Follow-up of children diagnosed with deafness in a neonatal hearing screening program in Manaus
DOI:
https://doi.org/10.11606/s1518-8787.2022056004207Keywords:
Disabled Children, Neonatal Screening, Deafness, diagnosis, Correction of Hearing Impairment, trends, Lost to Follow-Up, Rehabilitation Centers, Health Care Quality, Access, and Evaluation.Abstract
OBJECTIVE: To evaluate the follow-up of children diagnosed with deafness in neonatal hearing screening and risk factors for hearing loss. METHODS: Quantitative, cross-sectional, and retrospective study to evaluate factors associated with hearing loss and the follow-up of cases of children diagnosed with audiological dysfunction, by analyzing electronic medical records of 5,305 children referred to a Specialized Center in Type I Rehabilitation, from January/2016 to February/2020, in the city of Manaus, Amazonas. The statistical study used Pearson’s chi-square test and binary logistic regression in which odds ratio scans were obtained with reliability intervals of 95%. RESULTS: Of the 5,305 children referred for the otoacoustic emission retest, 366 (6.9%) failed the retest. Children diagnosed with sensorineural hearing loss continued in the study, totaling 265 (72.4%). Only 58 (21.9%) children continued in the study to its end, of these 39 had received hearing aids at that point; and 16 (41%) had surgical indication for cochlear implants, of which only 3 (18.7%) had undergone surgery. Among the risk factors for hearing loss, we found 2.6 times more chance of failure in the otoacoustic emissions retest in those children who had a family history of hearing loss and ICU stay. CONCLUSION: Although the screening flow reaches a large part of live births, the dropout rates during the process are high, therefore, the socioeconomic and geographic characteristics of regions such as the Amazon should be considered as relevant factors to the evasion of rehabilitation programs of these children. Hospitalization in the neonatal ICU and family history of hearing loss in the investigations could be identified as the main and most important factors for alteration of the otoacoustic emissions retests.
References
Schüffner ROA, Nascimento KL, Dias FA, Silva PHT, Pires WGB, Cipriano Junior NM, et al. Molecular study of hearing loss in Minas Gerais, Brazil. Braz J Otorhinolaryngol. 2020;86(3):327-31. https://doi.org/10.1016/j.bjorl.2018.12.005
Vernier LS, Schneider KL, Zanini C, Paniz T, Levandowski DC. Delivery route and the outcome of newborn hearing screening of full-term neonates born in a public maternal-infant hospital in the South of Brazil. Int Arch Otorhinolaryngol. 2021;25(3):e365-73. https://doi.org/10.1055/s-0040-1714146
Shirane M, Ganaha A, Nakashima T, Shimoara S, Yasunaga T, Ichihara S, et al. Comprehensive hearing care network for early identification and intervention in children with congenital and late-onset/acquired hearing loss: 8 years' experience in Miyazaki. Int J Pediatr Otorhinolaryngol. 2020;131:109881. https://doi.org/10.1016/j.ijporl.2020.109881
Ministério da Saúde (BR), Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. Diretrizes de atenção à triagem auditiva neonatal. Brasília, DF; 2012.
