Considering the impact of Universal Newborn Hearing Screening and early intervention on language outcomes for children with congenital hearing loss.
Considering the impact of Universal Newborn Hearing Screening and early intervention on language outcomes for children with congenital hearing loss.
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DOI：
10.1080/21695717.2020.1846923
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Leigh G
中科院分区：
文献类型：
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作者：
Ching TYC;Leigh G
在本文中，我们利用证据来解决通过普遍新生儿听力筛查（UNHS）早期识别先天性听力损失的影响，以及相关的早期干预措施，包括人工耳蜗植入技术对听力损失儿童的影响。对听力障碍儿童纵向结局（LOCHI）研究的数据进行分析，以检查UNHS和早期干预对语言结局的影响。LOCHI的研究包括450多名耳聋和重听的澳大利亚儿童，他们的听力损失是通过新生儿听力筛查或后来的确认和干预途径确定的。72%的筛查组在6个月大之前接受了助听器验配，这是未筛查组32%的两倍多。平均而言，接受早期干预的儿童在5岁时达到了与他们通常发展的同龄人相称的语言。除了听力损失之外没有残疾并且在12个月之前接受第一次人工耳蜗植入的儿童的语言成绩在典型发育同龄人的范围内。新生儿听力筛查导致早期干预。接受早期干预的儿童比接受后期干预的儿童取得了更好的结果。
In this paper we draw on evidence to address the impact of earlier identification of congenital hearing loss through universal newborn hearing screening (UNHS) and the associated earlier access to interventions including cochlear implant technology on outcomes of children with hearing loss. Data from the Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study were analyzed to examine the impact of UNHS and earlier intervention on language outcomes. The LOCHI study includes more than 450 deaf and hard of hearing Australian children whose hearing losses were identified variously through newborn hearing screening or later paths to confirmation and intervention. Seventy-two percent of the screened group received hearing aid fitting before 6 months of age, which more than doubled the 32% in the non-screened group. On average, children who received earlier intervention achieved language at age 5 years commensurate with their typically developing peers. Children who do not have disabilities in addition to hearing loss and received their first cochlear implants before age 12 months achieved language scores within the range of typically developing peers. Newborn hearing screening led to earlier intervention. Children who received earlier intervention achieved better outcomes than those who received later intervention.