Early access to biological neonatal screening: coordination among child care action programs.
Beatriz Molina Carvalho, Waldomiro Roberto Tavares, Jéssica Batistela Vicente and 3 others
PMID 32401903WHAT IT FOUND
In a Brazilian city, 7,640 newborns were screened in 2016 and 8,012 in 2017; 73.1% then 87.6% had heel-prick tests on the recommended third to fifth day.
Timing was linked to place of collection and whether the family used public or private services.
Key findings
01Screening was recorded for 7,640 newborns in 2016 and 8,012 in 2017.
02Testing on the recommended third to fifth day was recorded for 5,586 infants in 2016 and 7,025 in 2017.
03The study found links between the age at testing and where blood was taken, and between age and whether families used public or private services in healthcare units in 2016.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study counted whether blood was taken on time; it did not report whether disorders were found or treatment started. The reasons some infants were tested late were not identified. It used existing worksheets from one city, so it may not show how other health systems would perform. The design cannot separate the effect of nurse scheduling from other program actions.
Declared interests
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The easy way to misread this
Do not read the higher early screening rates as proof that nurse scheduling or prenatal guidance caused them. The study only observed records in one city and did not test whether these actions changed families' behaviour.