Does universal newborn hearing screening impact the timing of deafness treatment?
Objective: To evaluate the impact of the Universal Neonatal Hearing Screening (UNHS) on the age at diagnosis, beginning of treatment, and first cochlear implant surgery. Methods: A retrospective cohort study with children up to 12 years old with bilateral hearing loss were divided into two groups: p...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-03-01
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| Series: | Jornal de Pediatria |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0021755721000802 |
| _version_ | 1811192995296313344 |
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| author | Marina Faistauer Alice Lang Silva Daniela de Oliveira Ruiz Dominguez Renata Bohn Têmis Maria Félix Sady Selaimen da Costa Letícia Petersen Schmidt Rosito |
| author_facet | Marina Faistauer Alice Lang Silva Daniela de Oliveira Ruiz Dominguez Renata Bohn Têmis Maria Félix Sady Selaimen da Costa Letícia Petersen Schmidt Rosito |
| author_sort | Marina Faistauer |
| collection | DOAJ |
| description | Objective: To evaluate the impact of the Universal Neonatal Hearing Screening (UNHS) on the age at diagnosis, beginning of treatment, and first cochlear implant surgery. Methods: A retrospective cohort study with children up to 12 years old with bilateral hearing loss were divided into two groups: patients who underwent UNHS and the ones who didn't. The groups were compared according to their age at the beginning of the evaluation at a specialized center, at the beginning of the intervention, and, for the ones who had indication, at the cochlear implant surgery. The group who underwent UNHS was divided between the ones who passed the screening test and the ones who didn't. They were compared according to their ages at the same moments as the first two groups. Results: 135 patients were included. The median age at the first appointment in a specialized center was 1.42 (0.50 and 2.50) years, at the beginning of treatment 2.00 (1.00 and 3.52) years, and the cochlear implant surgery 2.83 (1.83 and 4.66) years. Children who underwent UNHS were younger than those who didn't, at the three evaluated moments (p < 0.001). In a subanalysis, children who passed the UNHS but were later diagnosed with hearing loss reached the first appointment with a specialist and started treatment older than those who failed the tests. Conclusion: Performing UNHS interfered with the timing of deafness diagnosis and treatment. However, children who passed the screening but were later diagnosed with hearing loss were the category with the most important delay. |
| first_indexed | 2024-04-11T23:59:58Z |
| format | Article |
| id | doaj.art-d2b78f2984ae4234bb606fec95925d81 |
| institution | Directory Open Access Journal |
| issn | 0021-7557 |
| language | English |
| last_indexed | 2024-04-11T23:59:58Z |
| publishDate | 2022-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Jornal de Pediatria |
| spelling | doaj.art-d2b78f2984ae4234bb606fec95925d812022-12-22T03:56:15ZengElsevierJornal de Pediatria0021-75572022-03-01982147154Does universal newborn hearing screening impact the timing of deafness treatment?Marina Faistauer0Alice Lang Silva1Daniela de Oliveira Ruiz Dominguez2Renata Bohn3Têmis Maria Félix4Sady Selaimen da Costa5Letícia Petersen Schmidt Rosito6Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Porto Alegre, RS, BrazilHospital de Clínicas de Porto Alegre, Serviço de Otorrinolaringologia, Porto Alegre, RS, Brazil; Corresponding author.Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul, Faculdade de Medicina, Porto Alegre, RS, BrazilHospital de Clínicas de Porto Alegre, Serviço de Genética Médica, Porto Alegre, RS, BrazilHospital de Clínicas de Porto Alegre, Serviço de Otorrinolaringologia, Porto Alegre, RS, BrazilHospital de Clínicas de Porto Alegre, Serviço de Otorrinolaringologia, Porto Alegre, RS, BrazilObjective: To evaluate the impact of the Universal Neonatal Hearing Screening (UNHS) on the age at diagnosis, beginning of treatment, and first cochlear implant surgery. Methods: A retrospective cohort study with children up to 12 years old with bilateral hearing loss were divided into two groups: patients who underwent UNHS and the ones who didn't. The groups were compared according to their age at the beginning of the evaluation at a specialized center, at the beginning of the intervention, and, for the ones who had indication, at the cochlear implant surgery. The group who underwent UNHS was divided between the ones who passed the screening test and the ones who didn't. They were compared according to their ages at the same moments as the first two groups. Results: 135 patients were included. The median age at the first appointment in a specialized center was 1.42 (0.50 and 2.50) years, at the beginning of treatment 2.00 (1.00 and 3.52) years, and the cochlear implant surgery 2.83 (1.83 and 4.66) years. Children who underwent UNHS were younger than those who didn't, at the three evaluated moments (p < 0.001). In a subanalysis, children who passed the UNHS but were later diagnosed with hearing loss reached the first appointment with a specialist and started treatment older than those who failed the tests. Conclusion: Performing UNHS interfered with the timing of deafness diagnosis and treatment. However, children who passed the screening but were later diagnosed with hearing loss were the category with the most important delay.http://www.sciencedirect.com/science/article/pii/S0021755721000802Neonatal hearing screeningHearing lossCochlear implant |
| spellingShingle | Marina Faistauer Alice Lang Silva Daniela de Oliveira Ruiz Dominguez Renata Bohn Têmis Maria Félix Sady Selaimen da Costa Letícia Petersen Schmidt Rosito Does universal newborn hearing screening impact the timing of deafness treatment? Jornal de Pediatria Neonatal hearing screening Hearing loss Cochlear implant |
| title | Does universal newborn hearing screening impact the timing of deafness treatment? |
| title_full | Does universal newborn hearing screening impact the timing of deafness treatment? |
| title_fullStr | Does universal newborn hearing screening impact the timing of deafness treatment? |
| title_full_unstemmed | Does universal newborn hearing screening impact the timing of deafness treatment? |
| title_short | Does universal newborn hearing screening impact the timing of deafness treatment? |
| title_sort | does universal newborn hearing screening impact the timing of deafness treatment |
| topic | Neonatal hearing screening Hearing loss Cochlear implant |
| url | http://www.sciencedirect.com/science/article/pii/S0021755721000802 |
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