一年内8888名新生儿：一项普遍新生儿听力筛查项目的评估。
8,888 Newborns Over One Year: Evaluation of a Universal Neonatal Hearing Screening Program.
文献信息
| PMID | 42812953 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Laura Franco Chiriboga |
| 作者单位 | PhD in Health, Interdisciplinarity, and Rehabilitation Universal Neonatal Hearing Screening Program, Hospital Maternidade de Campinas, Campinas, São Paulo, Brazil. |
| 期刊 | International archives of otorhinolaryngology |
| SCI 分区 | Q3 |
| IF | 1.4 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
引言： 普遍新生儿听力筛查对于早期发现听力损失至关重要，能够实现及时干预并改善儿童发育。
目的： 分析一项普遍新生儿听力筛查项目的结果。
方法： 回顾性描述性研究，分析新生儿听力筛查的结果。纳入标准为2023年1月至12月期间在该院出生或转入该院。该研究经研究伦理委员会批准，编号为5.227.720/2022。
结果： 8,828名（占总样本的99.32%）接受了筛查，其中7,846名无听力损失危险因素，982名被确定有听力损失危险因素。在60名未接受筛查的新生儿中，7名（0.08%）在接受普遍新生儿听力筛查前被转至其他医院，50名（0.56%）死亡，3名（0.03%）失访且未接受筛查。对于TEOAE和aABR测试，性别、医疗保健服务类型和出生体重这些变量对增加测试失败的可能性有显著影响。
结论： 评估了UNHS服务一年的结果，显示覆盖率为99.96%。该服务符合指南推荐的质量指标，但转诊进行诊断的百分比除外。尽管仍存在挑战且新目标尚待实现，但认识到有必要开展进一步研究，以监测婴儿一生的听觉发育，尤其是那些有听力损失危险因素的婴儿。
英文摘要
INTRODUCTION: Universal Newborn Hearing Screening is essential for early detection of hearing loss, enabling prompt interventions and improving child development.
OBJECTIVE: To analyze the outcomes of a universal neonatal hearing screening program.
METHODS: Retrospective descriptive study analyzing the results of neonatal hearing screening. The inclusion criterion was birth at or transfer to the hospital between January and December 2023. The research was approved by the Research Ethics Committee, under number 5.227.720/2022.
RESULTS: 8,828 (99.32% of total sample) underwent screening, with 7,846 having no risk factors for hearing loss and 982 identified with risk factors for hearing loss. Among the 60 newborns who were not screened, 7 (0.08%) were transferred to other hospitals before undergoing the universal neonatal hearing screening, 50 (0.56%) passed away, and 3 (0.03%) were lost to follow-up and did not undergo the screening. For the TEOAE and aABR tests, the variables sex, type of healthcare service, and birth weight had a significant effect on increasing the likelihood of test failures.
CONCLUSION: The outcomes of one year of the UNHS service were assessed, revealing a coverage rate of 99.96%. The service meets the quality indicators recommended by the guidelines, except for the percentage of referrals for diagnosis. Although challenges remain and new goals are yet to be achieved, the importance of conducting further research is recognized to monitor the auditory development of infants throughout life, especially those with risk factors for hearing loss.