Evaluation of newborn hearing screening program.
Ana Carolina Alves Marinho1, Edirlene Cordeiro de Souza Pereira1, Kleyse Kerlyne Costa Torres1
1Centro Universitário Planalto do Distrito Federal (UNIPLAN). Faculdade de Fonoaudiologia . Brasília , Distrito Federal (DF) , Brasil.
Revista De Saude Publica
|May 7, 2020
Summary
The Newborn Hearing Screening Program at Hospital Regional de Sobradinho met recommended referral rates for audiological diagnosis. Prematurity was the most common risk factor identified in newborns screened between 2016 and 2017.
Area of Science:
- Audiology
- Public Health
- Neonatal Care
Background:
- Effective newborn hearing screening is crucial for early detection and intervention of hearing loss.
- Established guidelines from the Joint Committee on Infant Hearing (JCIH) and Multiprofessional Committee on Auditory Health provide benchmarks for program evaluation.
- Understanding the prevalence of hearing loss risk factors in specific populations is essential for targeted interventions.
Purpose of the Study:
- To evaluate the Newborn Hearing Screening Program at Hospital Regional de Sobradinho (2016-2017).
- To assess program performance against JCIH and Multiprofessional Committee on Auditory Health parameters.
- To determine the prevalence of hearing loss risk factors and their impact on screening outcomes.
Main Methods:
- A quantitative, cross-sectional, retrospective study analyzing newborn screening registration books.
- Calculated "pass" and "fail" rates for initial and retest screenings.
- Described risk factors and their influence on screening results, using chi-square and Anderson-Darling statistical tests.
Main Results:
- 3,981 newborns were screened; 25.6% had risk factors, with prematurity being the most frequent (51.6%).
- Initial screening failure rate was 4.2% (166 newborns).
- Retest attendance was 71.1% (118 newborns), with a 0.3% referral rate for audiological diagnosis.
Conclusions:
- The program achieved recommended referral rates for audiological diagnosis, aligning with JCIH and Multiprofessional Committee on Auditory Health standards.
- Prematurity was identified as the predominant risk factor for hearing loss in the studied newborn population.
- The screening program demonstrates effective adherence to established benchmarks for early hearing loss detection.
