Children With Sensorineural Hearing Loss And Referral To Early Intervention.

Terri Giordano, Amanda M Marchegiani, John A Germiller
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Abstract

Objective: Sensorineural hearing loss (SNHL) is identified at a rate of 1-3 per 1,000 newborns in the United States. Timely referral to Early Intervention (EI) services is critical, as early EI referral has been shown to improve outcomes, including speech and language development, social and emotional development, and academic performance. The objective of this study was to determine the rate at which children diagnosed with SNHL at a large tertiary referral center were referred to EI, and, if so, by whom. In addition, we sought to determine the time from the diagnosis of SNHL to the completion of the referral, and what services were received.

Design: Prospective observational study

Methods: Data were collected by telephone survey and review of the electronic medical record

Results: Children with SNHL were referred to and participated in EI at a high rate. All children in this study (100%) were referred to EI. Most (92%) of the children were referred by 6 months of age, and almost all (98%) participated in EI.

Conclusion: At our institution, children with SNHL are being consistently referred to EI, meeting the goals of the Early Hearing Detection and Intervention program. Future outcomes research can now be designed to determine whether achieving these benchmark goals improves children's academic performance, expressive and receptive language skills, and development as compared to age-matched, normal hearing peers.

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儿童感音神经性听力损失及早期干预。
目的:在美国,感觉神经性听力损失(SNHL)的发病率为每1000名新生儿中有1-3名。及时转介到早期干预(EI)服务是至关重要的,因为早期的EI转介已被证明可以改善结果,包括言语和语言发展,社会和情感发展以及学习成绩。本研究的目的是确定在大型三级转诊中心诊断为SNHL的儿童转诊到EI的比率,如果是,由谁转诊。此外,我们试图确定从SNHL诊断到完成转诊的时间,以及接受了哪些服务。设计:前瞻性观察研究方法:通过电话调查和查阅电子病历收集数据。结果:SNHL患儿被转诊并参与EI的比例较高。本研究中所有儿童(100%)均接受EI治疗。大多数儿童(92%)在6个月大时被转介,几乎所有儿童(98%)都参加了EI。结论:在我们的机构,SNHL儿童一直被转介到EI,符合早期听力检测和干预计划的目标。未来的结果研究现在可以设计来确定实现这些基准目标是否提高了儿童的学习成绩,表达和接受语言技能,以及与年龄匹配,听力正常的同龄人相比的发展。
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