Estudo retrospectivo de um programa de triagem auditiva em neonatos e lactentes na cidade de Salvador
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_SP |
Texto Completo: | https://tede2.pucsp.br/handle/handle/12133 |
Resumo: | Introduction: The Newborn Hearing Screening Program have been responsible for anticipating the sensorineural and conductive hearing loss diagnoses for the last few years. This study refers to the experience of a hearing screening starting before the hospital discharge in the Neonatal Intensive Care Unit (NICU) and also to the orientation to the Well-baby Nursery screening after the discharge. Aims: Describe a Newborn Hearing Screening Program in a maternity hospital of the privative network in Salvador, from 2000 to 2006, considering the historical context, the process of implementation, the changes through the years, as well as the hearing findings and the relation with the quality criteria proposed by the Joint Committee on Infant Hearing 2000.Method and Material: This is a retrospective, cross-sectional study. 4997 newborns and infants were screened through the use of Echocheck, the otoacoustic emissions equipment and through the observation of the cochlear-palpebral reflex. The results were divided in four groups: AI = NICU and screening in the pre-discharge; AII = NICU and screening in the post-discharge; BI = Well-baby Nursery and screening in the pre-discharge; BII = Well-baby Nursery and screening in the post-discharge. Results: A description of the evolution and implementation process of the hearing screening from 2000 to 2006 was done; in relation to the audiological findings, the hearing screening results described were the ones from 2001 to 2006. There was an assessment of 38,9% of the newborns and infants in 2001, and 79,5% in 2006. According to the pre-discharge service analyses, the group AI/BI had from 8,1% to 11,2% of fails; in the post-discharge service analyses, the group AII/BII maintained the fail index in 2,6%. As final results of the AI/BI group, from the total of 1739 screenings, there were 21 confirmed cases of hearing alterations, being 20 conductive(6,1:1000) and 4 sensorineural (1,2:1000). Conclusion: The data indicates that the service before the discharge to the NICU and a gradual extension to the Well-baby Nursery is workable, ever since the protocol is continuously adjustable. Although the AI/BI group was the third part of the sample it represented a higher prevalence of hearing alterations. These show the importance of the hearing screening before the hospital discharge, so a higher number of congenital hearing problems can be assessed |
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Lewis, Doris Ruthyhttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4732398D6Pereira, Maria Cecília Castello Silva2016-04-27T18:12:25Z2007-12-052007-10-09Pereira, Maria Cecília Castello Silva. Retrospective study of a newborn hearing screening program in newborns and infants in Salvador. 2007. 103 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2007.https://tede2.pucsp.br/handle/handle/12133Introduction: The Newborn Hearing Screening Program have been responsible for anticipating the sensorineural and conductive hearing loss diagnoses for the last few years. This study refers to the experience of a hearing screening starting before the hospital discharge in the Neonatal Intensive Care Unit (NICU) and also to the orientation to the Well-baby Nursery screening after the discharge. Aims: Describe a Newborn Hearing Screening Program in a maternity hospital of the privative network in Salvador, from 2000 to 2006, considering the historical context, the process of implementation, the changes through the years, as well as the hearing findings and the relation with the quality criteria proposed by the Joint Committee on Infant Hearing 2000.Method and Material: This is a retrospective, cross-sectional study. 4997 newborns and infants were screened through the use of Echocheck, the otoacoustic emissions equipment and through the observation of the cochlear-palpebral reflex. The results were divided in four groups: AI = NICU and screening in the pre-discharge; AII = NICU and screening in the post-discharge; BI = Well-baby Nursery and screening in the pre-discharge; BII = Well-baby Nursery and screening in the post-discharge. Results: A description of the evolution and implementation process of the hearing screening from 2000 to 2006 was done; in relation to the audiological findings, the hearing screening results described were the ones from 2001 to 2006. There was an assessment of 38,9% of the newborns and infants in 2001, and 79,5% in 2006. According to the pre-discharge service analyses, the group AI/BI had from 8,1% to 11,2% of fails; in the post-discharge service analyses, the group AII/BII maintained the fail index in 2,6%. As final results of the AI/BI group, from the total of 1739 screenings, there were 21 confirmed cases of hearing alterations, being 20 conductive(6,1:1000) and 4 sensorineural (1,2:1000). Conclusion: The data indicates that the service before the discharge to the NICU and a gradual extension to the Well-baby Nursery is workable, ever since the protocol is continuously adjustable. Although