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• W4381144630 abstract "<h3>Objective</h3> To assess adherence to local and national (NICE) guideline criteria regarding ultrasound (USS) referrals for developmental dysplasia of the hip (DDH) in newborns in Raigmore Hospital. In our unit, we suspected lack of adherence to guidance. Unnecessary referrals have a high-cost burden and impact resource allocation; therefore, data was gathered to assess adherence to guidelines. <h3>Method</h3> We analysed hip scans performed in Raigmore Hospital between 1st January 2021- 31st March 2022- 422 scans in total. During this this period, 2242 babies were born in the hospital. We excluded the following babies: born out-with Raigmore Hospital newborn and infant physical examination (NIPE) performed in SCBU NIPE not performed/documented USS performed mistakenly 388 scans remained. We analysed adherence of referral indications to NICE guidance, and noted scan results and additional interventions, including orthopaedic input. <h3>Results</h3> From 388 scans, 377 were normal. of 11 patients diagnosed with DDH, 3 required orthopaedic intervention. The remaining 8 required repeat scans until spontaneous normalisation. of these, 1 was referred out-with guidance criteria, however, was born premature and scanned early. The USS was normal when repeated at appropriate timing. Clicky hips on examination was the most common USS indication, with 139 babies referred in total. Clicky hips at postnatal NIPE accounted for 105 referrals. of these, 17 were examined by a senior, as per national guidance, while 88 had no documented senior examination. Our study found 152 patients were inappropriately scanned. The largest category was babies with clicky hips who did not receive senior review prior to referral. Family history of DDH accounted for 78 referrals. of these, 34 listed a first-degree relative with DDH. 25 had no documentation of which relative had DDH. There were 9 referred with a family member who was not first-degree, and 10 referred with a first-degree family member having clicky hips, but not DDH. Of the babies referred for reasons out with the guidance criteria, 1 was found to have DDH (which resolved spontaneously). The baby was referred for family history of a niece with DDH (not a first degree relative) but was also breech. They hence met other criteria for USS screening and would have been picked up regardless. <h3>Conclusion</h3> Our data supports local and national guidance for DDH USS referral criteria. The patients in our study referred for USS and found to have DDH all had risk factors listed in suggested criteria for referral." @default.
• W4381144630 created "2023-06-19" @default.
• W4381144630 creator A5054183660 @default.
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• W4381144630 date "2023-06-19" @default.
• W4381144630 modified "2023-09-27" @default.
• W4381144630 title "340 Assessing adherence to guidance criteria of ultrasound referrals for developmental dysplasia of the hip" @default.
• W4381144630 doi "https://doi.org/10.1136/archdischild-2023-rcpch.239" @default.
• W4381144630 hasPublicationYear "2023" @default.
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