1 research outputs found
Cribado neonatal de hipoacusia en el 谩rea de salud de Zamora. Experiencia de 7 a帽os
[ES] Introducci贸n y objetivos: Nuestro objetivo es revisar el programa de cribado universal de hipoacusia
realizado en nuestro Hospital desde 2003, su aceptaci贸n y cumplimiento, sus resultados as铆 como
establecer sus posibles puntos de mejora y actualizaci贸n. M茅todos: Durante los a帽os 2003 y 2004 se
realiz贸 cribado universal de los reci茅n nacidos (RN) en nuestro Hospital con etoemisiones ac煤sticas y
realizaci贸n de potenciales auditivos a aquellos ni帽os con factores de riesgo o que no superasen la
primera fase. Desde 2005 se instaura un programa de cribado universal con potenciales auditivos
automatizados. Resultados: La cobertura del cribado oscil贸 entre el 97,7 % del a帽o 2003 y el 99,4 % de
2009. La primera causa de no realizaci贸n del cribado es el traslado a otro Hospital. La primera prueba
de cribado se realiza antes del alta a menos del 95 % de los RN pero la segunda prueba antes de los 2
meses cerca del 100%. Pasan a diagn贸stico entre un 0,1 % y 0,2 % de los RN. Se han diagnosticado 3
casos de hipoacusia. Conclusiones: Destacamos la cobertura del programa siempre mayor del 95% y su
rechazo menor del 1%. La realizaci贸n del 5% de primeras pruebas despu茅s del alta no repercute en el
diagn贸stico precoz, con segunda prueba antes del 2潞 mes y derivaci贸n antes del tercero. Resaltamos el
bajo porcentaje de ni帽os derivados a diagn贸stico y de hipoacusias confirmadas, que creemos debido al
traslado neonatal al Hospital terciario de los pacientes de mayor riesgo de hipoacusia.
[EN] Introduction and objectives: Our aim is to check the program of sifted universally of hearing loss
realized in our Hospital from 2003, its acceptance and fulfillment, its results as well as to establish its
possible points of improvement and update. Methods: During the year 2003 and 2004 there was
realized sifted universally of the newborn children (NB) in our Hospital with evoked otoacustic
emissions and accomplishment of auditory potentials to those children with factors of risk or whose
were not overcoming the first phase. From 2005 a program is restored of sifted universally by auditory
automated potentials. Results: The coverage of the sifted one ranges between 97,7 % of the year 2003
and 99,4 % of 2009. The first reason of not accomplishment of the sifted one was the movement to
another Hospital. The first test of sifted was realized before the discharge to less than 95 % of the
newborns but the second test before 2 months near 100 %. They go on to diagnosis among 0,1 % and
0,2 % of the RN. 3 cases have been diagnosed of hearing loss. Conclusions: We distinguish the coverage
of the program always major from 95 % and his minor rejection of 1 %. The accomplishment of 5 % of
the first tests after the discharge does not reverberate in the precocious diagnosis, with the second test
before 2 潞 month and derivation before the third one. We highlight the low percentage of children
derived to diagnosis and of hearing loss confirmed, that we believe due to the movement neonatal to
the tertiary Hospital of the patients of major risk of hearing loss