the AI/BI group was the third part of the sample it represented a higher prevalence of hearing alterations. These show the importance of the hearing screening before the hospital discharge, so a higher number of congenital hearing problems can be assessedIntrodução: Nos últimos anos, os programas de Triagem Auditiva Neonatal (TAN) têm sido responsáveis por antecipar o diagnóstico das deficiências auditivas sensorioneurais e condutivas, quando ambas estão presentes ao nascimento. O presente estudo relata uma experiência de triagem auditiva iniciada antes da alta hospitalar na UTI Neonatal e de orientação para triagem no Berçário Comum após a alta. Com o passar dos anos, o programa estendeu-se para atendimento também no Berçário Comum. Objetivos: Descrever um programa de Triagem Auditiva Neonatal em uma maternidade da rede privada de Salvador, no período de 2000 a 2006, no que se refere ao seu contexto histórico, ao processo de implantação e às modificações ocorridas ao longo dos anos; também são discutidos os achados audiológicos e a relação com os critérios de qualidade propostos pelo Joint Committee on Infant Hearing, de 2000. Material e método: trata-se de um estudo retrospectivo, de caráter transversal. Foram triados 4997 neonatos e lactentes com emissões otoacústicas, equipamento Echocheck, e observação do reflexo cócleo-palpebral. Os sujeitos foram divididos em quatro grupos: AI= UTI Neonatal e triagem na pré-alta; AII= UTI Neonatal e triagem na pós-alta; BI= Berçário Comum e triagem na pré-alta; BII= Berçário Comum e triagem na pós-alta. Resultados: Foi descrito o processo de evolução e implantação da triagem auditiva no período de 2000 a 2006. Quanto aos achados audiológicos, foram descritos os resultados da triagem auditiva de 2001 a 2006. Houve cobertura em 38,9% dos neonatos e lactentes em 2001, chegando a 79,5% em 2006. Na análise dos atendimentos na pré-alta, o grupo AI/BI apresentou índices de falha de 8,1% a 11,2%; na análise de atendimentos na pós-alta, no grupo AII/BII, os índices de falha mantiveram-se em 2,6%. Como resultados finais, no grupo AI/BI, do total de 1739 triagens, houve 21 casos confirmados de alterações auditivas, sendo 17 condutivas (9,8:1.000) e quatro sensorioneurais (2,3 :1000). No grupo AII/BII, do total de 3256 triagens, houve 24 casos confirmados de alterações auditivas, sendo 20 condutivas (6,1:1000) e quatro sensorioneurais (1,2 :1000). Conclusão: os dados indicaram que o atendimento antes da alta para UTI Neonatal e sua extensão gradual para o Berçário Comum são viáveis, desde que o protocolo seja continuamente ajustado. Embora representasse a terça parte da amostra, o grupo AI/BI apresentou uma prevalência maior de alterações auditivas, evidenciando a importância da TAN antes da alta hospitalar para o diagnóstico precoce de alterações auditivas congênitasapplication/pdfhttp://tede2.pucsp.br/tede/retrieve/25031/Maria%20Cecilia%20Castello%20Silva%20Pereira.pdf.jpgporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em FonoaudiologiaPUC-SPBRFonoaudiologiaTriagem auditiva neonatalDisturbios de audicao nos lactentesSurdez -- PrevencaoDeafness - PreventionNewborn hearing screeningCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIAEstudo retrospectivo de um programa de triagem auditiva em neonatos e lactentes na cidade de SalvadorRetrospective study of a newborn hearing screening program in newborns and infants in Salvadorinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_SPinstname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPTEXTMaria Cecilia Castello Silva Pereira.pdf.txtMaria Cecilia Castello Silva Pereira.pdf.txtExtracted texttext/plain138524https://repositorio.pucsp.br/xmlui/bitstream/handle/12133/3/Maria%20Cecilia%20Castello%20Silva%20Pereira.pdf.txta78c3f4f47222a274ca5721ef92d6053MD53ORIGINALMaria Cecilia Castello Silva Pereira.pdfapplication/pdf1279959https://repositorio.pucsp.br/xmlui/bitstream/handle/12133/1/Maria%20Cecilia%20Castello%20Silva%20Pereira.pdfa564e8fdd94e7d865a3f94b246d6aff0MD51THUMBNAILMaria Cecilia Castello Silva Pereira.pdf.jpgMaria Cecilia Castello Silva Pereira.pdf.jpgGenerated Thumbnailimage/jpeg4054https://repositorio.pucsp.br/xmlui/bitstream/handle/12133/2/Maria%20Cecilia%20Castello%20Silva%20Pereira.pdf.jpg0895aa6c6406893a425385e518ff9a6eMD52handle/121332022-04-27 18:27:43.621oai:repositorio.pucsp.br:handle/12133Biblioteca Digital de Teses e Dissertaçõeshttps://sapientia.pucsp.br/https://sapientia.pucsp.br/oai/requestbngkatende@pucsp.br||rapassi@pucsp.bropendoar:2022-04-27T21:27:43Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP)false |
dc.title.por.fl_str_mv |
Estudo retrospectivo de um programa de triagem auditiva em neonatos e lactentes na cidade de Salvador |
dc.title.alternative.eng.fl_str_mv |
Retrospective study of a newborn hearing screening program in newborns and infants in Salvador |
title |
Estudo retrospectivo de um programa de triagem auditiva em neonatos e lactentes na cidade de Salvador |
spellingShingle |
Estudo retrospectivo de um programa de triagem auditiva em neonatos e lactentes na cidade de Salvador Pereira, Maria Cecília Castello Silva Triagem auditiva neonatal Disturbios de audicao nos lactentes Surdez -- Prevencao Deafness - Prevention Newborn hearing screening CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
