Analysis of children's referrals to a specialized hearing rehabilitation center

Authors

DOI:

https://doi.org/10.33448/rsd-v11i12.34394

Keywords:

Audiological diagnosis; Newborn hearing screening; Child development.

Abstract

Introduction: Newborn hearing screening allows children with risk factors or who failed the test to be referred for an early audiological diagnosis. However, the literature indicates that there is a significant number of children arriving late at diagnostic services. Objective: To analyze the relationships between reason for scheduling, age and audiological diagnosis in a rehabilitation center. Method: Demographic and audiological data were analyzed and collected from the medical records of 276 children scheduled for audiological diagnosis at the SUS accredited hearing health service in 2018. Results: Most children were boys - 58.3%, the mean age at onset of diagnosis was 19.8 months and 27.2% of subjects did not complete the diagnosis. Most of the children who started the diagnosis were babies who failed NHS (37.31%), followed by suspected hearing impairment (26.08%), complaints related to language delay (23.18%) and risk factors. risk (13.4%). Of the 201 children who completed the diagnosis, 55.72% had some level of hearing loss. The median age of children with some degree and type of hearing loss is lower than the median of children without hearing loss (p=0.0019). There was a statistically significant difference (p value = 0.003) between the ages of children without hearing loss and with hearing loss. Conclusion: The study makes it possible to analyze the flow of children's appointments at the service so that a greater number of children can complete the audiological diagnosis properly and start the necessary intervention as soon as possible.

References

American Speech-Language-Hearing Association (1989). Committee on Infant Hearing: guidelines for audiologic screening of newborn infants who are at risk for hearing impairment. ASHA.; 31:89-92.

Bertoldi, P. M.; Manfredi, A. K. S. & Mitre, E. I. (2017). Análise dos resultados da triagem auditiva neonatal no município de Batatais. Medicina (Ribeirão Preto, Online.), 50 (3), 150-7. doi: http://dx.doi.org/10.11606/issn.2176-7262.v50i3p150-15.

Brasil (2018) Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Política Nacional de Atenção Integral à Saúde da Criança: orientações para implementação / Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. – Brasília: Ministério da Saúde. 180 p.il.

Deperon, T. M. (2018). Fatores intervenientes na relação entre audibilidade de sons de fala e desenvolvimento de linguagem oral. Tese (Doutorado em Fonoaudiologia) – Programa de Estudos Pós-Graduados em Fonoaudiologia, Pontifícia Universidade Católica de São Paulo, São Paulo. 207 f.

Fichino, S. N.; Avelino, V. L. F. & Lewis, D. R. (2018). Demographic and audiological characteristics of a pediatric population in a hearing health care center in São Paulo. Distúrb Comum., 30 (3), 570-584. doi: https://doi.org/10.23925/2176-2724.2018v30i3p-570-584.

Gilley, P. M.; Sharma, A. & Dorman, M. F. (2008). Cortical reorganization in children with cochlear implants. Brain Res, 1239, 56–65. doi: 10.1016/j.brainres.2008.08.026.

Hall, V.; Brosch, S. & Hoffmann, T. K. (2020). Evaluation des Neugeborenen-Hörscreenings und der pädaudiologischen Konfirmationsdiagnostik. Evaluation des Neugeborenen-Hörscreenings Laryngo-Rhino-Otologie ; 99 5. - S. 299-307.

Joint Committee on Infant Hearing (2019). Year 2019 Position Statement: principles and guidelines for early hearing detection and intervention programs. The Journal of Early Hearing Detection and Intervention, 4 (2), 1–44. doi: https://doi.org/10.15142/fptk-b748.

Korver, A. M. H.; Smith, R. J. H.; Van Camp, G.; Schleiss, M. R.; Bitner-Glindzicz, M. A. K. & Lustig, L. R. et al. (2017). Congenital Hearing Loss. Nat. Rev. Dis. Primers, 3, 16094. doi:10.1038/nrdp.2016.94.

Lewis, D. R.; Marone, A. S. R.; Mendes, B. C. A.; Cruz, O. L. M. & Nóbrega, M. (2010). Comitê Multiprofissional em Saúde Auditiva - COMUSA. Brazilian Journal of Otorhinolaringology, 76, 121-128. doi: https://doi.org/10.1590/S1808-86942010000100020.

