巴西圣卡塔琳娜州一家三甲医院产科新生儿听力筛查的流行病学概况。

IF 1 Q3 OTORHINOLARYNGOLOGY International Archives of Otorhinolaryngology Pub Date : 2023-08-04 eCollection Date: 2023-07-01 DOI:10.1055/s-0043-1770918
Juan Diego Gimenes Lopes, Carolina Disconzi Dallegrave, Nadine Hellmann Delfino, Rúbia Lauxen, Taise Marcelino, Carlos Eduardo Monteiro Zappelini
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引用次数: 0

摘要

导言:新生儿听力筛查(NHS)测试旨在早期诊断听力缺陷,这也可能会损害患儿交流和学习的全面发展。目的 追踪 2016 年 7 月至 2019 年 7 月间出生儿童的临床和流行病学概况,以及巴西圣卡塔琳娜州一家三甲医院产科的新生儿听力筛查结果和听力测试失败的相关因素。方法 这是一项横断面研究。我们对研究期间出生的婴儿进行了普查,并根据文献资料编写了一份医疗记录审查脚本。结果 从性别和年龄上看,样本具有同质性。孕妇的平均年龄为 30.9 岁。有 30 名新生儿(1.9%)没有接受国家保健服务。288名患者(18.2%)需要重新进行评估。最后,仍有 24 名患者(占总人数的 1.5%)的复检结果不够理想。以下变量与测试和/或复测失败率较高具有统计学相关性:自然分娩(p = 0.007)、存在动脉高血压(p = 0.002)、使用肼屈嗪(p = 0.038)以及在测试(p = 0.041)和复测(p = 0.003)中使用地匹隆。在测试(p = 0.003)和复测(p = 0.161)中,年轻母亲的正常水平较高。其他变量与结果之间的相关性无统计学意义。结论 首次测试中的假阳性(62.8%)值高于理想目标值;未接受国家保健服务(1.9%)和因复测失败而需要专家评估(1.5%)的人,均在婴儿听力联合委员会(JCIH)于 2007 年确定的质量目标范围内。
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Epidemiological Profile of Neonates in Hearing Screening at a Maternity of a Tertiary Hospital in the state of Santa Catarina, Brazil.

Introduction  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. Objective  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. Methods  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. Results  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 ( p  = 0.007), arterial hypertension present ( p  = 0.002), use of hydralazine ( p  = 0.038), and use of dipyrone in the test ( p  = 0.041) and retest ( p  = 0.003). Younger mothers had higher levels of normality in the test ( p  = 0.003) and retest ( p  = 0.161). The correlations between the other variables and the outcomes were not statistically significant. Conclusion  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.

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CiteScore
2.80
自引率
0.00%
发文量
84
审稿时长
12 weeks
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