• 作者：M. Fern&#225 ; ndez Pé ; rez ; ^{maximino.fernandez@sespa.princast.es} ; ^{maxfernandez@unav.es} ; C. Gonzalvo Rodrí ; guez
• 关键词：Adolescencia ; Atenció ; n Primaria ; Cribado ; Infancia ; Trastorno por dé ; ficit de atenció ; n con/sin hiperactividad (TDAH)
• 刊名：Anales de Pediatr铆a
• 出版年：2012
• 期刊代码：pca47_16954033
• 类别：med
• 出版时间：May, 2012
• 卷：76
• 期：5
• 页码：256-260
• 文件大小：224 K

Introduction

Attention Deficit/Hyperactivity Disorder (ADHD) is the main problem of child mental health in our field. However we do not have systematised procedures that may lead to a diagnosis in early ages to improve the long-term prognosis. In order to improve early diagnosis we propose a strategy for Primary Care.

Objective

To determine the feasibility and effectiveness of incorporating screening for ADHD in cohorts of 8 years in a Primary Care Paediatric Clinic in a town in Asturias (Spain) for 4 consecutive years.

Subjects and methods

A cross-sectional study of prevalence was conducted using the questionnaire recommended by the American Academy of Paediatrics. This consisted of 7 questions, to which was added a new item, vs. inattention. The questionnaire was administered by a nurse to all children aged 8 at the time they attended the review, and for 4 consecutive years.

Results

A total of 222 children were evaluated, finding 18 positive cases, who scored low in the questionnaire. These cases were evaluated by the paediatrician in a second assessment, who confirmed ADHD in 12 cases. The validity of the test, estimated sensitivity and specificity of the test was high (100%sensitivity and a specificity of 99.5%).

Conclusions

The study was valid for the early detection of ADHD in a Primary Care Paediatric Clinic to diagnose a large number of latent cases. The procedure was cost-effective and reinforces the role of nursing in this care process.