The universal newborn hearing screening program in a public hospital: The importance of the day of examination

Dimitriou, Anastasia; Perisanidis, Christos; Chalkiadakis, Vasilios; Marangoudakis, Pavlos; Tzagkaroulakis, Antonios; Nikolopoulos, Thomas P.

doi:10.1016/j.ijporl.2016.10.015

Cited by 15 publications

(8 citation statements)

References 20 publications

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“…In the tibia alone, open fractures develop nonunion in 23% of cases [3] and demonstrate increasing complication rates as fracture severity and bone defect size increase [4–6]. Autologous iliac crest bone grafting (AICBG) is the current gold standard of treatment for bone defects; however, bone grafting is associated with overall complication rates of 19% [7] and is further limited by the amount of bone available, donor site morbidity, and suboptimal healing outcomes [7, 8]. Other treatment modalities including vascularized autografts, cortical allografts, and the Ilizarov technique have also been utilized for the repair of bone defects [9].…”

Section: Introductionmentioning

confidence: 99%

Delayed Endothelial Progenitor Cell Therapy Promotes Bone Defect Repair in a Clinically Relevant Rat Model

Bates

Godbout

Ramnaraign

et al. 2017

Stem Cells International

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The repair of segmental bone defects remains a significant challenge for orthopaedic surgeons. Endothelial progenitor cells (EPCs) have successfully promoted the repair of acute defects in animal models; however, the ability of EPCs to induce the repair of chronic nonhealing defects, such as those often encountered clinically, has not been investigated. Therefore, the purpose of this study was to investigate the ability of EPCs delivered in delayed fashion to induce the repair of nonhealing defects in a clinically relevant model. In order to simulate delayed treatment, 5 mm segmental defects in Fischer 344 rat femora were treated with bone marrow-derived EPCs on a Gelfoam scaffold at 3 weeks post creation of the defect. At ten weeks posttreatment, 100% of EPC-treated defects achieved union, whereas complete union was only achieved in 37.5% of defects treated with Gelfoam alone. Furthermore, significant increases in ultimate torque (p = 0.022) and torsional stiffness (p = 0.003) were found in EPC-treated defects compared to controls. Critically, no differences in outcomes were observed between acute and delayed EPC treatments. These results suggest that EPCs can enhance bone healing when applied in an acute or delayed fashion and that their use may represent a clinically translatable therapy for bone healing in humans.

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Section: Introductionmentioning

confidence: 99%

Delayed Endothelial Progenitor Cell Therapy Promotes Bone Defect Repair in a Clinically Relevant Rat Model

Bates

Godbout

Ramnaraign

et al. 2017

Stem Cells International

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“…Of the NBs referred for diagnosis, 86.9% attended it, which is below the expected in the indicators (90%) 15 . Other pieces of research found diagnostic attendance rates below 70% [22][23][24] . Psychosocial and socioeconomic factors -e.g., distance from their home to the place of the diagnostic examination, transportation difficulties, the parents' work schedule, changing address and phone numbers -raise barriers to continuous follow-up, making it necessary to actively seek these patients 23,24 .…”

Section: Discussionmentioning

confidence: 99%

“…Assessing screening programs with quality indicators can optimize the processes and provide improvement perspectives. Nonetheless, to meet quality standards, the management and monitoring systems must be improved, along with raising public awareness of the importance of the UNHS 24 . As UNHS programs are monitored, knowledge will increase on congenital HL epidemiology in Brazil, contributing to timely audiological intervention and helping propose adequate public policies for early childhood 4,28 .…”

Section: Discussionmentioning

confidence: 99%

Universal neonatal hearing screening program at a university hospital: an analysis using quality indicators

et al. 2021

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Purpose: to assess the universal neonatal hearing screening program using quality indicators. Methods: the records of newborns who were submitted to the neonatal hearing screening in 2018 were analyzed, comparing the data with the first five quality indicators established by the national guideline for neonatal hearing screening attention: 1) rate of screening coverage (≥95%); 2) age at the screening in months (up to the first month of life); 3) rate of referrals for diagnosis (2% to 4%); 4) rate of attendance to diagnostic examination (≥90%); 5) age at confirmed diagnosis (up to the third month of life). The data were submitted to quantitative and descriptive statistical analysis. Results: the rate of coverage, age at screening, and the number of referrals for diagnosis met the indicators established by the national guideline. The rate of attendance to diagnostic examination fell short of the expected, and the age at confirmed diagnosis was verified in 70% of the cases. Conclusion: using the quality indicators furnished important data on the effectiveness of the neonatal hearing screening program and identified opportunities to improve the service, which can help identify hearing loss, early.

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“…Hearing screening tests were performed at different time periods in order to detect the actual hearing loss more accurately [4][5][6]. On the other hand, the optimal time period for a screening test has been a matter of debate.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Anesthesia Type During Delivery on Neonatal Otoacoustic Emission Hearing Test Results: A Tertiary Center Experience

Yakıştıran¹,

Karslı

Canpolat

et al. 2020

Z Geburtshilfe Neonatol

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Background Hearing is essential for the healthy development of an infant as language is one of the main stimulants of intellectual capacity. We investigate the effect of anesthesia type during delivery on neonatal otoacoustic emission (OAE) hearing test results. Methods This retrospective cross-sectional study includes 1,493 healthy, full-term (39/0–40/6 gestational weeks) newborns of healthy women and who were delivered by cesarean section. Newborns were divided into 2 groups based on their anesthesia type during delivery: 1) general anesthesia group (n=160), and 2) spinal anesthesia group (n=1333). Maternal age, anesthesia type, birth weight, gestational age at birth, neonatal gender, 1st–5th minute APGAR scores, and OAE results were compared between the groups. Results 1287 (86.2%) newborns were reported to have passed the first step of OAE; 206 (13.8%) newborns were reported to have failed the first step and passed the second test. In the general anesthesia group, 133 (83.1%) of the newborns passed the first OAE test and 27 (16.9%) newborns had false-positive results. In the spinal anesthesia group, 1,154 (86.6%) of the newborns passed the first OAE test and 179 (13.4%) newborns had false-positive results. The difference between the 2 groups by false-positive values was found to be statistically significant (p<0.001). Conclusions Type of delivery anesthesia may have an effect on the false-positive rates of OAE test results.

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The universal newborn hearing screening program in a public hospital: The importance of the day of examination

Cited by 15 publications

References 20 publications

Delayed Endothelial Progenitor Cell Therapy Promotes Bone Defect Repair in a Clinically Relevant Rat Model

Delayed Endothelial Progenitor Cell Therapy Promotes Bone Defect Repair in a Clinically Relevant Rat Model

Universal neonatal hearing screening program at a university hospital: an analysis using quality indicators

The Effect of Anesthesia Type During Delivery on Neonatal Otoacoustic Emission Hearing Test Results: A Tertiary Center Experience

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