Universal newborn hearing screening: A question of evidence
Universal newborn hearing screening: A question of evidence
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DOI：
10.1080/14992020701703547
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发表时间：
2008-01-01
影响因子：
2.7
通讯作者：
Whittingham, J.
中科院分区：
文献类型：
--
作者：
Durieux-Smith, A.;Fitzpatrick, E.;Whittingham, J.
本文的目的是提供通过新生儿听力筛查 (NHS) 计划或医疗转诊发现的永久性先天性或早发性听力损失儿童的诊断年龄和助听器验配数据。数据收集了 1980 年至 2003 年间出生的 709 名儿童。接受筛查的儿童的诊断时间明显早于转诊儿童（平均 39.5 个月）（平均 6.3 个月）。对于被转诊的儿童，诊断和扩增的年龄随着时间的推移有所改善，但仍然高得令人无法接受。此外，听力损失程度与诊断年龄之间存在反比关系，听力损失程度较轻的儿童比重度至极重度听力损失的儿童更晚被诊断出来。这些结果证明 NHS 计划降低了诊断和放大的年龄，并导致更早改善听力。有人认为，尽早获得听证会应该是 NHS 期望的主要结果。大量研究表明，NHS 计划提高了诊断年龄，这构成了支持这些举措的充分证据。
The objective of this paper is to present data on the ages of diagnosis and hearing-aid fitting of children with permanent congenital or early-onset hearing loss who were identified through neonatal hearing screening (NHS) programs or medical referral. Data were collected for 709 children born between 1980 and 2003. Children who were screened were diagnosed significantly earlier (mean 6.3 months) than referred children (mean 39.5 months). For the referred children, the ages of diagnosis and amplification improved over time but remained unacceptably high. In addition, there was an inverse relationship between degree of loss and age of diagnosis, with children with lesser degrees of hearing loss identified later than those with severe to profound hearing loss. These results contribute to the evidence that NHS programs lower the ages of diagnosis and amplification and lead to earlier improved hearing. It is argued that early access to hearing should be the desired primary outcome of NHS. The numerous studies demonstrating improved ages of diagnosis resulting from NHS programs constitute adequate evidence to support these initiatives.