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丹麦中部地区新生儿听力筛查

Hearing screening in newborns in the Central Denmark Region.

作者信息

Linnebjerg Linda Busk, Hansen Anita Ekman, Møller Troels Reinholdt

出版信息

Dan Med J. 2017 Apr;64(4).

Abstract

INTRODUCTION

In 2005, a nationwide programme on hearing screening in newborns was launched in Denmark. The purpose of the programme was to ensure early detection of hearing loss in newborns and to institute subsequent treatment. The aim of this study was to assess whether the Central Denmark Region observes the guidelines of the Danish Health and Medicines Authority (DHMA) for neonatal hearing. In addition, we wanted to identify factors that may influence screening density positively or negatively.

METHODS

Data were collected retrospectively from patient record forms completed in the 2006-2014 period. For selected periods, patient record forms were examined man-ually.

RESULTS

We recorded an annual increase in average screening density; from 88.6% in 2006 to 94.8% in 2013. Furthermore, in 2006, 89.5% had completed the hearing screening programme within 30 days and in 2014 this figure had increased to 99%. The average time to diagnosis decreased from 3.5 months in 2006 to 0.7 months in 2013. A strike among healthcare professionals in 2008 and the launch of electronic patient record (EPJ) forms in 2012 had a negative impact on screening density. Due to EPJ errors, the hearing screening density occasionally appeared to be lower than the actual number of newborns screened. In contrast, advanced training of primary screening staff, the establishment of close relations with the primary screening units in hospitals and the implementation of "Maternity packages" improved screening density.

CONCLUSION

Based on our results, our conclusion is that the Central Denmark Region observes the DHMA guidelines on neonatal hearing screening in Denmark.

FUNDING

none.

TRIAL REGISTRATION

not relevant.

摘要

引言

2005年,丹麦启动了一项全国性新生儿听力筛查计划。该计划的目的是确保早期发现新生儿听力损失并进行后续治疗。本研究的目的是评估丹麦中部地区是否遵循丹麦卫生和药品管理局(DHMA)关于新生儿听力的指南。此外,我们想确定可能对筛查密度产生正面或负面影响的因素。

方法

回顾性收集2006 - 2014年期间填写的患者记录表格中的数据。在选定时期,人工检查患者记录表格。

结果

我们记录到平均筛查密度逐年增加;从2006年的88.6%增至2013年的94.8%。此外,2006年,89.5%的人在30天内完成了听力筛查计划,2014年这一数字增至99%。平均诊断时间从2006年的3.5个月降至2013年的0.7个月。2008年医护人员罢工以及2012年电子患者记录(EPJ)表格的启用对筛查密度产生了负面影响。由于EPJ错误,听力筛查密度偶尔看起来低于实际筛查的新生儿数量。相比之下,对初筛人员的进阶培训、与医院初筛单位建立密切关系以及实施“产妇套餐”提高了筛查密度。

结论

根据我们的结果,我们的结论是丹麦中部地区遵循了丹麦DHMA关于新生儿听力筛查的指南。

资金

无。

试验注册

不相关。

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