Marinho ACA, Pereira ECS, Torres KKC, Miranda AM, Ledesma ALL. Avaliação de um programa de triagem auditiva neonatal. Rev Saude Publica. 2020;54:44. https://doi.org/10.11606/s1518-8787.2020054001643
Seo G, Choi HG, Jang S, Choi S, Lee SR, Park SK. Analysis of the referral rates of newborn hearing screening test according to childbirth delivery methods in Neonatal Care Units. J Clin Med. 2021 Jun 29;10(13):2923. https://doi.org/10.3390/jcm10132923
Pimentel MCR, Figueiredo N, Lima MLLT. Construção e validação do Modelo Lógico do Programa de Triagem Auditiva Neonatal. Rev CEFAC. 2020;22(4):e14019. https://doi.org/10.1590/1982-0216/202022414019
Scarabello EM, Lamônica DAC, Morettin-Zupelari M, Tanamati LF, Campos PD, Alvarenga KF, et al. Language evaluation in children with pre-lingual hearing loss and cochlear implant. Braz J Otorhinolaryngol. 2020;86(1):91-8. https://doi.org/10.1016/j.bjorl.2018.10.006
Amaral MSA, Reis ACMB, Massuda ET, Hyppolito MA. Cochlear implant revision surgeries in children. Braz J Otorhinolaryngol. 2019;85(3):290-6. https://doi.org/10.1016/j.bjorl.2018.01.003
Gabriel MM, Geyer L, McHugh C, Thapa J, Glynn F, Walshe P, et al. Impact of Universal Newborn Hearing Screening on cochlear implanted children in Ireland. Int J Pediatr Otorhinolaryngol. 2020;133:109975. https://doi.org/10.1016/j.ijporl.2020.109975
Joint Committee on Infant Hearing (JCIH). Year 2019 Position Statement: principles and guidelines for early hearing detection and intervention programs. J Early Hear Detect Interv. 2019;4(2):1-44. https://doi.org/10.15142/fptk-b748
Aguilar Ticona JP, Nery N Jr, Ladines-Lim JB, Gambrah C, Sacramento G, Freitas BP, et al. Developmental outcomes in children exposed to Zika virus in utero from a Brazilian urban slum cohort study. PLoS Negl Trop Dis. 2021;15(2):e0009162. https://doi.org/10.1371/journal.pntd.0009162
Gordon-Lipkin E, Hoon A, Pardo CA. Prenatal cytomegalovirus, rubella, and Zika virus infections associated with developmental disabilities: past, present, and future. Dev Med Child Neurol. 2021;63(2):135-43. https://doi.org/10.1111/dmcn.14682
Pereira TG, Marano DR, Fonseca VM, Moreira MEL, Gama SGN. Fatores associados ao near miss neonatal no Brasil. Rev Saude Publica. 2020;54:123. https://doi.org/10.11606/s1518-8787.2020054002382
Mallmann MB, Tomasi YT, Boing AF. Neonatal screening tests in Brazil: prevalence rates and regional and socioeconomic inequalities. J Pediatr (Rio J). 2020;96(4):487-94. https://doi.org/10.1016/j.jped.2019.02.008
Pagnossim DF, Külkamp NM, Teixeira MC. A triagem auditiva neonatal no processo de diagnóstico e reabilitação auditiva. Disturb Comum. 2020;32(4):549-61. https://doi.org/10.23925/2176-2724.2020v32i4p549-561
Mendes K, Cassol K. Triagem auditiva neonatal universal: conhecimento de profissionais da saúde atuantes em hospital. Rev Thema Sci. 2020;10(1):379-85. https://doi.org/10.1016/j.bjorl.2014.07.006
Rodrigues GRI, Loiola-Barreiro CM, Pereira T, Pomilio MCA. Does newborn hearing screening anticipate the diagnosis and the intervention in children with hearing loss? Audiol Commun Res. 2015;20(3):246-54. https://doi.org/10.1590/S2317-64312015000200001453
Fernandes JC, Nozawa MR. Estudo da efetividade de um programa de triagem auditiva neonatal universal. Cien Saude Colet. 2010;15(2):353-61. https://doi.org/10.1590/S1413-81232010000200010
Lieu JEC, Kenna M, Anne S, Davidson L. Hearing loss in children: a review. JAMA. 2020;324(21):2195-2205. https://doi.org/10.1001/jama.2020.17647
Chung YS, Oh SH, Park SK. Results of a government-supported newborn hearing screening pilot project in the 17 cities and provinces from 2014 to 2018 in Korea. J Korean Med Sci. 2020; 35(31):e251. https://doi.org/10.3346/jkms.2020.35.e251
Ministério da Saúde (BR). Portaria Nº 2.073, de 28 de setembro de 2004. institui a Política Nacional de Atenção à Saúde Auditiva. Brasília, DF; 2004 [citado 5 fev 2020]. Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2004/prt2073_28_09_2004.html
Ministério da Saúde (BR). Portaria Nº 1.303, de 28 de junho de 2013. Estabelece os requisitos mínimos de ambientes para os componentes da Atenção Especializada da Rede de Cuidados à Pessoa com Deficiência no âmbito do Sistema Único de Saúde (SUS) e dá outras providências. Brasília, DF; 2013 [citado 5 fev 2020]. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt1303_28_06_2013.html
Ministério da Saúde (BR), DATASUS. Sistema de Informações Sobre Nascidos Vivos – SINASC: Amazonas. Brasília, DF; c2020 [citado 19 mar 2020]. Disponível em: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sinasc/cnv/nvam.def
Ayas M, Yaseen H. Emerging data from a newborn hearing screening program in Sharjah, United Arab Emirates. Int J Pediatr. 2021;27;2021:2616890. https://doi.org/10.1155/2021/2616890
Ciorba A, Hatzopoulos S, Corazzi V, Cogliandolo C, Aimoni C, Bianchini C, et al. Newborn hearing screening at the Neonatal Intensive Care Unit and Auditory Brainstem Maturation in preterm infants. Int J Pediatr Otorhinolaryngol. 2019;123:110-5. https://doi.org/10.1016/j.ijporl.2019.05.004
Griz SMS, Silva ARA, Barbosa CO, Menezes DC, Curado NRPV, Silveira AK, et al. Indicadores de risco para perda auditiva em neonatos e lactentes atendidos em um programa de triagem auditiva neonatal. Rev CEFAC. 2011;13(2). https://doi.org/10.1590/S1516-18462010005000071
Barboza ACS, Resende LM, Ferreira DBC, Lapertosa CZ, Carvalho SAS. Correlation between hearing loss and risk indicators in a neonatal hearing screening reference service. Audiol Commun Res. 2013;18(4):285-92.
