Five years of universal newborn hearing screening: an incidence study
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v32.i3.28944Keywords:
consanguinity, hearing loss, neonatal screening, sensorineural hearing lossAbstract
Introduction: Universal newborn hearing screening (UNHS) is an essential tool for early diagnosis and prognosis of hearing loss. The aims of this study were to estimate the incidence of sensorineural hearing loss (SNHL) in the Baixo Vouga region, to evaluate the importance of first-degree parental consanguinity (FDPC) as a risk factor for hearing loss in the UNHS program of Centro Hospitalar do Baixo Vouga (CHBV), and to determine the quality of hearing screening program and the main difficulties experienced in its implementation.
Methods: Retrospective incidence study of all newborns born in a level II hospital between 2014 and 2018. According to the presence or absence of risk factors (RF) for early childhood hearing loss, each newborn was included in one of two groups: with RF and without RF. FDPC was included in addition to the recommended RF. All newborns underwent hearing screening. Those with abnormal screening or with RF also performed diagnostic audiologic evaluation.
Results: Eight thousand seven hundred and twenty-seven newborns were evaluated, of whom 90.88% had no RF. The incidence rate of SNHL was 2.4/1000 infants without RF and 27.6/1000 infants with RF. Screening had an effectiveness of 99.86%, a false positive rate of 0.34%, and a referral rate to an otolaryngologist of 1.24%. FDPC was the third most common RF and the first in infants with SNHL. The missed diagnostic evaluation rate was 44.56%.
Discussion: The reported incidence of SNHL is similar to that reported in the literature. The CHBV UNHS program meets national guidelines for quality screening. FDPC is an important RF in this population. The rate of missed diagnostic evaluations was identified as a priority area for improvement.
Downloads
References
Amaral JMV. Tratado de Clínica Pediátrica. Abbott Lda; 2008.
Flint PW, Francis HW, Haughey BH, Lesperance MM, Lund VJ, Robbins HT et al. Cummings Otolaryngology Head and Neck Surgery. 7th ed. Elsevier Inc; 2010.
Behrman RE, Jenson HB, Kliegman R. Nelson. Tratado de Pediatria. 19th ed. Elsevier; 2013.
The Joint Committee on Infant Hearing. Year 2019 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. J Early Hear Detect Interv 2019; 4(2):1–44.
Grupo de Rastreio e Intervenção da Surdez Infantil. Recomendações para o Rastreio Auditivo Neonatal Universal (RANU). Acta Pediatr Port 2007; 38:209-14.
Lesperance MM, Flint PW. Cummings. Pediatric Otolaryngology. Elsevier Inc; 2015.
Lopes AC, Neves A, Bicho MA, Vilar J, Azevedo ML. Protocolo e plataforma online do Rastreio Auditivo Neonatal Universal do Centro Hospitalar Baixo Vouga, EPE. Port J ORL 2017; 54(2):99-103.
Oliveira C, Machado M, Zenha R, Azevedo L, Monteiro M, Bicho A. Surdez Congénita ou Precocemente Adquirida: Do Rastreio ao Seguimento, um Retrato de Portugal. Acta Med Port 2019; 32(12):767–75.
Gabriel T, Carvalho G, Fontes N, Ramos MJ, Peres M, Moura I, et al. Rastreio Auditivo Neonatal em 17 732 Recém-Nascidos. Acta Pediatr Port 2017; 48:14-8.
Silva AG, Marques I, Machado D, Monteiro D, Pestana A, Grifo MC. Rastreio Auditivo Neonatal Universal num Centro Hospitalar de nível II: estudo retrospetivo de três anos. Acta Pediatr Port 2014; 45:279-85.
Caselhos S, Teles RV, Mexedo A, Fernandes F. Rastreio Auditivo Neonatal Universal. Cinco anos de experiência. Port J ORL 2012; 50(2):137-40.
Mendes M, Magano O, Candeias P. Estudo Nacional sobre as Comunidades Ciganas. Alto Comissariado para as Migrações (ACM, IP).
Centers for Disease Control and Prevention. 2018 Annual Data Early Hearing Detection and Intervention (EHDI) Program [retrieved November 2021]. Available at: https://www.cdc.gov/ncbddd/hearingloss/ehdi-data2018.html.
Bajaj Y, Sirimanna T, Albert DM, Qadir P, Jenkins L, Cortina-Borja M, Bitner-Glindzicz M. Causes of deafness in British Bangladeshi children: a prevalence twice that of the UK population cannot be accounted for by consanguinity alone. Clin Otolaryngol 2009; 34:113–9.
Leal B, et al. Parental consanguinity and risk for childhood hearing loss: A retrospective cohort study. Acta Med Port (AOP)
Vos B, Senterre C, Lagasse R, SrdiScrren Group, Levêque A. Newborn hearing screening programme in Belgium: a consensus recommendation on risk factors. BMC Pediatrics 2015; 15:160.
Holte L, Walker E, Oleson J, Spratford M, Moeller MP, Roush P, et al. Factors Influencing Follow-up to Newborn Hearing Screening for Infants who are Hard-of-Hearing. Am J Audiol 2012; 21(2):163–74.
Dudda R, Muniyappa HP, Puttaraju S, Lakshmi MS. A Qualitative Study on Knowledge and Attitude towards Risk Factors, Early Identification and Intervention of Infant Hearing Loss among Puerperal Mothers - A Short Survey. J Clin Diagn Res 2017; 11(7):MC01-MC05.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Bárbara Leal, Ana Cristina Lopes, Daniela Peixoto, Laura Correia, Maria Miguel Almiro, João Vilar, Luísa Azevedo, Maria Adelaide Bicho
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright and access
This journal offers immediate free access to its content, following the principle that providing free scientific knowledge to the public provides greater global democratization of knowledge.
The works are licensed under a Creative Commons Attribution Non-commercial 4.0 International license.
Nascer e Crescer – Birth and Growth Medical Journal do not charge any submission or processing fee to the articles submitted.
