Eficiência do programa de triagem neonatal para hipotireoidismo congênito no estado de Sergipe de 2004 a 2010

Abstract

Objectives: Congenital Hypothyroidism (CH) is the most frequent congenital endocrine disorder. This condition can lead to various deleterious consequences if not treated. The objective of this study was to evaluate the Neonatal Screening Program (NSP) efficiency to CH in Sergipe from 2004 to 2010. Subjects and Methods: This is an analytical retrospective study, which evaluated the NSP efficiency to CH in the state, through coverage, frequency of follow-up loss and times of main events of the program, from the sample´s collection on filter-paper to the first outpatient appointment. Results: The program coverage increased from 70.4% (2004) to 79.8% (2010), the follow-up loss was 34.9% and delays were observed in all events of the program. The age at first outpatient appointment was the most affected, where the average (± SD) was 63,4 (± 31,9) days and only 6.6% of children had care until the 30th days of life. Conclusions: Despite progress, much must be done to achieve set standards. Even with the increased coverage, access to all newborns must be a priority as well as the reduction of follow-up loss and delays in program steps. It is necessary to the continued evaluation of the program, exploring opportunities for improvement.