门诊儿童听力健康计划分析：从筛查到康复转介。
Analysis of an outpatient child hearing health program: from screening to referral for rehabilitation.
机构信息
Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas - UNICAMP - Campinas (SP), Brasil.
Departamento de Desenvolvimento Humano e Reabilitação, Faculdade de Ciências Médicas, Universidade Estadual de Campinas - UNICAMP - Campinas (SP), Brasil.
出版信息
Codas. 2022 Feb 2;34(4):e20200403. doi: 10.1590/2317-1782/20212020403. eCollection 2022.
PURPOSE
To analyze the stages of a hearing health program, from screening to referral for rehabilitation, based on the quality indicators for neonatal screening programs.
METHODS
This is a cohort, observational, retrospective study encompassing all newborns included in the Municipal Information System of Mogi Mirim, São Paulo, from 2010 to 2016. Besides the data present in the Information System on Live Newborns, the newborn's age at the first test, test and diagnosis results, and referrals for rehabilitation were analyzed, based on the quality indicator criteria recommended by the Neonatal Hearing Screening Care Guidelines, with a statistical program.
RESULTS
A total of 7,800 newborns participated. The following results were obtained in the analysis of the program quality indicators: 1) Neonatal hearing screening stage: 97% coverage in the first test; 91% of newborns by 30 days old; 2) Diagnosis stage: 0.24% referred after failing the second test; 94.73% adherence; 13.66% confirmed diagnosis by 3 months old; 3) Rehabilitation stage: 100% began speech-language-hearing therapy immediately after the diagnosis; 20% received the hearing aid within 1 month from diagnosis.
CONCLUSION
The program, conducted in an outpatient setting, met the recommendations of the guidelines presented by the Ministry of Health concerning the coverage and age at first examination, age at screening up to 1 month old, referral for diagnosis, and beginning the intervention. These results were obtained thanks to institutional support from the municipality.
目的
基于新生儿筛查计划的质量指标，分析听力健康计划从筛查到康复转介的各个阶段。
方法
这是一项队列、观察性、回顾性研究，涵盖了 2010 年至 2016 年期间圣保罗州莫吉米里姆市所有纳入市新生儿信息系统的新生儿。除了活产新生儿信息系统中存在的数据外，还根据新生儿听力筛查护理指南推荐的质量指标标准，分析新生儿的首次测试年龄、测试和诊断结果以及康复转介情况，并使用统计程序进行分析。
结果
共有 7800 名新生儿参与了研究。对计划质量指标的分析结果如下：1）新生儿听力筛查阶段：初次测试的覆盖率为 97%；91%的新生儿在 30 天内接受检查；2）诊断阶段：第二次测试失败后转诊率为 0.24%；94.73%的患者接受了转诊；13.66%的患者在 3 个月时确诊；3）康复阶段：诊断后立即开始言语-语言-听力治疗的比例为 100%；20%的患者在确诊后 1 个月内获得了助听器。
结论
该在门诊环境中开展的项目满足了卫生部指南中提出的关于覆盖率和首次检查年龄、1 个月内的筛查年龄、诊断转诊以及开始干预的建议。这些结果得益于市政府的机构支持。
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