP,
Zef f i e Poul ak i s Mel i nda Bar k er and J i l l Cl ar k e,
Cent r e f or Communi t y Chi l d Heal t h
Vi c t or i an I nf ant Hear i ng
Sc r eeni ng Pr ogr am
Cent r e f or Communi t y Chi l d Heal t h
Qual i t y Moni t or i ng&
• Lar ge moni t or i ng pr oj ec t s ar e a
par t of our ongoi ng qual i t y pl ans
• Di f f i c ul t t o i nv es t i gat e s pec i f i c s
• Unabl e t o aut omat i c al l y r epor t or
al er t ev ent s l i k e s c r eeni ng bef or e 34.0wk s CGA
Cent r e f or Communi t y Chi l d Heal t h
El i g i b l e or not ?
• Ges t at i onal Age :wk s and mont hs>34 <6
• Wel l t er m baby,
• As l eep or i n a
s et t l ed s t at e
• Cl os e t o di s c har geI mr an
Cent r e f or Communi t y Chi l d Heal t h
Ac t ual GA &VI HSP dat abas e GA f i el d
• Fi r s t poi nt of r oundi ng i s at bi r t h
not i f i c at i on dur i ng dat a ent r y
• 33.4
à wk s33
• 33.5
à wk s34
• Sec ond poi nt of r oundi ng i s a dai l y
adj us t ment by t he VI HSP dat abas e
I NELI GI BLE babi es on= ‘TO DO’ l i s t
Cent r e f or Communi t y Chi l d Heal t h
Sc r eened week s: <34
of babi es s c r eened GA wk s% <34
of al l el i gi bl e bi r t hs not i f i ed t o VI HSP( )
0.08%
Number of babi es s c r eened GA wk s<34
61
Cent r e f or Communi t y Chi l d Heal t h
Sc r eened week s r es ul t s<34 :
Loc at i on
• Al l s c r eened i n SCN or
NI CU
• 67% i n one of t he
or i gi nal t er t i ar y4 NI CUs
• 13 VI HSP s i t es
i nv ol v ed
Sc r een r es ul t s
• 56 pas s ed AABR1
• 5 wer e r es c r eened
• 1 r ef er r ed
• Di agnos i s not
y et det er mi ned
Cent r e f or Communi t y Chi l d Heal t h
Cor r ec t ed Ges t at i onal Age at t he
t i me of s c r eeni ng i nel i g i b l e
babi es
Gestational Age at the time of screen
Num
ber o
f babie
s
Cent r e f or Communi t y Chi l d Heal t h
Cor r ec t ed Ges t at i onal Age at t he
t i me of s c r eeni ng i nel i g i b l e
babi es
Gestational Age at the time of screen
Num
ber o
f babie
s
Cent r e f or Communi t y Chi l d Heal t h
Cor r ec t ed Ges t at i onal Age at t he
t i me of s c r eeni ng i nel i g i b l e
babi es
Gestational Age at the time of screen
Num
ber o
f babie
s
Cent r e f or Communi t y Chi l d Heal t h
Cor r ec t ed Ges t at i onal Age at t he
t i me of s c r eeni ng i nel i g i b l e
babi es
Gestational Age at the time of screen
Num
ber o
f babie
s
Cent r e f or Communi t y Chi l d Heal t h
Ar ea Coor di nat or c omment s –“Why do we t hi nk we ar e s c r eeni ng?”• They ar e on t he TO DO
l i s t !
• Di s c har ge nur s es wer en’ts ur e t he baby woul d go t o
anot her hos pi t al or home .
• Ner v ous nes s ar ound
t r ans f er r i ng t o anot her
s i t e
• St af f don’t want t o l os e
s c r eeni ng s k i l l s .
• Di f f er ent s our c e f or GA
i nf or mat i on .
Ley ah
Cent r e f or Communi t y Chi l d Heal t h
Sc r eened : 34 – week s36
Number of babi es
s c r eened GA wk s<36
of al l bi r t hs% (~
s c r eened GA75,000)
wk s<36
2100 2.85%
Number of babi es
GA wk s<36
of al l% bi r t hs (~
GA wk s75,000) <36
5033 6.7%
of% babi es bor n GA wk s who wer e<36 s c r eened GA wk s<36
42.9%
Cent r e f or Communi t y Chi l d Heal t h
Sc r eened 34 – week s Res ul t s36 :
Loc at i on
• babi es i n r egul ar50 pos t nat al war ds
• VI HSP s i t es58% i nv ol v ed
Sc r een r es ul t s
• 1934 pas s ed AABR1
• 166 r es c r eened
• 20 r ef er r ed t o
Audi ol ogy
Cent r e f or Communi t y Chi l d Heal t h
Sc r eened 34 – week s36 :Ref er r al Out c omes
Cent r e f or Communi t y Chi l d Heal t h
Sc r eener c omment s
– s c r eeni ng Young Babi es
• Sl eepi ng s et t l ed i nt o, f eedi ng
• Qui c k er s c r eens
• Fami l y r eques t
• Di s c har ge pl an wi t h
under l y i ng pr es s ur es on
SCN beds
• I nt ui t i on
• Di s c har ged home v er y y oung
and s omet i mes i n pos t -nat al war ds
Cent r e f or Communi t y Chi l d Heal t h
Conc l us i ons - Sc r eeni ng Too Young
and Young Babi es
• Dat abas e updat e
• I mpr ov ement i n GA f i el d t o i nc l ude week and day not i f i ed
t o VI HSP
• Shoul d t he dat abas e r ej ec t s c r een f or an i nel i g i bl e
baby?
• Ongoi ng educ at i on of s t af f s t ak ehol der s&
• Enc our age s t af f t o ut i l i s e t he VI HSP ‘t o do ’ l i s t
• Reduc e ‘ur genc y ’ of ear l y s c r eeni ng
• Cont i nue t o enc our age s t af f t o pr ov i de f ami l i es wi t h t he
bes t oppor t uni t i es t o ac c es s a hear i ng s c r een .
• Moni t or i ng
• Cont i nued moni t or i ng of age at t i me of s c r een
Cent r e f or Communi t y Chi l d Heal t h
Ley ah
I mr an