儿科气管切除术听力测量结果 - 一个质量改进倡议
Ajay M Narayanan1, Helene Dabbous1, Rachel St John2
1Department of Otolaryngology - Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
International journal of pediatric otorhinolaryngology
|August 25, 2023
概括
儿科气管切除术患者经常经历听力损失. 质量改善举措提高了这些儿童在12个月内听力测试率,有助于早期识别和干预听力障碍.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 听力学 听力学是指听力学.
- 提高质量 提高科学 提高质量
背景情况:
- 带有气管切除术的儿童有很高的听力损失患病率.
- 这些患者的医疗复杂性往往会推迟听力损失的识别.
- 对于儿科气管切除术患者的听力监测缺乏既定的协议.
研究的目的:
- 实施和评估质量改进倡议.
- 在小儿科患者中,在气管切除术放置12个月内增加听力测试的速度.
- 改善在这个脆弱人群中早期发现听力损失.
主要方法:
- 对经过气管切除术的18个月以下儿童进行了回顾性队列研究 (2012-2020).
- 在2015年实施质量改进项目的前后,对声度评估率的分析.
- 对听力损失特征和评估时间的审查.
主要成果:
- 在12个月内听力测试率从32% (QI前) 增加到55% (QI后,2018-2020) (P=.01).
- 在44%的测试儿童中发现了听力损失,包括那些正常的新生儿听力屏幕.
- 在最初通过听力测试的23%儿童中观察到延迟发病的听力损失.
结论:
- 质量改善举措可以显著提高儿科气管切除术患者的听力测量评估率.
- 持续的听力监测对于这个人群至关重要,因为听力损失的高率,包括延迟发病.
- 实施听力测量协议可以减轻与听力障碍相关的言语和语言发育延迟.
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