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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.
Unlabelled:
Children with language or learning impairment and normal hearing need phoniatric assessment to analyse various communication and development aspects targeting the differential diagnosis and therapeutic indications.
Objective:
Characterize clinical and epidemiological features of a pediatric population treated in a phoniatric outpatient clinic.
Method:
A cross-sectional historical cohort study (retrospective study) was performed involving 68 patients undergoing phoniatric consultation. Outcome measures were age, gender, source of referral for phoniatric consultation, phoniatric diagnosis, mean age at diagnosis, neonatal risks, family history of communication disorders and referrals.
Results:
70.58% were male and 29.42% female, mean age 6.85 ± 2.49 years. 63.23% from external services and 45.59% had no hearing diagnosis. 14 different diagnoses were performed: 50% had Cerebral Palsy, Specific Language Impairment and Pervasive Developmental Disorder. The difference between the average ages was statistically significant (F = 4.369 p = 0.00). 50% had a family history of communication disorders and 51.47% history of neonatal risk. 51.47% were referred for neurological consultation and 79.41% for therapies.
Conclusion:
The population seen was predominantly male, with more complex language development deviations probably due to multiple etiologies. Many of them had no hearing diagnosis.
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