Diego Gimenes Lopes Juan, Disconzi Dallegrave Carolina, Hellmann Delfino Nadine, Lauxen Rúbia, Marcelino Taise, Eduardo Monteiro Zappelini Carlos
Universidade do Sul de Santa Catarina (UNISUL), Tubarão, SC, Brazil.
Int Arch Otorhinolaryngol. 2023 Aug 4;27(3):e412-e422. doi: 10.1055/s-0043-1770918. eCollection 2023 Jul.
The newborn hearing screening (NHS) test aims the early diagnostic of hearing deficits that may also harm the full development of communication and learning of the affected child. Trace the clinical and epidemiological profile of children born between July 2016 and July 2019; in addition to the outcome of the NHSs and factors related to failure in the hearing tests at a maternity of a tertiary hospital in Santa Catarina, Brazil. The present is a cross-sectional study. A census of those born in the period defined for study was performed and a script was developed for the review of medical records, based on the literature. The sample can be considered homogeneous in relation to gender and age. The pregnant women had an average of 30.9 years. There were 30 neonates (1.9%) that did not undergo NHS. New evaluations were required in 288 patients (18.2%). Finally, 24 (1.5% of the population) remained with insufficient results in the retest. The following variables achieved statistical relevance with higher failure rates in tests and/or retests: natural delivery ( = 0.007), arterial hypertension present ( = 0.002), use of hydralazine ( = 0.038), and use of dipyrone in the test ( = 0.041) and retest ( = 0.003). Younger mothers had higher levels of normality in the test ( = 0.003) and retest ( = 0.161). The correlations between the other variables and the outcomes were not statistically significant. False positives (62.8%) in the first test showed a value higher than the ideal goal; those who did not undergo the NHS (1.9%) and who needed evaluation by a specialist, due to failure in the retest (1.5%), are within the quality goals defined by the Joint Committee on Infant Hearing (JCIH) in 2007.
新生儿听力筛查（NHS）测试旨在早期诊断可能会影响受影响儿童沟通和学习全面发展的听力缺陷。追踪2016年7月至2019年7月期间出生儿童的临床和流行病学概况；此外，还要了解巴西圣卡塔琳娜州一家三级医院产科新生儿听力筛查的结果以及与听力测试失败相关的因素。本研究为横断面研究。对研究定义时间段内出生的儿童进行普查，并根据文献制定了病历审查脚本。该样本在性别和年龄方面可视为同质。孕妇平均年龄为30.9岁。有30名新生儿（1.9%）未接受新生儿听力筛查。288名患者（18.2%）需要重新评估。最后，24名患者（占总人群的1.5%）复查结果仍不充分。以下变量在测试和/或复查中失败率较高，具有统计学相关性：自然分娩（P = 0.007）、患有动脉高血压（P = 0.002）、使用肼屈嗪（P = 0.038）以及在测试（P = 0.041）和复查（P = 0.003）中使用安乃近。年轻母亲在测试（P = 0.003）和复查（P = 0.161）中的正常率较高。其他变量与结果之间的相关性无统计学意义。首次测试中的假阳性率（62.8%）高于理想目标；未接受新生儿听力筛查的比例（1.9%）以及因复查失败需要专科医生评估的比例（1.5%）均在2007年婴儿听力联合委员会（JCIH）定义的质量目标范围内。