title_short |
Estudo retrospectivo de um programa de triagem auditiva em neonatos e lactentes na cidade de Salvador |
title_full |
Estudo retrospectivo de um programa de triagem auditiva em neonatos e lactentes na cidade de Salvador |
title_fullStr |
Estudo retrospectivo de um programa de triagem auditiva em neonatos e lactentes na cidade de Salvador |
title_full_unstemmed |
Estudo retrospectivo de um programa de triagem auditiva em neonatos e lactentes na cidade de Salvador |
title_sort |
Estudo retrospectivo de um programa de triagem auditiva em neonatos e lactentes na cidade de Salvador |
author |
Pereira, Maria Cecília Castello Silva |
author_facet |
Pereira, Maria Cecília Castello Silva |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Lewis, Doris Ruthy |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4732398D6 |
dc.contributor.author.fl_str_mv |
Pereira, Maria Cecília Castello Silva |
contributor_str_mv |
Lewis, Doris Ruthy |
dc.subject.por.fl_str_mv |
Triagem auditiva neonatal Disturbios de audicao nos lactentes Surdez -- Prevencao |
topic |
Triagem auditiva neonatal Disturbios de audicao nos lactentes Surdez -- Prevencao Deafness - Prevention Newborn hearing screening CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
dc.subject.eng.fl_str_mv |
Deafness - Prevention Newborn hearing screening |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
description |
Introduction: The Newborn Hearing Screening Program have been responsible for anticipating the sensorineural and conductive hearing loss diagnoses for the last few years. This study refers to the experience of a hearing screening starting before the hospital discharge in the Neonatal Intensive Care Unit (NICU) and also to the orientation to the Well-baby Nursery screening after the discharge. Aims: Describe a Newborn Hearing Screening Program in a maternity hospital of the privative network in Salvador, from 2000 to 2006, considering the historical context, the process of implementation, the changes through the years, as well as the hearing findings and the relation with the quality criteria proposed by the Joint Committee on Infant Hearing 2000.Method and Material: This is a retrospective, cross-sectional study. 4997 newborns and infants were screened through the use of Echocheck, the otoacoustic emissions equipment and through the observation of the cochlear-palpebral reflex. The results were divided in four groups: AI = NICU and screening in the pre-discharge; AII = NICU and screening in the post-discharge; BI = Well-baby Nursery and screening in the pre-discharge; BII = Well-baby Nursery and screening in the post-discharge. Results: A description of the evolution and implementation process of the hearing screening from 2000 to 2006 was done; in relation to the audiological findings, the hearing screening results described were the ones from 2001 to 2006. There was an assessment of 38,9% of the newborns and infants in 2001, and 79,5% in 2006. According to the pre-discharge service analyses, the group AI/BI had from 8,1% to 11,2% of fails; in the post-discharge service analyses, the group AII/BII maintained the fail index in 2,6%. As final results of the AI/BI group, from the total of 1739 screenings, there were 21 confirmed cases of hearing alterations, being 20 conductive(6,1:1000) and 4 sensorineural (1,2:1000). Conclusion: The data indicates that the service before the discharge to the NICU and a gradual extension to the Well-baby Nursery is workable, ever since the protocol is continuously adjustable. Although the AI/BI group was the third part of the sample it represented a higher prevalence of hearing alterations. These show the importance of the hearing screening before the hospital discharge, so a higher number of congenital hearing problems can be assessed |
publishDate |
2007 |
dc.date.available.fl_str_mv |
2007-12-05 |
dc.date.issued.fl_str_mv |
2007-10-09 |
dc.date.accessioned.fl_str_mv |
2016-04-27T18:12:25Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Pereira, Maria Cecília Castello Silva. Retrospective study of a newborn hearing screening program in newborns and infants in Salvador. 2007. 103 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2007. |
dc.identifier.uri.fl_str_mv |
https://tede2.pucsp.br/handle/handle/12133 |
identifier_str_mv |
Pereira, Maria Cecília Castello Silva. Retrospective study of a newborn hearing screening program in newborns and infants in Salvador. 2007. 103 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2007. |
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https://tede2.pucsp.br/handle/handle/12133 |
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Pontifícia Universidade Católica de São Paulo |
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Programa de Estudos Pós-Graduados em Fonoaudiologia |
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PUC-SP |
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BR |
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Fonoaudiologia |
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Pontifícia Universidade Católica de São Paulo |
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