UNICAMP, Curso de Fonoaudiologia.
UNICAMP, Centro de Biologia Molecular e Genética.
Braz J Otorhinolaryngol. 2013 Nov-Dec;79(6):709-15. doi: 10.5935/1808-8694.20130130.
Auditory screening and early identification and management of patients with hearing loss improve the development prospects of infants.
To analyze the outcomes produced by an Auditory Health Program in neonates managed in an intensive care unit.
This prospective cross-sectional study enrolled neonates referred to the neonatal care unit at hospital CAISM/Unicamp with stays lasting for 48 hours and more within a period of 13 months. Automated monitoring of brainstem auditory evoked potentials was used in the auditory screening of neonates at the time of discharge. Children with poor BAEPs were sent to undergo audiological, otorhinolaryngological, and genetic tests.
Auditory screening was performed for 84.7% of the live births; 39.7% were screened at 30 days or more of age. Diagnostic tests revealed that 63.8% of the children had normal hearing. Incidence of hearing loss was 4%; sensorineural hearing loss was observed in 1,4% of the subjects; 0.24% had auditory neuropathy spectrum disorder; and 2.2% had conductive hearing loss.
Neonatal auditory screening was not offered universally, and nor was it carried out, in many cases, within the child's first month of life. Screening must be performed before neonates are discharged and in more than one stage. A high incidence of hearing loss was observed.
分析在重症监护病房中管理的新生儿听觉健康计划的结果。
这是一项前瞻性的横断面研究，共纳入了在 CAISM/Unicamp 医院新生儿科住院 48 小时及以上的新生儿，时间为 13 个月。在出院时对新生儿进行自动脑干听觉诱发电位监测进行听力筛查。对 BAEPs 较差的儿童进行听力、耳鼻喉科和遗传学检查。
对 84.7%的活产儿进行了听力筛查；39.7%的筛查在 30 天或以上进行。诊断性检查发现 63.8%的儿童听力正常。听力损失的发生率为 4%；感音神经性听力损失占 1.4%；0.24%为听神经病谱系障碍；2.2%为传导性听力损失。
新生儿听力筛查未普遍开展，且在许多情况下未在新生儿出生后第一个月内进行。筛查必须在新生儿出院前和多个阶段进行。听力损失的发生率较高。