Marteleto, M. R. F.; Menezes, C. G. L.; Tamanaha, A. C.; Chiari, B. M. & Perissinoto, J. (2008). Administration of the Autism Behavior Checklist: Agreement between parents and professionals’ observations in two intervention contexts. Rev Bras Psiquiatr, 30 (3), 203-8. doi: http:// dx.doi.org/10.1590/S1516-44462008000300005.

Moeller, M. P. (2000). Early intervention and language development in children who are deaf and hard of hearing. Pediatrics, 106 (3): E43. doi: 10.1542/peds.106.3.e43.

Moeller, M. P. & Tomblin, J. B. (2015). An Introduction to the Outcomes of Children with Hearing Loss Study. Ear and Hearing, 36 (Suplement 1): 4S–13S. doi: 10.1097/AUD.0000000000000210.

Machado, F. P.; Lerner, R.; Novaes, B. C. A. C.; Palladino, R. R. R. & Cunha, M. C. (2014). Questionário de Indicadores Clínicos de Risco para o Desenvolvimento Infantil: avaliação da sensibilidade para transtornos do espectro do autismo. Audiol Commun Res, 19 (4), 345-351. doi: https://doi.org/10.1590/S2317-64312014000300001392.

Penna, L. M.; Lemos, S. M. A. & Alves, C. R. L. (2015). Habilidades linguísticas e auditivas de crianças usuárias de aparelho auditivo Resumo. Brazilian Journal of Otorhinolaryngology, 81 (2), 148–57. doi: 10.1016/j.bjorl.2014.05.034.

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM.

Pinto, M. M.; Raimundo, J. C.; Samelli, A. G.; Carvalho, A. C. M.; Matas, C. G.; Ferrari, G. M. S.; Garbi, S.; Gândara, M. & Bento, R. F. (2012). Idade no diagnóstico e no início da intervenção de crianças deficientes auditivas em um serviço público de saúde auditiva brasileiro. International Archives of Otorhinolaryngology, 16 (1), 44–49. doi: 10.7162/S1809-48722012000100006.

Roslyng-Jensen, A. M. A. (1997). Importância do diagnóstico precoce na deficiência auditiva. In: Lopes Filho O, organizador. Tratado de fonoaudiologia. Roca.

Selli, G.; Stupp, A. C. S.; Pagnossim, D. F.; Pozzi, C. M. & Pessin, V. M. A. (2020). Diagnóstico diferencial: perda auditiva ou transtorno do espectro do autismo. Distúrb Comun, 32 (4), 574-586. doi: https://doi.org/10.23925/2176-2724.2020v32i4p574-586.

Sousa, E. C.; Lima, F. T.; Tamanaha, A. C.; Perissinoto, J.; Azevedo, M. F. & Chiari, B. M. (2009). A associação entre a suspeita inicial de perda auditiva e a ausência de comunicação verbal em crianças com transtornos do espectro autístico. Rev Soc Bras Fonoaudiol, 14: 487–490. doi: https://doi.org/10.1590/S1516-80342009000400010.

Swierniak, W.; Gos, E.; Skarzynski, P. H.; Czajka, N. & Skarzynski, H. (2021). The accuracy of parental suspicion of hearing loss in children. International Journal of Pediatric Otorhinolaryngology, 141, 110552. doi: 10.1016/j.ijporl.2020.110552.

Tôrres, F. X. (2019). Importância da avaliação auditiva durante o processo de diagnóstico do transtorno do espectro autista (TEA). Revista Científica Multidisciplinar UNIFLU, 4 (2).

Yoshinaga-Itano, C.; Sedey, A. L.; Coulter, D. K. & Mehl, A. L. (1998). Language of Early- and Later-identified Children With Hearing Loss. Pediatrics, 102 (5), 1161-1171. doi: https://doi.org/10.1542/peds.102.5.1161.

Yoshinaga-Itano, C. (2004). Levels of evidence: Universal newborn hearing screening (UNHS) and early hearing detection and intervention systems (EHDI). Journal of Communication Disorders, 37 (5), 451–65. doi: 10.1016/j.jcomdis.2004.04.008.

Published

17/09/2022

How to Cite

MENDES, B. de C. A. .; REZENDE, J. de A.; SOUZA, J. L.; SIQUEIRA, D. M. de; GUERRA, M. E. S.; NOVAES, B. C. de A. C. Analysis of children’s referrals to a specialized hearing rehabilitation center. Research, Society and Development, [S. l.], v. 11, n. 12, p. e363111234394, 2022. DOI: 10.33448/rsd-v11i12.34394. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/34394. Acesso em: 27 dec. 2024.

Issue

Section

Health Sciences