Triagem auditiva neonatal universal: a experiência de dois hospitais públicos no município de Campo Grande - MS, no período de janeiro de 2002 a dezembro de 2005
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Data
2006-05-08
Autores
Tutes, Elaine Renata [UNESP]
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Universidade Estadual Paulista (Unesp)
Resumo
Analisar os resultados iniciais da triagem auditiva neonatal, obtidos na maternidade antes da alta hospitalar, em recém-nascidos de dois hospitais públicos de Campo Grande, MS. Método: estudo de coorte transversal com 20044 recém-nascidos de dois hospitais no período de janeiro de 2002 a dezembro de 2005. Foram utilizadas as Emissões Otoacústicas Evocadas Transientes (EOAETs) e a Pesquisa do Reflexo Cócleo-palpebral (RCP). Os resultados dos testes foram classificados em passa e falha para as EOAETs e em presente ou ausente para o RCP. Foram analisados em relação ao(s): local de nascimento, tempo de vida no momento da avaliação, peso ao nascimento, sexo, tipo de parto, valores de Apgar, convênio assistencial e risco para deficiência auditiva segundo o Joint Committee Infant Hearing (JCIH). Resultados: Foram testados 95,96% dos recém-nascidos dos dois hospitais; nesta amostra 87,52% de recém-nascidos foram de baixo risco e 12,48% de alto risco para a deficiência auditiva. Houve predominância de respostas passa nas EOAETs para o sexo feminino e para o parto normal. Também foi observada relação de aumento de peso e aumento das respostas passa. Na população de baixo risco auditivo, conforme aumentava o tempo de vida no momento da avaliação, os resultados de passa também aumentavam; já na população de alto risco auditivo esta relação não foi observada. Conclusão: Este programa pode ser considerado como válido de acordo com as recomendações do JCIH.
To analyze the initial results of the neonatal hearing sreening, gotten in the maternity before the discharge hospital, in newborns of two public hospitals of Campo Grande, MS. Method: transversal study of coorte with 20044 newborns of two hospitals in the period of January of 2002 the December of 2005. The Transient Evoked Otoacoustic Emissions (TEOAEs) and the cochleo-palpebral refex (CPR) had been used. The results of the tests had been classified in pass and fail for the TEOAEs and in present or absent for the CPR . They had been analyzed in relation the: place of birth, time of life at the moment of the evaluation, weight to the birth, sex, type of childbirth, values of Apgar, assistencial accord and risk for hearing impairment according to Joint Committee Infant Hearing (JCIH). Results: 95.96% of the newborns of the two hospitals had been tested; in this sample 87.52% of newborns had been of low risk and 12.48% of high risk for the hearing loss. It had predominance of answers pass in the TEOAEs for the feminine sex and the normal childbirth. Also relation of weight increase was observed and increased of the answers pass. In the population of low auditory risk, as it increased the time of life at the moment of the evaluation, the results pass increased; already in the population of high auditory risk this relation was not observed. Conclusion: This program can be considered as valid in accordance with the recommendations of the JCIH.
To analyze the initial results of the neonatal hearing sreening, gotten in the maternity before the discharge hospital, in newborns of two public hospitals of Campo Grande, MS. Method: transversal study of coorte with 20044 newborns of two hospitals in the period of January of 2002 the December of 2005. The Transient Evoked Otoacoustic Emissions (TEOAEs) and the cochleo-palpebral refex (CPR) had been used. The results of the tests had been classified in pass and fail for the TEOAEs and in present or absent for the CPR . They had been analyzed in relation the: place of birth, time of life at the moment of the evaluation, weight to the birth, sex, type of childbirth, values of Apgar, assistencial accord and risk for hearing impairment according to Joint Committee Infant Hearing (JCIH). Results: 95.96% of the newborns of the two hospitals had been tested; in this sample 87.52% of newborns had been of low risk and 12.48% of high risk for the hearing loss. It had predominance of answers pass in the TEOAEs for the feminine sex and the normal childbirth. Also relation of weight increase was observed and increased of the answers pass. In the population of low auditory risk, as it increased the time of life at the moment of the evaluation, the results pass increased; already in the population of high auditory risk this relation was not observed. Conclusion: This program can be considered as valid in accordance with the recommendations of the JCIH.
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Palavras-chave
Audição, Triagem auditiva, Perda auditiva, Neonatal screening, Newborn infant, Hearing loss
Como citar
TUTES, Elaine Renata. Triagem auditiva neonatal universal: a experiência de dois hospitais públicos no município de Campo Grande - MS, no período de janeiro de 2002 a dezembro de 2005. 2006. 154 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, 2006.