Naslov
Screening of developmental dysplasia of the hip in Croatia from 1995 to 2006

Autori
Bralić, Irena ; Vrdoljak, Javor ; Rodin, Urelija

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Abstracts of the 3th Europaediatrics ; u: Acta Paediatrica (2008) (S1) / - , 2008, 127-127

Skup
Europaediatrics (3 ; 2008)

Mjesto i datum
Istanbul, Turska, 14.06.2008. - 17.06.2008

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Developmental dysplasia of the hip; screening; infant; Croatia

Sažetak
Screening of developmental dysplasia of the hip (DDH) is necessary because it is applicable in diagnostic and therapeutic treatment in an early asymptomatic period. A suitable screening diagnostic test is acceptable for the population, while the benefits of the screening programme exceed the costs of its introduction. DDH screening, although traditionally performed, still provokes numerous controversies regarding the selection of the most optimal approach. There are numerous dilemmas in choosing between clinical screening, ultrasound screening, a combination thereof, selective or unselective DDH screening (with /without risk factors). An early DDH detection is of great importance for a successful treatment and provides a complete normalization of the hip joint. We are hereby presenting the results of DDH screening in Croatia from 1995 to 2006. According to the Croatian National Institute of Public Health, the incidence of DDH in Croatia was approximately 2.5%, but using the existing, predominantly clinical, diagnostic procedure at the age of 0 to 2 months, DDH was discovered in only 31-39% cases. The disadvantages of the neonatal hip clinical screening have produced a need of introducing ultrasound diagnostics, a method of choice for an early detection of all types of DDH which can be applied immediately after birth. The results of our cost-benefits study have confirmed the economic justification for introducing the nonselective ultrasound screening for DDH in Croatia, having shown that the late-case treatment costs are 1.6 times higher than the costs of screening and early treatment.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

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