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Does universal newborn hearing screening impact the timing of deafness treatment?
Faistauer, Marina; Silva, Alice Lang; Dominguez, Daniela de Oliveira Ruiz; Bohn, Renata; Félix, Têmis Maria; Costa, Sady Selaimen da; Rosito, Letícia Petersen Schmidt.
  • Faistauer, Marina; Universidade Federal do Rio Grande do Sul. Porto Alegre. BR
  • Silva, Alice Lang; Hospital de Clínicas de Porto Alegre. Porto Alegre. BR
  • Dominguez, Daniela de Oliveira Ruiz; Universidade Federal do Rio Grande do Sul. Porto Alegre. BR
  • Bohn, Renata; Universidade Federal do Rio Grande do Sul. Porto Alegre. BR
  • Félix, Têmis Maria; Hospital de Clínicas de Porto Alegre. Porto Alegre. BR
  • Costa, Sady Selaimen da; Hospital de Clínicas de Porto Alegre. Porto Alegre. BR
  • Rosito, Letícia Petersen Schmidt; Hospital de Clínicas de Porto Alegre. Porto Alegre. BR
J. pediatr. (Rio J.) ; 98(2): 147-154, March-Apr. 2022. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1375778
ABSTRACT
Abstract

Objective:

To evaluate the impact of the Universal Neonatal Hearing Screening (UNHS) on the age at diagnosis, beginning of treatment, and first cochlear implant surgery.

Methods:

A retrospective cohort study with children up to 12 years old with bilateral hearing loss were divided into two groups patients who underwent UNHS and the ones who didn't. The groups were compared according to their age at the beginning of the evaluation at a specialized center, at the beginning of the intervention, and, for the ones who had indication, at the cochlear implant surgery. The group who underwent UNHS was divided between the ones who passed the screening test and the ones who didn't. They were compared according to their ages at the same moments as the first two groups.

Results:

135 patients were included. The median age at the first appointment in a specialized center was 1.42 (0.50 and 2.50) years, at the beginning of treatment 2.00 (1.00 and 3.52) years, and the cochlear implant surgery 2.83 (1.83 and 4.66) years. Children who underwent UNHS were younger than those who didn't, at the three evaluated moments (p < 0.001). In a subanalysis, children who passed the UNHS but were later diagnosed with hearing loss reached the first appointment with a specialist and started treatment older than those who failed the tests.

Conclusion:

Performing UNHS interfered with the timing of deafness diagnosis and treatment. However, children who passed the screening but were later diagnosed with hearing loss were the category with the most important delay.


Texto completo: DisponíveL Índice: LILACS (Américas) Tipo de estudo: Estudo diagnóstico / Estudo observacional / Estudo de rastreamento Idioma: Inglês Revista: J. pediatr. (Rio J.) Assunto da revista: Pediatria Ano de publicação: 2022 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: Hospital de Clínicas de Porto Alegre/BR / Universidade Federal do Rio Grande do Sul/BR

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Texto completo: DisponíveL Índice: LILACS (Américas) Tipo de estudo: Estudo diagnóstico / Estudo observacional / Estudo de rastreamento Idioma: Inglês Revista: J. pediatr. (Rio J.) Assunto da revista: Pediatria Ano de publicação: 2022 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: Hospital de Clínicas de Porto Alegre/BR / Universidade Federal do Rio Grande do Sul/BR