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波兰的新生儿听力普遍筛查项目——10年总结

Universal Neonatal Hearing Screening Program in Poland--10-year summary.

作者信息

Greczka Grażyna, Wróbel Maciej, Dąbrowski Piotr, Mikołajczak Katarzyna, Szyfter Witold

机构信息

Klinika Otolaryngologii i Onkologii Laryngologicznej Uniwersytetu Medycznego w Poznaniu.

出版信息

Otolaryngol Pol. 2015;69(3):1-5. doi: 10.5604/00306657.1156325.

Abstract

INTRODUCTION

The analysis was aimed to summarize the outcomes of Polish Universal Neonatal Hearing Screening Program (PUNHSP).

MATERIALS AND METHODS

The analysis comprised the population of children registered in the PUNHSP database between 2003 and 2013. The evaluated parameters included: the program coverage (percentage of children covered by the Program in relation to the number of births), results of screening tests at different levels of the Program and hearing loss incidence.

RESULTS

The average screened population was 96,0% with respect to total number of live births in Poland. Children requiring further evaluation represent annual average 8.5% of the study population. Among them, on average 55.8% were consulted in audiological centers. Hearing loss incidence was estimated to be 0,3%. The highest hearing loss incidence was detected in children which failed the OAE test with concomitant risk factors. 58.2% of children were fitted with hearing aids, 34.0% were referred for surgical treatment, and 7.8% for further rehabilitation.

CONCLUSIONS

The results of the program evaluation confirmed its good efficiency. The coverage and hearing tests results are comparable to those from other countries conducting similar national hearing screening programs.

摘要

引言

本分析旨在总结波兰新生儿听力普遍筛查计划(PUNHSP)的成果。

材料与方法

分析涵盖了2003年至2013年间在PUNHSP数据库中登记的儿童群体。评估参数包括:计划覆盖率(计划覆盖的儿童数量占出生总数的百分比)、计划不同阶段的筛查测试结果以及听力损失发生率。

结果

相对于波兰活产总数,平均筛查人口比例为96.0%。需要进一步评估的儿童平均占研究人群的8.5%。其中,平均有55.8%的儿童在听力中心接受了咨询。听力损失发生率估计为0.3%。在伴有风险因素且耳声发射测试未通过的儿童中,听力损失发生率最高。58.2%的儿童佩戴了助听器,34.0%的儿童被转诊接受手术治疗,7.8%的儿童接受进一步康复治疗。

结论

计划评估结果证实了其良好的效率。覆盖率和听力测试结果与开展类似国家听力筛查计划的其他国家相当。

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