The assessment of the Newborn Hearing Screening Program in the Region of Murcia from 2004 to 2012

作者: Jose Domingo Cubillana-Herrero , Juan Pablo Pelegrín-Hernández , Alejandro Soler-Valcarcel , Nieves Mínguez-Merlos , María José Cubillana-Martínez

DOI: 10.1016/J.IJPORL.2016.07.009

关键词:

摘要: Abstract Objectives Newborn (NB) auditory deficit has a prevalence of 1–2% in the world. Since 1990s different screening programs have been put into practice. The Hearing Screening Program operation since 2002 our hospital (HCUVA) Murcia (Spain) and two years later it was introduced whole Autonomous Community Region as part universal healthcare. objective this study to analyze assess its results. Method newborn population is divided groups: not-at-risk NBs at-risk NBs. In first case we carry out acoustic otoemissions (AOEs) 48 h after birth depending on result child either discharged or, negative cases, infant undergoes series tests period 30–45 days confirm or rule existence hearing anomalies. group combine AOEs with brain trunk potentials (BERA) following stages decision tree diagram similar ones for children order provide clinical diagnosis three months life. Results performance assessed 156,122 studied, which 151,258 belonged children; 4864 at risk hypoacusia. As only 410 (0.26%) were sent consultation, 213 (0.14%) 197 (24.7%) group. A total 7452 false positives identified (4.7%), 6951 (4.5%) group; 501 (10.3%) factors; there 53 negatives (0.03%). Sensitivity program 88.5%, specificity 95%. Conclusions that high level sensitivity accordance findings literature. Our results endorse patients treated way met providing correct appropriate therapeutic action.

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