Sígolo Cássia, Lacerda Cristina Broglia Feitosa de
Graduate Program in Children and Adolescents Health, Universidade Estadual de Campinas - UNICAMP - Campinas (SP), Brazil.
J Soc Bras Fonoaudiol. 2011 Mar;23(1):32-7. doi: 10.1590/s2179-64912011000100009.
To identify and detail the current situation of diagnosis and assistance to deaf children in two cities belonging to the administrative region of Campinas (SP).
It was conducted a survey of 320 medical records of patients diagnosed with prelingual deafness in the period between 1996 and 2005, in two institutions located in the region of Campinas: a university clinic and a clinic specialized in the assistance to deaf individuals.
Regarding the suspicion of hearing loss, the average age of the subjects was 1 year and 9 months. The mean age of children referred to medical or speech-language pathology service was 3 years and 6 months; the mean age for deafness diagnosis was 4 years and 3 months; the mean age for the beginning of clinical intervention was 6 years and 1 month; and the mean age for hearing aid adaptation was 7 years and 5 months.
Suspicion of deafness, the first visit to a doctor, diagnosis, intervention and hearing aid adaptation were all delayed when compared to current recommended diagnostic standards and conditions of access to services. In addition, there was a significant delay between each stage, especially in the period between the suspicion of deafness and the beginning of clinical intervention. Although Campinas region is well developed in economic terms, offering a broad network of health assistance services, this network was little efficient regarding assistance to deafness.
识别并详述坎皮纳斯（圣保罗州）行政区内两个城市中对失聪儿童的诊断及援助现状。
对1996年至2005年间在坎皮纳斯地区的两家机构（一家大学诊所和一家专门为失聪人士提供援助的诊所）被诊断为语前聋的320例患者的病历进行了调查。
关于听力损失的怀疑，受试者的平均年龄为1岁9个月。被转诊至医疗或言语病理学服务机构的儿童的平均年龄为3岁6个月；失聪诊断的平均年龄为4岁3个月；临床干预开始的平均年龄为6岁1个月；助听器适配的平均年龄为7岁5个月。
与当前推荐的诊断标准和服务获取条件相比，失聪怀疑、首次就医、诊断、干预和助听器适配均出现延迟。此外，各阶段之间存在显著延迟，尤其是在失聪怀疑与临床干预开始之间的时间段。尽管坎皮纳斯地区在经济方面发展良好，提供广泛的医疗援助服务网络，但该网络在失聪援助方面效率低下。
