L’attività di sorveglianza audiologica pediatrica in Italia: raccomandazioni preliminari

Orzan, Eva; Ruta, F.; Bolzonello, P.; Marchi, Raffaella; Ceschin, F; Ciciriello, Elena

doi:10.14639/0392-100x-1073

Cited by 7 publications

(1 citation statement)

References 16 publications

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“…Although overall PAS coverage for NHS fail cases does not reach the benchmarks indicated by JCIH (1), the outcomes of this program demonstrate greater timing efficiency compared to other reports (8,10). Regarding other motives of referral, it is worth recalling that, as part of the Italian National Health System, the FP's office is a common door through which almost all children pass for health visits, giving the opportunity to reach most of the children at risk and most of those missed by the NHS during their preschool age (11). Even though significance is not always achieved in our data comparison to confirm this supposition, some uncertainties may become clinically significant with greater sample size.…”

Section: Discussionmentioning

confidence: 99%

Modeling Postnatal Hearing Case Finding Within the Italian National Health System

Orzan

Pizzamiglio²,

Marchi³

et al. 2021

Front. Pediatr.

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Objective: Despite the successful implementation of newborn hearing screening (NHS), a debate is emerging as to what should be the best means of enabling timely diagnosis and intervention for preschoolers with educationally significant sensorineural or conductive hearing impairment (HI) missed at the time of NHS or occurred after birth. Our study aims to document the proportion and characteristics of HIs diagnosed in children in need of audiologic assessment, in order to outline the optimization areas of an operational framework for auditory surveillance during preschool age.Method: The referral routes and outcomes of 730 audiological assessments performed in 3 years within the framework of the early hearing identification program in Trieste (Italy) were retrospectively analyzed.Results: Among 570/595 completed evaluations, an HI was diagnosed in 114 children, 73.7% of which presenting an exclusively conductive HI due to middle ear effusion. HIs were found in 36/141 who failed NHS, and 60/385 preschoolers who were referred by the primary care pediatrician's surveillance activity during well-child visits, with diagnostic yield of 25.5 and 15.5%, respectively.Conclusion: Ongoing preschool surveillance in primary care setting integrated into a NHS program is feasible to conduct and may effectively identify HIs that missed NHS or were related with a risk factor. New triage instruments and protocols for immediate audiology referral could allow to obtain the diagnosis of educationally significant conductive and sensorineural HIs ahead of the development concern and in the same way reduce patient mobility, thus optimizing timing efficiency and economic impact of the program.

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Section: Discussionmentioning

confidence: 99%

Modeling Postnatal Hearing Case Finding Within the Italian National Health System

Orzan

Pizzamiglio²,

Marchi³

et al. 2021

Front. Pediatr.

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Who misses the newborn hearing screening? Five years’ experience in Friuli-Venezia Giulia Region (Italy)

Feresin

Ghiselli

Marchi

et al. 2019

International Journal of Pediatric Otorhinolaryngology

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Universal newborn hearing screening in the Lazio region, Italy

et al. 2018

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BackgroundThe introduction of Universal Newborn Hearing Screening (UNHS) programs has drastically contributed to the early diagnosis of hearing loss in children, allowing prompt intervention with significant results on speech and language development in affected children. UNHS in the Lazio region has been initially deliberated in 2012; however, the program has been performed on a universal basis only from 2015. The aim of this retrospective study is to present and discuss the preliminary results of the UNHS program in the Lazio region for the year 2016, highlighting the strengths and weaknesses of the program.MethodsData from screening facilities in the Lazio region for year 2016 were retrospectively analyzed. Data for Level I centers were supplied by the Lazio regional offices; data for Level II and III centers were provided by units that participated to the study.ResultsDuring 2016, a total of 44,805 babies were born in the Lazio region. First stage screening was performed on 41,821 children in 37 different birth centers, with a coverage rate of 93.3%. Of these, 38.977 (93.2%) obtained a “pass” response; children with a “refer” result in at least one ear were 2844 (6.8%). Data from Level II facilities are incomplete due to missing reporting, one of the key issues in Lazio UNHS. Third stage evaluation was performed on 365 children in the three level III centers of the region, allowing identification of 70 children with unilateral (40%) or bilateral (60%) hearing loss, with a prevalence of 1.6/1000.ConclusionsThe analysis of 2016 UNHS in the Lazio region allowed identification of several strengths and weaknesses of the initial phase of the program. The strengths include a correct spread and monitoring of UNHS among Level I facilities, with an adequate coverage rate, and the proper execution of audiological monitoring and diagnosis among Level III facilities. Weakness, instead, mainly consisted in lack of an efficient and automated central process for collecting, monitoring and reporting of data and information.

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L’attività di sorveglianza audiologica pediatrica in Italia: raccomandazioni preliminari

Cited by 7 publications

References 16 publications

Modeling Postnatal Hearing Case Finding Within the Italian National Health System

Modeling Postnatal Hearing Case Finding Within the Italian National Health System

Who misses the newborn hearing screening? Five years’ experience in Friuli-Venezia Giulia Region (Italy)

Universal newborn hearing screening in the Lazio region, Italy

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