A regional-based newborn hearing screening program: the Emilia-Romagna model after ten years of legislation

被引：3

作者：

Bianchin, G. ^{[1
]}

Palma, S. ^{[2
]}

Polizzi, V. ^{[1
]}

Kaleci, S. ^{[3
]}

Stagi, P. ^{[4
]}

Cappai, M. ^{[5
]}

Baiocchi, M. P. ^{[6
]}

Benincasa, P. ^{[7
,14
]}

Brandolini, C. ^{[8
]}

Casadio, L. ^{[9
,17
]}

Di Sarro, S. ^{[10
]}

Farneti, D. ^{[11
]}

Galli, A. ^{[12
]}

Ghiselli, S. ^{[13
]}

Iadicicco, P.

Landuzzi, E. ^{[15
]}

Limarzi, M. ^{[16
]}

Locatelli, C.

Murri, A. ^{[13
]}

Nanni, L. ^{[12
]}

Rozzi, E. ^{[6
]}

Sandri, F. ^{[18
]}

Saponaro, A. ^{[5
]}

Zanotti, S. ^{[19
]}

Zarro, N.

Zucchini, E. ^{[20
,21
]}

Ciorba, A. ^{[22
]}

Genovese, E. ^{[23
]}

机构：

[1] Santa Maria Nuova Hosp, Ctr Clin & Basic Res IRCCS, Dept Audiol, Reggio Emilia, Italy

[2] AUSL, Primary Care Unit, Audiol, Modena, Italy

[3] Univ Modena & Reggio Emilia, Dept Surg Med Dent & Morphol Sci Interest Transpla, Modena, Italy

[4] AUSL Toscana Ctr, Mental Hlth Dept, Empoli, Italy

[5] Gen Direct Hlth Healthcare & Welf, Bologna, Italy

[6] AUSL Romagna, Child Neuropsychiat Serv, Rimini, Italy

[7] Carpi AUSL, Ramazzini Hosp, ENT Unit, Modena, Italy

[8] St Orsola Malpighi Univ Hosp, ENT & Audiol Unit, DIMES, Bologna, Italy

[9] AUSL Romagna, Ravenna Hosp, Paediat & Neonatol Unit, Ravenna, Italy

[10] AUSL Bologna, Mental Hlth Dept, Bologna, Italy

[11] Infermi Hosp, ENT Dept, Audiol Phoniatr Serv, AUSL Romagna, Rimini, Italy

[12] AUSL Romagna, Child Neuropsychiat Serv, Ravenna, Italy

[13] Guglielmo da Saliceto Hosp, ENT Dept, Piacenza, Italy

[14] ORL Forli AUSL, SS Specialized Surg ORL Faenza UOC ORL Forli Faenz, Surg Dept, Audiol, Romagna, Italy

[15] AUSL Bologna, Child Neuropsychiat Serv, Bologna, Italy

[16] Bufalini Hosp, Dept Surg Special, Otorhinolaryngol Unit, Cesena, Italy

[17] St Orsola Malpighi Polyclin, Neonatol Unit, Bologna, Italy

[18] Maggiore Hosp, Neonatal Intens Care Unit, Bologna, Italy

[19] AUSL, Child Neuropsychiat Serv, Parma, Italy

[20] Maggiore Hosp, ENT Unit, Bologna, Italy

[21] AUSL Romagna, Child Neuropsychiat Serv, Imola, Italy

[22] Univ Hosp Ferrara, Dept Neurosci, ENT & Audiol Unit, Via Aldo Moro 8, I-44124 Ferrara, Cona, Italy

[23] Univ Modena & Reggio Emilia, Dept Diagnost Clin & Publ Hlth Med, Audiol, Modena, Italy

来源：

ANNALI DI IGIENE MEDICINA PREVENTIVA E DI COMUNITA | 2023年 / 35卷 / 03期

关键词：

Newborn hearing screening; hearing loss; children; regional legislation; epidemiology Parole chiave; Screening uditivo neonatale; ipoacusia infantile; legislazione sanitaria; epidemiologia; CHILDREN; LANGUAGE; OUTCOMES;

D O I：

10.7416/ai.2022.2539

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background. Hearing loss, occurring in 1-3/1,000 newborns in the well-babies population, is one of the most common congenital diseases, and hearing screening at birth still represents the only means for its early detection. Since 2011 the Emilia Romagna Regional Health Agency has recommended Newborn Hearing Screening for all babies at its birth points and for newborns moving to the region. The aims of this study are to analyze the results of this regional-based Newborn Hearing Screening program and to discuss the impact of the legislative endorsement on the organization. Material and methods. This is an observational retrospective chart study. The recordings of well-babies and babies at Neonatal Intensive Care Units were collected during the period from January 1st 2015 to December 31st 2020. The following data were included: Newborn Hearing Screening coverage, percentage of refer at otoacoustic emissions, prevalence and entity of hearing loss, unilateral/bilateral rate, presence of audiological risk factors. Results. More than 99% of a total of 198,396 newborns underwent the Newborn Hearing Screening test during the period January 1st 2015 to December 31st 2020, with a coverage ranging between 99.6% and 99.9%. Overall, the percentage of confirmed hearing loss cases was about 17-30 % of refer cases, 745 children received a diagnosis of hearing loss (prevalence 3.7/1,000). Considering profound hearing loss cases, these represent 13% of bilateral hearing loss. Conclusions. A regional-based Newborn Hearing Screening program is valuable and cost-effective. In our experience, the centralization of the data system and of the data control is crucial in order to implement its efficiency and effectiveness. Healthcare policies, tracking systems and public awareness are decisive for a successful programme implementation.

引用

页码：297 / 307

页数：11

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