Vohr B R, Carty L M, Moore P E, Letourneau K
Brown University School of Medicine and Rhode Island Hearing Assessment Program, Women and Infants' Hospital, Providence 02905, USA.
J Pediatr. 1998 Sep;133(3):353-7. doi: 10.1016/s0022-3476(98)70268-9.
The objective of this study was to evaluate key outcomes of a universal hearing screen/rescreen program for all births with transient evoked otoacoustic emissions in all 8 maternity hospitals in the state of Rhode Island over a 4-year period.
This was a retrospective analysis of the hearing screen/rescreen refer data collected prospectively for 53,121 survivors born in Rhode Island between January 1, 1993, and December 31, 1996. Primary outcomes included the first-stage refer rates, rescreen compliance, diagnostic referral rates, identification rates, and the age of amplification.
During this 4-year time period 11 infants were identified with permanent hearing loss, resulting in an impairment rate of 2 per 1000. The mean age of hearing loss confirmation decreased from 8.7 months to 3.5 months, and the age at amplification declined from 13.3 months to 5.7 months.
We conclude that time and experience are important factors in the development and refinement of a universal hearing screen program. Hearing screen outcome data collected over a 4-year period in Rhode Island reveal a steady improvement in the percent of infants completing the 2-stage screen process, the stage 1 and stage 2 refer rates, compliance with rescreen and diagnostic testing, and significant improvement in the age of identification and age of amplification.
本研究的目的是评估罗德岛州所有8家妇产医院在4年期间对所有出生婴儿进行瞬态诱发耳声发射普遍听力筛查/复筛项目的关键结果。
这是一项对1993年1月1日至1996年12月31日在罗德岛州出生的53,121名存活婴儿前瞻性收集的听力筛查/复筛转诊数据的回顾性分析。主要结果包括第一阶段转诊率、复筛依从性、诊断转诊率、识别率和听力放大年龄。
在这4年期间，11名婴儿被确诊为永久性听力损失，损伤率为每1000例中有2例。听力损失确诊的平均年龄从8.7个月降至3.5个月，听力放大年龄从13.3个月降至5.7个月。
我们得出结论，时间和经验是普遍听力筛查项目发展和完善的重要因素。罗德岛州4年期间收集的听力筛查结果数据显示，完成两阶段筛查过程的婴儿百分比、第一阶段和第二阶段转诊率、复筛和诊断测试的依从性稳步提高，识别年龄和听力放大年龄有显著改善。
