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对南方人工耳蜗植入项目(2009 - 2014年)儿科转诊情况的审计。

An audit of paediatric referrals to the Southern Cochlear Implant Programme (2009-2014).

作者信息

Mustard Jill, Chinnery Megan, Guidera Alice K, Heslop Neil, Bird Philip A

机构信息

Southern Cochlear Implant Programme, Milford Chambers, St George's Hospital, 249 Papanui Rd, Christchurch.

出版信息

N Z Med J. 2015 Oct 16;128(1423):42-49.

Abstract

AIM

To determine the effect of the Universal Newborn Hearing Screening and Early Intervention Programme on the age of referral and implantation of prelingually deaf children in the Southern Cochlear Implant Programme.

METHOD

A retrospective review of data collected prospectively from March 2003 to August 2014.

RESULTS

123 children were referred to the programme with prelingual deafness in the time period. There was a significant decrease in the age of referral (median 6.23 months vs. 21.50 months) and age at implantation (12.66 months vs. 24.0 months) in those that underwent newborn hearing screening. Reasons for delay in referral and implantation were identified.

CONCLUSION

The introduction of universal newborn hearing screening has significantly reduced the age at referral and implantation of prelingually deaf children. However, the screening programme must continue to undergo monitoring and regular audit. Efforts must also be made to reduce the time to referral, including reducing non-attendance rates, education for parents and service providers, and earlier referral of those with comorbidities so as to reduce the time to implantation.

摘要

目的

确定通用新生儿听力筛查及早期干预计划对南方人工耳蜗植入计划中语前聋儿童的转诊年龄和植入年龄的影响。

方法

对2003年3月至2014年8月前瞻性收集的数据进行回顾性分析。

结果

在此期间,有123名语前聋儿童被转诊至该计划。接受新生儿听力筛查的儿童,其转诊年龄(中位数6.23个月对21.50个月)和植入年龄(12.66个月对24.0个月)均显著降低。确定了转诊和植入延迟的原因。

结论

通用新生儿听力筛查的引入显著降低了语前聋儿童的转诊年龄和植入年龄。然而,筛查计划必须继续接受监测和定期审核。还必须努力减少转诊时间,包括降低未就诊率、对家长和服务提供者进行教育,以及对合并症患者进行更早转诊,以减少植入时间。

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