Abstract
Objetivo caracterizar a demanda, território e exames auditivos realizados em um Programa de Triagem Auditiva Neonatal. Métodos estudo retrospectivo de uma amostra de 2334 prontuários de recém-nascidos triados, envolvendo a análise de dados referentes à Triagem Auditiva Neonatal, informações dos Recém-nascidos e variáveis demográficas. Resultados foram triados 88% dos recém-nascidos, e destes 16% apresentavam Indicador de Risco para Deficiência Auditiva e 84% não apresentavam. Observou-se que o indicador mais prevalente foi o histórico familiar, e que as chances de passar no teste são menores quando na presença de indicador e quando o recém-nascido apresentava peso inferior a 1.500g. O índice de passa-falha no teste foi de 78% passa e 22% falha. No resultado do teste, maior número de falhas unilaterais, e no reteste falha de 4% sendo a adesão de mais de 70%. Conclusão estudo como este possibilita a busca ativa dos recém-nascidos do grupo de risco para deficiência auditiva em seus respectivos territórios, havendo maior possibilidade de seguimento e assim, chegar ao objetivo primordial da triagem auditiva que é o diagnostico da surdez até o terceiro mês de vida, além de projetar um Programa de Triagem Auditiva Neonatal efetivo em suas etapas: triagem, diagnóstico audiológico, indicação, seleção e adaptação de aparelhos auditivos e re(ha)bilitação auditiva.
Highlights
A program for detection of early deafness should begin with NHS (Neonatal Hearing Screening), followed necessarily by diagnosis and rehabilitation, contemplating the four necessary stages for the program to be effective: hearing tracking and/or screening; audiologic diagnosis; indication, selection and adaptation of hearing aids and hearing re(ha) bilitation[1].The Universal NHS (UNHS) is the hearing tracking whereby all newborn babies should have access to hearing screening, preferably before (1) Hospital e Maternidade Celso Pierro da PUC-Campinas, SP, Brazil.(2) Speech Therapy Course at PUC-Campinas, SP, Brazil. (3) Speech Therapy Course at PUC-Campinas, SP, Brazil. (4) Hospital e Maternidade Celso Pierro da PUC-Campinas, SP, Brazil
In a conference carried out in 1993, the National Institute of Health recommended screening through Evoked Otoacoustic Emissions (EOAE), in all newborns due to being a very efficient, objective, non-invasive and low cost method, which makes the evaluation of a large number of children viable 5,6
Suggesting that the fail rate of UNHS before being dismissed from hospital should not surpass 4%; where as when it comes to the diagnosis, suggesting that 90% of the newborns sent for diagnosis be evaluated prior to completing three months and the identification of hearing loss of 35dB minimum in the best ear; after diagnosis, it was recommended that 95% of the children with
Summary
A program for detection of early deafness should begin with NHS (Neonatal Hearing Screening), followed necessarily by diagnosis and rehabilitation, contemplating the four necessary stages for the program to be effective: hearing tracking and/or screening; audiologic diagnosis; indication, selection and adaptation of hearing aids and hearing re(ha) bilitation[1].The Universal NHS (UNHS) is the hearing tracking whereby all newborn babies should have access to hearing screening, preferably before (1) Hospital e Maternidade Celso Pierro da PUC-Campinas, SP, Brazil.(2) Speech Therapy Course at PUC-Campinas, SP, Brazil. (3) Speech Therapy Course at PUC-Campinas, SP, Brazil. (4) Hospital e Maternidade Celso Pierro da PUC-Campinas, SP, Brazil. The Universal NHS (UNHS) is the hearing tracking whereby all newborn babies should have access to hearing screening, preferably before (1) Hospital e Maternidade Celso Pierro da PUC-Campinas, SP, Brazil. (4) Hospital e Maternidade Celso Pierro da PUC-Campinas, SP, Brazil. In a conference carried out in 1993, the National Institute of Health recommended screening through Evoked Otoacoustic Emissions (EOAE), in all newborns due to being a very efficient, objective, non-invasive and low cost method, which makes the evaluation of a large number of children viable 5,6. Suggesting that the fail rate of UNHS before being dismissed from hospital should not surpass 4%; where as when it comes to the diagnosis, suggesting that 90% of the newborns sent for diagnosis be evaluated prior to completing three months and the identification of hearing loss of 35dB minimum in the best ear; after diagnosis, it was recommended that 95% of the children with
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