Pediatric phoniatry outpatient ward: clinical and epidemiological characteristics

Mariana Lopes Fávero1, Teresa Cristina Mendes Higino, Anna Paula Batista Pires

  • 1Training programs in Phoniatry and Hearing Electrophysiology - DERDIC/PUCSP, Brazil. lopessquare@ig.com.br

Insights

Pediatric phoniatric consultations revealed predominantly male patients with complex language and developmental issues, often lacking hearing diagnoses. Many had a family history of communication disorders and neonatal risks, requiring further neurological assessment and therapy.

Area of Science:

  • Pediatric Phoniatrics
  • Developmental Pediatrics
  • Speech-Language Pathology

Background:

  • Children with language or learning impairments require specialized phoniatric assessment.
  • Phoniatric evaluations are crucial for differential diagnosis and guiding therapeutic interventions.
  • Understanding the characteristics of pediatric patients in phoniatric clinics is essential for optimizing care.

Purpose of the Study:

  • To characterize the clinical and epidemiological features of pediatric patients attending a phoniatric outpatient clinic.
  • To identify common diagnoses and referral patterns within this population.
  • To investigate the prevalence of risk factors such as neonatal complications and family history.

Main Methods:

  • A retrospective cross-sectional cohort study was conducted.
  • Data from 68 pediatric patients undergoing phoniatric consultation were analyzed.
  • Key outcome measures included age, gender, referral source, diagnosis, age at diagnosis, neonatal risks, family history, and subsequent referrals.

Main Results:

  • The study population was predominantly male (70.58%) with a mean age of 6.85 years.
  • A significant proportion (45.59%) lacked a prior hearing diagnosis.
  • Common diagnoses included Cerebral Palsy, Specific Language Impairment, and Pervasive Developmental Disorder (50%).
  • Family history of communication disorders (50%) and neonatal risks (51.47%) were prevalent.
  • Most patients were referred for neurological consultation (51.47%) and therapies (79.41%).

Conclusions:

  • The pediatric phoniatric population is characterized by a male predominance and complex language/developmental deviations, often multifactorial.
  • A notable percentage of these children lack adequate hearing assessment.
  • Early identification and comprehensive management, including neurological evaluation and therapy, are critical for this population.
Abstract

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