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Seguimento de crianças com diagnóstico de surdez em programa de triagem auditiva neonatal em Manaus

2022; UNIVERSIDADE DE SÃO PAULO; Volume: 56; Linguagem: Inglês

10.11606/s1518-8787.2022056004207

1518-8787

João Bosco Lopes Botelho, Diego Monteiro de Carvalho, Giane Zupellari dos Santos Melo, José Cardoso Neto, Samuel Machado do Nascimento, Wenberger Lanza Daniel de Figueiredo, Larissa Abreu Lacerda, Kristian Holanda Nogueira,

Hearing Loss and Rehabilitation

To evaluate the follow-up of children diagnosed with deafness in neonatal hearing screening and risk factors for hearing loss.Quantitative, cross-sectional, and retrospective study to evaluate factors associated with hearing loss and the follow-up of cases of children diagnosed with audiological dysfunction, by analyzing electronic medical records of 5,305 children referred to a Specialized Center in Type I Rehabilitation, from January/2016 to February/2020, in the city of Manaus, Amazonas. The statistical study used Pearson's chi-square test and binary logistic regression in which odds ratio scans were obtained with reliability intervals of 95%.Of the 5,305 children referred for the otoacoustic emission retest, 366 (6.9%) failed the retest. Children diagnosed with sensorineural hearing loss continued in the study, totaling 265 (72.4%). Only 58 (21.9%) children continued in the study to its end, of these 39 had received hearing aids at that point; and 16 (41%) had surgical indication for cochlear implants, of which only 3 (18.7%) had undergone surgery. Among the risk factors for hearing loss, we found 2.6 times more chance of failure in the otoacoustic emissions retest in those children who had a family history of hearing loss and ICU stay.Although the screening flow reaches a large part of live births, the dropout rates during the process are high, therefore, the socioeconomic and geographic characteristics of regions such as the Amazon should be considered as relevant factors to the evasion of rehabilitation programs of these children. Hospitalization in the neonatal ICU and family history of hearing loss in the investigations could be identified as the main and most important factors for alteration of the otoacoustic emissions retests.