对高危婴儿进行后续听力筛查

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-06-30 DOI:10.1016/j.ijporl.2025.112454

Fendi Obuekwe , Anthony J. Tang , Zainab A. Balogun , Amber D. Shaffer , David H. Chi , Dennis J. Kitsko

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引用次数: 0

摘要

目的本研究旨在确定新生儿重症监护病房（NICU）住院5天并通过新生儿听力筛查（NBHS）的婴儿完成推荐的听力学随访并在9月龄前筛查出感音神经性听力损失（SNHL）的百分比。方法回顾性分析某三级儿童医院2020年7月至2023年8月出生的患儿。纳入NICU住院5天并完成NBHS的患者（n = 929）。未完成NBHS检查、未通过NBHS检查、转院或死亡的患者被排除（n = 97）。分析时年龄为12个月的患者也被排除在外（n = 118）。结果仅13/714（1.8%）在9月龄前接受听力学随访。女性（OR: 3.51, 95% CI: 1.97 - 11.5）、耳毒性暴露史（OR: 53.9, 95% CI: 1.38-∞）和21三体（OR: 15.5, 95% CI: 1.45-91.8）与9个月大时听力学随访的几率增加有关。在随访的13例中，没有一例SNHL。结论NICU住院5天并通过NBHS的患儿对完成推荐听力学随访的依从性较低。筛查未发现与新生儿重症监护病房住院相关的SNHL。描述听力学随访完成率和筛查中发现的SNHL的患病率为当前筛查策略的有效性提供了进一步的证据。

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Follow-up hearing screening for at-risk infants

Objective

This study aims to determine the percentage of infants with neonatal intensive care unit (NICU) stay >5 days and passed newborn hearing screening (NBHS) who complete recommended audiology follow-up and who have sensorineural hearing loss (SNHL) detected on rescreen by 9 months of age.

Methods

A chart review was conducted of patients at a tertiary children's hospital born July 2020 to August 2023. Patients with NICU stay >5 days and completed NBHS were included (n = 929). Patients who missed their NBHS, failed their NBHS, were transferred, or were deceased were excluded (n = 97). Patients who were <12 months of age at time of analysis were also excluded (n = 118).

Results

Only 13/714 (1.8 %) presented for audiology follow-up by 9 months of age. Being female (OR: 3.51, 95 % CI: 1.07–11.5), history of ototoxic exposure (OR: 53.9, 95 % CI: 1.38-∞), and Trisomy 21 (OR: 15.5, 95 % CI: 1.45–91.8) were associated with increased odds of follow-up with audiology by 9 months of age. Of the 13 with follow-up, none had SNHL.

Conclusion

Infants with NICU stay >5 days and passed NBHS had a low adherence to completing recommended audiology follow-up. SNHL associated with NICU stay was not detected on rescreen. Describing the prevalence of audiology follow-up completion and SNHL detected on rescreen provides further evidence regarding the effectiveness of current screening strategies.

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.