Feasibility and effectiveness of a population-based newborn hearing screening in an economically deprived region of Italy.
Int J Pediatr Otorhinolaryngol
; 77(3): 329-33, 2013 Mar.
Article
en En
| MEDLINE
| ID: mdl-23357779
ABSTRACT
AIM:
To describe the effectiveness of a population-based newborn hearing screening program in an economically deprived region of southern Italy.METHODS:
A screening protocol was proposed for all newborns of the Campania region, starting on January, 2007. For infants identified with hearing loss, information on degree and type of hearing loss and presence of risk factors was collected.RESULTS:
The infants born in the 3-year study period were 182,188. Among them, 146,026 (80%) were tested with OAE. Sensorineural hearing loss ≥40dBnHL was established for 159 infants (1.1×1000). Among the NICU and WIN infants, the rate of hearing loss was respectively 9×1000 and 0.67×1000. Follow-up information was available for 111 children (70%), as 48 (30%) got care in other regions or health facilities. Most infants were fitted hearing aids by 1 month after diagnosis and 15 children (13.5%) received a cochlear implant at a mean age of 25 months (SD 10).CONCLUSIONS:
Even in a setting of population poverty, a universal newborn screening program can deliver satisfactory outcomes. The coverage and the tracking system of the program need to be improved, as well as the cooperation between public and private health services.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Tamizaje Neonatal
/
Pérdida Auditiva
/
Pruebas Auditivas
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Health_economic_evaluation
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Female
/
Humans
/
Male
/
Newborn
País/Región como asunto:
Europa
Idioma:
En
Revista:
Int J Pediatr Otorhinolaryngol
Año:
2013
Tipo del documento:
Article
País de afiliación:
Italia