Öztürk Serpil Ece Aras, Aktaş Selma, Karakurt Leman Tuba, Develioğlu Ömer Necati, Murat Zehra, Çetinkaya Fatma, Güleç Seda Geylani
Gaziosmanpaşa Taksim Research and Training Hospital, Pediatrics Clinic, Istanbul, Turkey.
Gaziosmanpaşa Taksim Research and Training Hospital, Pediatrics Clinic, Neonatology Clinic, Istanbul, Turkey.
Turk Pediatri Ars. 2018 Mar 1;53(1):10-16. doi: 10.5152/TurkPediatriArs.2018.5389. eCollection 2018 Mar.
This study aimed to present the results of newborns who were referred to advanced audiology centers after newborn hearing screening, and to determine concordance of our results with the American Academy of Pediatrics guidelines about the ages of hearing loss, aid fitting, and cochlear implantation.
A total of 7502 newborns were screened in Gaziosmanpaşa Taksim Research and Training Hospital between March 2014 and June 2016 using the transient otoacustic emissions test as the first two steps and automated auditory brainstem response test for the third step. Newborns who had risk factors were screened using the automated auditory brainstem response only. Newborns who failed the screening tests were referred to advanced audiology centers.
Of the 7502 newborns, 6736 (90%) completed the screening. The ratio of hearing loss was 0.08%. Six of 62 newborns who failed auditory brainstem response test and were referred to advanced audiology centers had severe bilateral hearing loss. One of the patients was not fitted with a hearing aid because the family refused it. The other one was not fitted an aid and did not undergo cochlear implantation because of severe and treatment-resistant acute otitis media. The age of diagnosis for the rest was before three months, and except for one patient, hearing aid fitting was before six months. The age of cochlear implantation was 12 months for two patients and 14 months for two patients.
Ninety percent of patients completed the screening, the age of diagnosis for hearing loss was before three months and aid fitting was before six months, except for one patient. The results of the study were compatible with the diagnosis and treatment guidelines of the American Academy of Pediatrics.
本研究旨在呈现新生儿听力筛查后被转诊至高级听力学中心的结果,并确定我们的结果与美国儿科学会关于听力损失年龄、助听器适配和人工耳蜗植入指南的一致性。
2014年3月至2016年6月期间,共有7502名新生儿在加济奥斯曼帕夏塔克西姆研究与培训医院接受筛查,前两步使用瞬态耳声发射测试,第三步使用自动听性脑干反应测试。有危险因素的新生儿仅使用自动听性脑干反应进行筛查。筛查测试未通过的新生儿被转诊至高级听力学中心。
7502名新生儿中,6736名(90%)完成了筛查。听力损失比例为0.08%。62名自动听性脑干反应测试未通过并被转诊至高级听力学中心的新生儿中,有6名患有严重双侧听力损失。其中一名患者因家属拒绝未佩戴助听器。另一名患者因严重且难治性急性中耳炎未佩戴助听器且未接受人工耳蜗植入。其余患者的诊断年龄在三个月之前,除一名患者外,助听器适配年龄在六个月之前。两名患者的人工耳蜗植入年龄为12个月,两名患者为14个月。
90%的患者完成了筛查,除一名患者外,听力损失的诊断年龄在三个月之前,助听器适配年龄在六个月之前。本研究结果与美国儿科学会的诊断和治疗指南相符。