检查早期听力诊断的障碍
Ursula M Findlen1,2, Holly Gerth1, Angie Zemba1
1Division of Clinical Therapies, Department of Audiology, Nationwide Children's Hospital, Columbus, OH.
American journal of audiology
|February 28, 2024
概括
中耳功能障碍显著延迟了先天性听力损失的婴儿的诊断. 其他因素,如保险,种族和位置并没有显著影响早期听力检测和干预 (EHDI) 的时间表.
科学领域:
- 儿科听力学 儿科听力学
- 公共卫生 公共卫生
- 新生儿护理 新生儿护理
背景情况:
- 早期听力检测和干预 (EHDI) 对婴儿发育至关重要.
- 健康的社会决定因素 (SDOH) 可以造成及时诊断和干预的障碍.
- 了解这些障碍是改善患有听力损失风险的婴儿结果的关键.
研究的目的:
- 评估患有先天性听力损失风险的婴儿的诊断时间.
- 确定影响诊断及时性的特定障碍.
- 为改善EHDI.DI的干预提供信息.
主要方法:
- 对1488名婴儿的回顾性图表审查,这些婴儿被推进行听力学测试 (2018-2021年).
- 分析了包括保险,种族/种族,中耳功能障碍,接近护理和流行病时间在内的因素.
- 对诊断时间与EHDI基准进行比较.
主要成果:
- 77%的婴儿在3个月前达到EHDI诊断的基准.
- 根据保险,种族/种族,邻近性或流行病时间,诊断时间没有显著差异.
- 在第一个听觉脑干反应 (ABR) 上存在中耳功能障碍,显著延长了诊断时间.
结论:
- 虽然一些EHDI障碍是普遍的,但局部因素可能会对诊断时间表产生不同的影响.
- 了解特定的当地挑战对于制定有针对性的干预措施至关重要.
- 解决当地需求可以改善及时诊断和康复的促进者.
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