Greczka Grażyna, Dąbrowski Piotr, Zych Monika, Szyfter Witold
Department of Otolaryngology and Head and Neck Surgery, University of Medical Sciences, 60-355 Poznań, Poland.
Healthcare (Basel). 2023 Jun 15;11(12):1770. doi: 10.3390/healthcare11121770.
(1) Background: An important part of any neonatal hearing screening program is monitoring diagnostic visits to confirm or exclude the presence of hearing loss. In addition, time plays an important role in the diagnosis. We identified the number of children who came for a diagnostic visit and analyzed the time of the first audiological visit, depending on the result of the hearing screening test performed in the first days of a child's life and the presence or absence of risk factors of hearing impairment. (2) Methods: We analyzed 6,580,524 children, of which 8.9% required further diagnostics. The mean time of follow-up diagnostic visit in the analyzed group was 130 days and differed due to the presence or absence of risk factors for hearing loss before and after the neonatal period. (3) Results: Although the risk of hearing loss in children with risk factors is 2.31 to 6.38 times higher than in children without risk factors depending on the result of the screening test, more than 40% of parents do not report to scheduled audiological visits. (4) Conclusions: Doctors, nurses, and midwives who screen hearing at the neonatological level play an important role in educating parents about the possibility of hearing loss in a child and the need for an audiological examination.
(1) 背景：任何新生儿听力筛查项目的一个重要部分是监测诊断性就诊，以确认或排除听力损失的存在。此外，时间在诊断中起着重要作用。我们确定了前来进行诊断性就诊的儿童数量，并根据儿童出生后最初几天进行的听力筛查测试结果以及听力障碍风险因素的存在与否，分析了首次听力检查的时间。(2) 方法：我们分析了6580524名儿童，其中8.9%需要进一步诊断。分析组的随访诊断性就诊平均时间为130天，并且因新生儿期前后是否存在听力损失风险因素而有所不同。(3) 结果：尽管根据筛查测试结果，有风险因素的儿童听力损失风险比无风险因素的儿童高2.31至6.38倍，但超过40%的家长未按计划进行听力检查。(4) 结论：在新生儿科进行听力筛查的医生、护士和助产士在教育家长了解儿童听力损失的可能性以及听力检查的必要性方面发挥着重要作用。
