Chung You Sun, Oh Seung-Ha, Park Su-Kyoung
Department of Otorhinolaryngology-Head and Neck Surgery, Dongguk University Gyeongju Hospital, Dongguk University College of Medicine, Gyeongju, Republic of Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
Int J Pediatr Otorhinolaryngol. 2019 Dec;127:109664. doi: 10.1016/j.ijporl.2019.109664. Epub 2019 Aug 30.
To suggest the optimal timing for newborn hearing screening to obtain an ideal and stable referral rate in well babies and in babies in neonatal intensive care units (NICU).
This study analyzed nationwide hearing screening data of 71,596 newborns in the low-income families who received support from the government in 2017. The referral rate for neonatal hearing screening, based on the period from birth to screening, was compared in well babies (n = 68,206) who were born healthy or hospitalized in the NICU for < 5 days and moved to a well-baby nursery and babies (n = 3,390) who were in the NICU for ≥ 5 days.
In well babies, most screenings (73.1%) were performed in the first three days of life. Most babies (74%) in the NICU underwent screening within the first 20 days after birth. The referral rates for babies at 32-60 days after birth differed from those of other screening days, except for the rates at 21-31 days after birth. Referral rates for NHS at > 60 days after birth were significantly higher than those for other periods in babies overall. However, the incidence of hearing loss according to age did not differ significantly within or between groups.
Referral rates based on the period from birth to screening were significantly different between well babies and NICU babies. To reduce and ensure stable referral rates, we recommend that the hearing screening be performed between 2 and 20 days after birth for well babies and between 5 and 31 days after birth for NICU babies.
建议新生儿听力筛查的最佳时机，以在健康婴儿和新生儿重症监护病房（NICU）的婴儿中获得理想且稳定的转诊率。
本研究分析了2017年接受政府资助的低收入家庭中71596名新生儿的全国听力筛查数据。比较了出生时健康或在NICU住院<5天并转至健康婴儿护理室的健康婴儿（n = 68206）以及在NICU住院≥5天的婴儿（n = 3390）从出生到筛查期间的新生儿听力筛查转诊率。
在健康婴儿中，大多数筛查（73.1%）在出生后的前三天进行。NICU中的大多数婴儿（74%）在出生后的前20天内接受了筛查。除出生后21 - 31天的转诊率外，出生后32 - 60天婴儿的转诊率与其他筛查日的转诊率不同。总体而言，出生后>60天的新生儿听力筛查转诊率显著高于其他时期。然而，各年龄组内和组间听力损失的发生率无显著差异。
健康婴儿和NICU婴儿从出生到筛查期间的转诊率存在显著差异。为降低并确保稳定的转诊率，我们建议健康婴儿在出生后2至20天进行听力筛查，NICU婴儿在出生后5至31天进行听力筛查。
