Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, SWITZERLAND;
Swiss Med Wkly. 2013 Dec 13;143:w13905. doi: 10.4414/smw.2013.13905. eCollection 2013.
The European Consensus Statement of Neonatal Hearing recommended universal newborn hearing screening (UNHS) in 1998. UNHS was introduced in Switzerland in 1999 under the auspices of a "Swiss Working Group Hearing Screening in Newborns". The aim of this study was to evaluate the number of newborns being screened and consequently followed-up in Switzerland for the year 2012.
Postal questionnaires were sent to all registered maternity clinics and birth-centres in Switzerland. To evaluate follow-up of newborns failing the screening process, a retrospective consecutive cohort analysis of newborns failing screening at the University Hospital Zurich between 2005 and 2010 was performed.
A total of 102/110 (92.7%) maternity clinics and 1/14 (7.1%) birth-centres routinely performed UNHS. When weighted according to the number of births in the varying locations, 97.9% of all newborn received hearing screening. At the University Hospital of Zurich, 253/12,080 (2.1%) newborns failed the screening test and in 15/253 (6%) a relevant bilateral hearing impairment was found. This makes an overall incidence of congenitally relevant hearing loss of 0.12%. Unfortunately, 33/253 (13%) of newborns with failed screening were lost to follow-up.
UNHS is well-established in Switzerland and the vast majority of newborns are screened. However, follow-up of failed screens is disappointing. Further measures need to be taken to improve follow up.
欧洲新生儿听力共识声明于 1998 年推荐了新生儿普遍听力筛查（UNHS）。1999 年，在“瑞士新生儿听力筛查工作组”的支持下，瑞士引入了 UNHS。本研究旨在评估 2012 年瑞士接受筛查和后续随访的新生儿人数。
向瑞士所有注册的妇产科医院和分娩中心寄发了邮政问卷调查。为了评估未能通过筛查的新生儿的后续情况，对苏黎世大学医院在 2005 年至 2010 年期间未能通过筛查的新生儿进行了回顾性连续队列分析。
共有 102/110（92.7%）家妇产科医院和 1/14（7.1%）分娩中心常规进行 UNHS。按照不同地点的出生人数进行加权，97.9%的新生儿接受了听力筛查。在苏黎世大学医院，有 253/12080（2.1%）名新生儿未通过筛查测试，其中 15/253（6%）名新生儿存在双侧相关听力障碍。这使得先天性相关听力损失的总发生率为 0.12%。不幸的是，253 名筛查未通过的新生儿中有 33 名（13%）失去了随访。
UNHS 在瑞士已得到很好的建立，绝大多数新生儿都接受了筛查。然而，对筛查失败的新生儿的随访情况令人失望。需要采取进一步措施来改善后续工作。
