关于遵守婴儿听力联合委员会新生儿查建议的COVID影响
Hengameh K Behzadpour1, Jennifer Chappetto2, Tracey Ambrose3
1Division of Otolaryngology, Children's National Hospital, Washington, DC, USA.
概括
失败新生儿听力检查 (NBHS) 的婴儿有较高的失败跟踪 (LTF) 率,男性性别和较低收入等因素增加了风险. 由于COVID-19大流行,LTF略有下降,但及时诊断仍然面临挑战.
科学领域:
- 听力学 听力学是指听力学.
- 公共卫生 公共卫生
- 儿科 儿科 儿科
背景情况:
- 新生儿听力查 (NBHS) 对于早期发现婴儿听力损失至关重要.
- 在NBHS失败后失去了随访 (LTF),延迟了诊断和干预,影响了发展结果.
- 由于COVID-19的流行,可能影响了对随访协议的遵守.
研究的目的:
- 评估华盛顿特区未通过NBHS的婴儿的LTF率.
- 为了比较COVID-19大流行之前和期间的LTF率.
- 确定与LTF相关的人口和临床因素.
主要方法:
- 一项队列研究分析了NBHS从2019年3月到2021年3月的数据,使用基于网络的报告.
- 用多变量和单变量回归分析来确定显著因素.
- 这项研究包括15661名婴儿,重点关注830名初始查失败的婴儿.
主要成果:
- 总体LTF率在COVID前为90.7%,在疫情期间为83%.
- 在未能通过初始查的婴儿中,46.7%的婴儿没有通过后续检查,88.1%的婴儿缺乏诊断性听觉脑干反应评估.
- 与LTF相关的因素包括男性性别,收入<$100K,以及居住在特定病房.
结论:
- 尽管NBHS得到了改进,但高LTF率仍然存在,这影响了及时的听力学护理.
- 人口因素显著影响婴儿完成随访的可能性.
- 调查结果将为减少LTF和改善听力损失早期干预的策略提供信息.
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