Hansashree Yojana Sharma, Bhatt Sushen H, Nimbalkar Somashekhar, Mishra Girish
Departments of 1Otorhinolaryngology and Head and Neck Surgery, and 2Pediatrics; Shri Krishna Hospital and Pramukhswami Medical College, Karamsad, Anand, Gujarat.
Department of Otorhinolaryngology and Head and Neck Surgery, Shri Krishna Hospital and Pramukhswami Medical College, Karamsad, Anand, Gujarat.
Indian Pediatr. 2018 Jun 15;55(6):482-484.
The reasons of failure to follow-up for the Universal Neonatal Hearing Screening (UNHS) program were delineated.
Review of case records for data related to follow-up of neonates who underwent the UNHS between February 2012 - January 2015.
2534 neonates underwent primary screening with Distortion Product Oto-acoustic Emission (DPOAE). 14 (26.9%) were lost to follow-up between the first and second DPOAE screenings. 275 neonates (including high-risk cases) were to undergo confirmatory Brain Evoked Response Audiometry testing out of which 201 (73.4%) came for follow-up. Out of 74 who failed to follow-up (including those lost between first and second DOPAE screenings), unwillingness and non-compliance was the commonest reason.
Increasing awareness and counseling of the caretaker are important interventions for ensuring good follow-up in hearing screening programs.
明确新生儿听力普遍筛查(UNHS)项目失访的原因。
回顾2012年2月至2015年1月期间接受UNHS的新生儿随访相关病例记录。
2534名新生儿接受了畸变产物耳声发射(DPOAE)初筛。14名(26.9%)在首次和第二次DPOAE筛查之间失访。275名新生儿(包括高危病例)需接受脑干听觉诱发电位测试以进行确诊,其中201名(73.4%)前来接受随访。在74名未接受随访的新生儿(包括在首次和第二次DOPAE筛查之间失访的新生儿)中,最常见的原因是家长不愿意和不配合。
提高护理人员的意识并对其进行咨询指导是确保听力筛查项目良好随访的重要干预措施。