Evasion of Newborn Hearing Screening retest: relation with risk factors for hearing impairment
Evasão no reteste da Triagem Auditiva Neonatal: relação com indicadores de risco para deficiência auditiva
Júlia Dalcin Pinto; Laís Ferreira; Déborah Aurélio Temp; Valdani Dias; Dara Eliza Rohers; Eliara Pinto Vieira Biaggio
Abstract
Purpose: to analyze the evasion rate of the Newborn Hearing Screening program's retest, to verify whether the presence of risk indicators for hearing loss influences it, and to describe which risk indicators for hearing loss occur more frequently in these cases.
Methods: 1,287 newborns/infants participated, who were screened between June 2015 and June 2018. All of them obtained "fail" as the Newborn Hearing Screening result, were referred to the retest and did not attend it. Information related to the occurrence of risk indicators for hearing loss was observed.
Results: the study found that the evasion rate was of 15.23%. The presence of risk indicators for hearing loss did not show an association with non-attendance at this stage of the program (p-value = 0.087). The most frequent indicators in the cases of non-attendance at the retest were: ototoxic medication use and intensive care unit stay for more than five days.
Conclusion: high evasion rate of the retest has been observed. It has been found that the presence of risk indicators did not influence the retest evasion rate. Use of ototoxic medication and stay at the intensive care unit were the most frequent indicators among those who did not attend the retest.
Keywords
Resumo
Objetivo: analisar a taxa de evasão na etapa de reteste do programa de Triagem Auditiva Neonatal, verificar se a presença de indicadores de risco para deficiência auditiva a influencia, e descrever quais indicadores de risco para deficiência auditiva ocorrem com maior frequência nestes casos.
Métodos: participaram 1.287 neonatos/lactentes, triados entre junho de 2015 e junho de 2018. Todos obtiveram "falha" como resultado da Triagem Auditiva Neonatal, foram encaminhados ao reteste e não compareceram. Foram observadas informações relacionadas à ocorrência de indicadores de risco para deficiência auditiva.
Resultados: o estudo verificou que a taxa de evasão foi de 15,23%. A presença de indicadores de risco para deficiência auditiva não apresentou associação com a não adesão nesta etapa do programa (valor de p = 0,087). Os indicadores mais frequentes nos casos de não adesão ao reteste foram: uso de medicação ototóxica e permanência em unidade de terapia intensiva por mais de cinco dias.
Conclusão: observou-se alta taxa de evasão no reteste. Verificou-se que a presença de indicadores de risco não influenciou a taxa de evasão no reteste. O uso de medicação ototóxica e a permanência em unidade de terapia intensiva foram os indicadores mais frequentes entre aqueles que não compareceram ao reteste.
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Referências
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Submetido em:
25/03/2019
Aceito em:
01/08/2019
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