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首页> 外文期刊>The American journal of otology >ABR hearing screening for high-risk infants.
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ABR hearing screening for high-risk infants.

机译：高危婴儿的ABR听力筛查。

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OBJECTIVE: The goals of this investigation were to determine the outcome of a high-risk newborn auditory brainstem response hearing screening program at this institution and to determine the clinical characteristics of the target population with special emphasis on the relationship between risk criteria and hearing status. STUDY DESIGN: This study involved the prospective screening of newborns with risk indicators and a retrospective analysis of results accumulated over a 10-year period. SETTING: The study was conducted either in the newborn nursery or outpatient audiology clinic of a tertiary health care center. PATIENTS: Patients were 2,103 newborns presenting with one or more risk indicators for significant congenital hearing loss or delayed onset/progressive sensorineural hearing loss. INTERVENTIONS: Diagnostic interventions involved auditory brainstem response screening at two intensity levels (25 dB and 65 to 75 dBnHL). MAIN OUTCOME MEASURES: The main outcome measure was incidence of significant, nonmedically treatable hearing loss in this population. A secondary outcome measure was determination of incidence of hearing loss in association with different risk indicators. RESULTS: One hundred fourteen (5.4%) infants were diagnosed with bilateral hearing loss. Twenty-three infants (1%) presented with unilateral hearing loss. Sixty seven (49%) of the 137 infants diagnosed with hearing loss presented with greater than moderate hearing loss. Nine (13.4%) of these 67 patients presented with delayed onset hearing loss that was diagnosed at appointments subsequent to the initial screening. The largest percentage of diagnosed hearing loss was found in the "craniofacial anomalies" category. CONCLUSIONS: Auditory brainstem response hearing screening of newborns at risk for significant hearing loss is a clinically efficient and cost effective approach to early detection of significant hearing loss. For this program, the calculated cost to diagnose one hearing impaired infant from this population is
机译：目的：本研究的目的是确定该机构的高危新生儿听觉脑干反应听力筛查计划的结果，并确定目标人群的临床特征，并特别强调风险标准与听力状态之间的关系。研究设计：这项研究涉及对具有风险指标的新生儿进行前瞻性筛查，并对过去10年中积累的结果进行回顾性分析。地点：该研究是在三级卫生保健中心的新生儿托儿所或门诊听力诊所进行的。患者：2103例新生儿，其具有一项或多项明显的先天性听力损失或延迟发作/进行性感觉神经性听力损失的危险指标。干预措施：诊断干预涉及听觉脑干反应筛查的两个强度水平（25 dB和65至75 dBnHL）。主要观察指标：主要观察指标是该人群中重大的，不可治疗的听力损失。次要结果指标是确定与不同风险指标相关的听力损失发生率。结果：一百一十四（5.4％）婴儿被诊断为双耳听力减退。 23例婴儿（1％）出现单侧听力损失。在137名被诊断患有听力损失的婴儿中，有67名（49％）表现为中等程度以上的听力损失。在这67例患者中，有9例（13.4％）表现出迟发性听力损失，这些患者在初筛后就诊时被确诊。在“颅面异常”类别中，诊断出的听力损失百分比最高。结论：对有重大听力损失危险的新生儿进行听觉脑干反应听力筛查是一种临床有效且具有成本效益的方法，可用于早期发现重大听力损失。对于此计划，从该人群中诊断一名听力障碍婴儿的计算成本为

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