Analysis of children's referrals to a specialized hearing rehabilitation center
DOI:
https://doi.org/10.33448/rsd-v11i12.34394Keywords:
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.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Beatriz de Castro Andrade Mendes; Julia de Araujo Rezende; Juliana Luz Souza; Daniela Moreira de Siqueira; Mônica Elisabeth Simons Guerra; Beatriz Cavalcanti de Albuquerque Caiuby Novaes
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.