Hearing Research Unit for Children, Division of Audiology, School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, Australia, 4072; Children's Health Queensland Hospital and Health Service, Child and Youth Community Health Service, 10 Chapel Street, Nundah, Queensland, Australia, 4012.
Children's Health Queensland Hospital and Health Service, Child and Youth Community Health Service, 10 Chapel Street, Nundah, Queensland, Australia, 4012.
Int J Pediatr Otorhinolaryngol. 2024 Jun;181:111970. doi: 10.1016/j.ijporl.2024.111970. Epub 2024 May 7.
Infants and children diagnosed with a conductive hearing loss (CHL) are often referred for otolaryngology assessment. Although this is also a regular occurrence for infants diagnosed with a CHL through Universal Newborn Hearing Screening (UNHS), less is known about these infants and their outcomes. Using a cohort of infants diagnosed with CHL through UNHS and referred to otolaryngology, this study aimed to investigate the relationship between specific demographic or clinical characteristics and 1) triage category 2) middle ear diagnosis and intervention and, 3) service-related factors at otolaryngology.
Retrospective analysis through clinical chart review was performed on all infants born between January 2014 and December 2017 who referred on UNHS, diagnosed with a CHL and referred to the Queensland Children's Hospital. Descriptive analysis and Chi squared analysis was conducted on data from 95 records.
Analysis between all infants referred from UNHS and those who referred, diagnosed with CHL and then referred to otolaryngology suggest that bilateral referrals/medical exclusion, preterm and infants with ≥1 risk factors are more readily associated with referral to otolaryngology for CHL. Nearly all (92.86 %) infants who were referred to otolaryngology had a primary diagnosis of OM and most infants (89.66 %) received grommets as an intervention. The average age of first appointment at otolaryngology was 427 days, the average age of intervention was 579 days and the average occasions of service at otolaryngology was 6.72.
This paper provides a snapshot into the journey and outcomes of infants referred from UNHS, diagnosed with CHL, and referred to otolaryngology. Further investigation in both general and UNHS populations is needed to better understand and apply these findings.
被诊断为传导性听力损失（CHL）的婴儿和儿童通常会接受耳鼻喉科评估。虽然这也是通过普遍新生儿听力筛查（UNHS）诊断为 CHL 的婴儿的常见情况，但对这些婴儿及其结果的了解较少。本研究通过 UNHS 诊断为 CHL 并转诊至耳鼻喉科的婴儿队列，旨在调查特定人口统计学或临床特征与 1）分诊类别、2）中耳诊断和干预以及 3）耳鼻喉科相关服务因素之间的关系。
对 2014 年 1 月至 2017 年 12 月期间通过 UNHS 出生、诊断为 CHL 并转诊至昆士兰儿童医院的所有婴儿进行回顾性临床图表分析。对 95 份记录中的数据进行描述性分析和卡方分析。
对所有从 UNHS 转诊、诊断为 CHL 并随后转诊至耳鼻喉科的婴儿进行分析表明，双侧转诊/医学排除、早产儿和有≥1 个危险因素的婴儿更有可能因 CHL 而转诊至耳鼻喉科。几乎所有（92.86%）转诊至耳鼻喉科的婴儿都有 OM 的主要诊断，大多数婴儿（89.66%）接受了鼓膜切开术作为干预措施。耳鼻喉科首次就诊的平均年龄为 427 天，干预的平均年龄为 579 天，耳鼻喉科就诊的平均次数为 6.72 次。
本文提供了 UNHS 转诊、诊断为 CHL 并转诊至耳鼻喉科的婴儿的旅程和结果的概述。需要在一般人群和 UNHS 人群中进行进一步调查，以更好地理解和应用这些发现。
