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Universal newborn hearing screening in the Italian Region of Sicily in 2018
OBJECTIVES: We have clarified the role of Universal Neonatal Hearing Screening (UNHS) for both early diagnosis and rapid treatment in order to improve the prognosis of the deaf child and reduce patient management costs. Although in Sicily UNHS has been progressively implemented, there is scarce data...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Pacini Editore Srl
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448180/ https://www.ncbi.nlm.nih.gov/pubmed/34533539 http://dx.doi.org/10.14639/0392-100X-N1162 |
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author | Ferlito, Salvatore Maniaci, Antonino Cocuzza, Salvatore La Mantia, Ignazio Di Mauro, Paola Poli, Graziella Maiolino, Luigi Coco, Salvatore Merlino, Federico Maltese, Marina Ragliani, Margherita Russo, Michele Gulino, Alessandro Azieli, Carmen Martines, Francesco Galletti, Francesco Bubbico, Luciano |
author_facet | Ferlito, Salvatore Maniaci, Antonino Cocuzza, Salvatore La Mantia, Ignazio Di Mauro, Paola Poli, Graziella Maiolino, Luigi Coco, Salvatore Merlino, Federico Maltese, Marina Ragliani, Margherita Russo, Michele Gulino, Alessandro Azieli, Carmen Martines, Francesco Galletti, Francesco Bubbico, Luciano |
author_sort | Ferlito, Salvatore |
collection | PubMed |
description | OBJECTIVES: We have clarified the role of Universal Neonatal Hearing Screening (UNHS) for both early diagnosis and rapid treatment in order to improve the prognosis of the deaf child and reduce patient management costs. Although in Sicily UNHS has been progressively implemented, there is scarce data in the literature on this matter. Therefore, the main objective was to collect in the year 2018 the following data: number of newborns screened for hearing loss, number of infants “referred” to transiently evoked otoacoustic emissions (TEOAE), number of infants with pathologic auditory brainstem response (ABR) and number of infants affected by permanent hearing loss. METHODS: UNHS monitoring was conducted through the collection of data through a questionnaire, which was analysed evaluating the effectiveness and adherence to the screening program prepared by the Department for Health Activities and the Epidemiological Observatory (DASOE). RESULTS: In 2018, there were 40,243 newborns in Sicily. A total of 37,562 newborns were screened (93.3%). There were 1,328 “referred” infants with TEOAE (3.5%). On the 2(nd) level, “referred” newborns examined were 1,080 of 1,328 expected (missing 248 “refer” newborns, equal to 18.6%). The number of “referred” infants confirmed with TEOAE was 113 of 1,080, while “referred” infants confirmed with ABR were 71. On the 3(rd) level, 67 of 71 were infants examined: 28 infants were suffering from monolateral hearing loss (13 slight/mild, 13 moderate, 1 severe and 1 profound) and 39 from bilateral hearing loss (1slight/mild, 19 moderate, 13 severe and 7 profound). Excluding 7 infants from the NICU, 60 of 37,562 infants had hearing loss (1.5%). CONCLUSIONS: The monitoring of the UNHS in Sicily has allowed obtaining the data of individual centres, absent in the literature to date, to verify the effectiveness of the screening, according to JCIH criteria, to highlight some criticalities and, finally, to propose possible solutions. |
format | Online Article Text |
id | pubmed-8448180 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Pacini Editore Srl |
record_format | MEDLINE/PubMed |
spelling | pubmed-84481802021-09-29 Universal newborn hearing screening in the Italian Region of Sicily in 2018 Ferlito, Salvatore Maniaci, Antonino Cocuzza, Salvatore La Mantia, Ignazio Di Mauro, Paola Poli, Graziella Maiolino, Luigi Coco, Salvatore Merlino, Federico Maltese, Marina Ragliani, Margherita Russo, Michele Gulino, Alessandro Azieli, Carmen Martines, Francesco Galletti, Francesco Bubbico, Luciano Acta Otorhinolaryngol Ital Audiology OBJECTIVES: We have clarified the role of Universal Neonatal Hearing Screening (UNHS) for both early diagnosis and rapid treatment in order to improve the prognosis of the deaf child and reduce patient management costs. Although in Sicily UNHS has been progressively implemented, there is scarce data in the literature on this matter. Therefore, the main objective was to collect in the year 2018 the following data: number of newborns screened for hearing loss, number of infants “referred” to transiently evoked otoacoustic emissions (TEOAE), number of infants with pathologic auditory brainstem response (ABR) and number of infants affected by permanent hearing loss. METHODS: UNHS monitoring was conducted through the collection of data through a questionnaire, which was analysed evaluating the effectiveness and adherence to the screening program prepared by the Department for Health Activities and the Epidemiological Observatory (DASOE). RESULTS: In 2018, there were 40,243 newborns in Sicily. A total of 37,562 newborns were screened (93.3%). There were 1,328 “referred” infants with TEOAE (3.5%). On the 2(nd) level, “referred” newborns examined were 1,080 of 1,328 expected (missing 248 “refer” newborns, equal to 18.6%). The number of “referred” infants confirmed with TEOAE was 113 of 1,080, while “referred” infants confirmed with ABR were 71. On the 3(rd) level, 67 of 71 were infants examined: 28 infants were suffering from monolateral hearing loss (13 slight/mild, 13 moderate, 1 severe and 1 profound) and 39 from bilateral hearing loss (1slight/mild, 19 moderate, 13 severe and 7 profound). Excluding 7 infants from the NICU, 60 of 37,562 infants had hearing loss (1.5%). CONCLUSIONS: The monitoring of the UNHS in Sicily has allowed obtaining the data of individual centres, absent in the literature to date, to verify the effectiveness of the screening, according to JCIH criteria, to highlight some criticalities and, finally, to propose possible solutions. Pacini Editore Srl 2021-09-14 2021-08 /pmc/articles/PMC8448180/ /pubmed/34533539 http://dx.doi.org/10.14639/0392-100X-N1162 Text en Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en |
spellingShingle | Audiology Ferlito, Salvatore Maniaci, Antonino Cocuzza, Salvatore La Mantia, Ignazio Di Mauro, Paola Poli, Graziella Maiolino, Luigi Coco, Salvatore Merlino, Federico Maltese, Marina Ragliani, Margherita Russo, Michele Gulino, Alessandro Azieli, Carmen Martines, Francesco Galletti, Francesco Bubbico, Luciano Universal newborn hearing screening in the Italian Region of Sicily in 2018 |
title | Universal newborn hearing screening in the Italian Region of Sicily in 2018 |
title_full | Universal newborn hearing screening in the Italian Region of Sicily in 2018 |
title_fullStr | Universal newborn hearing screening in the Italian Region of Sicily in 2018 |
title_full_unstemmed | Universal newborn hearing screening in the Italian Region of Sicily in 2018 |
title_short | Universal newborn hearing screening in the Italian Region of Sicily in 2018 |
title_sort | universal newborn hearing screening in the italian region of sicily in 2018 |
topic | Audiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448180/ https://www.ncbi.nlm.nih.gov/pubmed/34533539 http://dx.doi.org/10.14639/0392-100X-N1162 |
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