在资源有限的环境中实施和评估新生儿听力查数据库:优势和局限性
Krittipong Parangrit1,2, Jutatip Sillabutra3, Suwicha Kaewsiri Isaradisaikul4
1School of Health Sciences Research, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai 50200, Thailand.
Children (Basel, Switzerland)
|January 28, 2026
概括
一个新的新生儿听力查 (NHS) 数据库改善了泰国先天性听力损失的早期检测率. 虽然提高了查覆盖率和诊断的及时性,但随访和早期干预方面的挑战仍然存在.
科学领域:
- 公共卫生 公共卫生
- 听力学 听力学是指听力学.
- 医疗信息学 医疗信息学
背景情况:
- 先天性听力损失影响每1000名新生儿中有1-3名,需要早期检测以防止发育迟缓.
- 泰国的普遍查计划面临着由于数据系统碎片化的挑战.
- 在清原普拉查努克罗医院实施了一个专门的新生儿听力查 (NHS) 数据库,以改善资源有限的环境中的数据管理.
研究的目的:
- 评估整合NHS数据库对关键查指标的影响.
- 在现实世界中评估数据库的优势和局限性,资源有限的背景下.
- 确定新生儿听力查计划需要改进的领域.
主要方法:
- 一项回顾性研究比较了24个月的结果,即数据库实施前后.
- 分析的关键指标包括查覆盖率,转诊率和诊断听力脑干反应 (ABR) 完成.
- 数据分析涉及千平方和费舍尔精确测试,并补充了定性观察.
主要成果:
- 一个月前查覆盖率显著增加,从83.47%增加到96.64% (p < 0.001).
- 转诊率从18.44%降至6.47% (p < 0.001),诊断ABR在三个月内完成率从7.41%提高到52.63% (p < 0.001).
- 工作流协调有所改善,但数据不完整性和跟进障碍仍然存在.
结论:
- 整合NHS数据库和协议变化提高了查覆盖率,推准确性和诊断及时性.
- 持续存在的障碍包括不完整的数据,有限的互操作性,护理人员问题和低水平的助听器采用.
- 未来的改进需要加强互操作性,家庭参与,数字基础设施,远程听力学和决策支持工具.
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