4-Digit Code FASD Diagnostic Outcomes

4-Digit Code FASD Diagnostic Outcomes Worldwide

Comparing FASD Diagnostic Outcomes Across Clinics
With the creation of the 4-Digit Diagnostic Code and the expansion of it's use worldwide (35 countries), we are now in a position, for the first time ever, to compare and contrast FASD diagnostic outcomes across clinical/research sites.

The year 2023 marked the 30th year of the Washington State FASDPN clinic. Over 3,000 patients, infant through adult, with prenatal alcohol exposure received an FASD diagnostic evaluation by an interdisciplinary team using the 4-Digit Code. All outcomes and exposures were entered into the FASDPN clinical database with patient consent and Human Subjects approval.

The 4-Digit Code Ranks for Growth, Face, Brain and Alcohol as well as the FASD diagnostic outcomes for WA FASDPN patients are posted in the following formats.

Tableau Interactive Dashboard: 4-Digit Code Ranks & Diagnoses. View outcomes by sex, age and race/ethnicity.
WA and AK statewide FASD diagnostic clinical networks: Comparison of three decades of 4-Digit Code diagnostic outcomes and prenatal alcohol exposure histories. Astley, Baldwin, Pierce-Bulger, Advances in Pediatric Research, 2023. 2,532 diagnoses in WA and 2,469 diagnoses in AK.
Profile of the first 1,400 patients receiving diagnostic evluation for FASD at the Washington State FAS Diagnostic & Prevention Network. Astley SJ, Can J Clin Pharmacol, 2010.
Tableau Interactive Dashboard: 4-Digit Code FASD Diagnoses Worldwide. View 4-Digit Code outcomes in FASD diagnostic clinics in 8 countries.

It is important to note that these diagnostic outcomes DO NOT reflect population-based prevalence rates for the different geographic regions. There are many factors that influence
which individuals request and receive an FASD diagnosis (access to diagnostic services, knowledge of prenatal alcohol exposure, caregiver willingness to participate in a FASD diagnostic evaluation, medical insurance coverage, etc.). One factor that is not influencing potential contrasts between the FASD outcomes is the use of a single FASD diagnostic system, the FASD 4-Digit Code.