Tiensoli LO, Goulart LMHF, Resende LM, Colosimo EA. Triagem auditiva em hospital público de Belo Horizonte, Minas Gerais, Brasil: deficiência auditiva e seus fatores de risco em neonatos e lactentes. Cad Saude Publica. 2007;3(6):1431-41. https://doi.org/10.1590/S0102-311X2007000600018
Rechia IC, Libiralesso KP, Angst OVM, Mahl FD, Garcia MV, Biaggio EPV. Unidade de Terapia Intensiva: resultados da Triagem Auditiva Neonatal. Braz J Otorhinolaryngol. 2016;82(1):76-81. https://doi.org/10.1016/j.bjorl.2015.06.004
Onoda RM, Azevedo MF, Santos AMN. Triagem auditiva neonatal: ocorrência de falhas, perdas auditivas e indicadores de riscos. Braz J Otorhinolaryngol. 2011;77(6):775-83. https://doi.org/10.1590/S1808-86942011000600015
Escobar-Ipuz FA, Soria-Bretones C, García-Jiménez MA, Cueto EM, Torres Aranda AM, Sotos JM. Early detection of neonatal hearing loss by otoacoustic emissions and auditory brainstem response over 10 years of experience. Int J Pediatr Otorhinolaryngol. 2019;127:109647. https://doi.org/10.1016/j.ijporl.2019.109647
Oliveira CS, Santiago DB, Valente JSP, Borja ALVF, Bernardi APA. Prevalência dos indicadores de risco para perda auditiva nos resultados 'falha' da triagem auditiva neonatal. Rev CEFAC. 2015;17(3):827-35. https://doi.org/10.1590/1982-021620154914
Samelli AG, Tomazelli GA, Almeida MHM, Oliver FC, Rondon-Melo S, Molini-Avejonas DR, Avaliação do cuidado ao bebê de risco: comparação de modelos de atenção primária à saúde. Rev Saude Publica. 2019;53:98. https://doi.org/10.11606/s1518-8787.2019053001063
Mello JM, Silva EC, Ribeiro VP, Moraes AMSM, Della-Rosa VA. Index to retest return in a newborn hearing screening program. Rev CEFAC. 2013;15(4):764-72. https://doi.org/10.1590/S1516-18462013000400004
Gouveia FN, Jacob-Corteletti LCB, Silva BCS, Araújo ES, Amantini RCB, Oliveira EB, et al. Unilateral and asymmetric hearing loss in childhood. Codas. 2020;32(1):e20180280. https;//doi.org/10.1590/2317-1782/20192018280
Berni PS, Almeida EOC, Amado BCT, Almeida Filho N. Triagem auditiva neonatal universal: índice de efetividade no reteste de neonatos de um hospital da rede pública de Campinas. Rev CEFAC. 2010;12(1):122-7. https://doi.org/10.1590/S1516-18462009005000034
Lanzetta PB, Frota S, Goldfeld M. Acompanhamento da adaptação de próteses auditivas em crianças surdas. Rev CEFAC. 2010;12(3). https://doi.org/10.1590/S1516-18462010005000014
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Copyright (c) 2022 João Bosco Lopes Botelho, Diego Monteiro de Carvalho, Giane Zupellari dos Santos-Melo, José Cardoso Neto, Samuel Machado do Nascimento, Wenberger Lanza Daniel de Figueiredo, Larissa Abreu Lacerda, Kristian Holanda Nogueira
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