Universal neonatal hearing screening: 2019 results in Centro Hospitalar Universitário do Porto

Authors

  • Maria Jorge Casanova Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial do Centro Hospitalar Universitário do Porto, Portugal
  • Joana Raquel Costa Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial do Centro Hospitalar Universitário do Porto, Portugal
  • Liliana Sampaio Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial do Centro Hospitalar Universitário do Porto, Portugal
  • Miguel Bebiano Coutinho Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial do Centro Hospitalar Universitário do Porto, Portugal
  • António Magalhães Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial do Centro Hospitalar Universitário do Porto, Portugal
  • Cecília Almeida e Sousa Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial do Centro Hospitalar Universitário do Porto, Portugal

DOI:

https://doi.org/10.34631/sporl.829

Keywords:

universal neonatal hearing screening, UNHS, congenital deafness, newborn

Abstract

Objectives: We aimed to study the effectiveness of the UNHS in a tertiary hospital, and analyze the newborn population in regards to risk factors for deafness and UNHS results.

Study design: observational retrospective study of all children born in CMIN in 2019.

Material and methods: Clinical records and hearing examinations performed in the UNHS implemented in CHUP were collected. We analyzed demographic data, UNHS results, and risk factors for deafness.

Results: 3599 children were born in our center. UNHS had an effectiveness of 98%. The most commonly identified risk factors were: ototoxic drugs (54%), low birth weight (46%), and craniofacial anomalies (31%). Rate of false positives was 0,11%.

Conclusions: The screening program was considered effective, with a low rate of false positives. The main risk factors identified for deafness were ototoxic drugs, low birth weight, and craniofacial anomalies.

References

- Ohl C, Dornier L, Czajka C, Chobaut JC. et al. Newborn hearing screening on infants at risk. Int J Pediatr Otorhinolaryngol. 2009 Dec;73(12):1691-5. doi: 10.1016/j.ijporl.2009.08.027.

- GRISI. Recomendações para o Rastreio Auditivo Neonatal Universal. Acta Pediatr Port. 2007; 38(5):209-14.

- Escobar-Ipuz FA, Soria-Bretones C, García-Jiménez MA, Cueto EM et al. Early detection of neonatal hearing loss by otoacoustic emissions and auditory brainstem response over 10 years of experience. Int J Pediatr Otorhinolaryngol. 2019 Dec;127:109647. doi: 10.1016/j.ijporl.2019.109647.

- Wroblewska-Seniuk K, Dabrowski P, Greczka G, Szabatowska K et al. Sensorineural and conductive hearing loss in infants diagnosed in the program of universal newborn hearing screening. Int J Pediatr Otorhinolaryngol. 2018 Feb;105:181-186. doi: 10.1016/j.ijporl.2017.12.007.

- Wroblewska-Seniuk KE, Dabrowski P, Szyfter W, Mazela J. Universal newborn hearing screening – methods and results, obstacles and benefits. Pediatr Res. 2017 Mar;81(3):415-422. doi: 10.1038/pr.2016.250.

- Cianfrone F, Mammarella F, Ralli M, Evetovic V. et al. Universal newborn hearing screening using A-TEOAE and A-ABR: The experience of a large public hospital. J Neonatal Perinatal Med, 2018;11(1):87-92. doi: 10.3233/NPM-181744.

- Bielecki I, Horbulewicz A, Wolan T. Risk factors associated with hearing loss in infants: An analysis of 5282 referred neonates. Int J Pediatr Otorhinolaryngol. 2011 Jul;75(7):925-30. doi: 10.1016/j.ijporl.2011.04.007.

Published

2021-03-07

How to Cite

Casanova, M. J., Costa, J. R., Sampaio, L., Coutinho, M. B., Magalhães, A., & Almeida e Sousa, C. . (2021). Universal neonatal hearing screening: 2019 results in Centro Hospitalar Universitário do Porto. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 59(1), 13–17. https://doi.org/10.34631/sporl.829

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Section

Original Article