Cribado neonatal de la sordera mediante otoemisiones acústicas evocadas
Neonatal hearing screening by evoked otoacoustic emissions
J.M. Cubells Fuentes
, J.M. Gairí Tahull
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12712jcf@comb.es
Correspondencia: Departamento de Pediatría. Institut Universitari Dexeus. P° de la Bonanova, 69, 4a pl. 08017 Barcelona.
Correspondencia: Departamento de Pediatría. Institut Universitari Dexeus. P° de la Bonanova, 69, 4a pl. 08017 Barcelona.
Departamento de Pediatría. Institut Universitari Dexeus. Barcelona
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Risks and benefits" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Martínez Sánchez, E.P. Díaz González, S. García-Tornel Florensa, J. Gaspà Martí" "autores" => array:4 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Martínez Sánchez" ] 1 => array:2 [ "nombre" => "E.P." "apellidos" => "Díaz González" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "García-Tornel Florensa" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Gaspà Martí" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403300775023?idApp=UINPBA00005H" "url" => "/16954033/0000005300000006/v1_201307051530/S1695403300775023/v1_201307051530/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Cribado neonatal de la sordera mediante otoemisiones acústicas evocadas" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "586" "paginaFinal" => "591" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.M. Cubells Fuentes, J.M. Gairí Tahull" "autores" => array:2 [ 0 => array:4 [ "nombre" => "J.M." "apellidos" => "Cubells Fuentes" "email" => array:1 [ 0 => "12712jcf@comb.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J.M." "apellidos" => "Gairí Tahull" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de Pediatría. Institut Universitari Dexeus. Barcelona" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Departamento de Pediatría. Institut Universitari Dexeus. P° de la Bonanova, 69, 4a pl. 08017 Barcelona." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Neonatal hearing screening by evoked otoacoustic emissions" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-09-30" "fechaAceptado" => "2000-06-30" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186512" "palabras" => array:3 [ 0 => "Otoemisiones acústicas provocadas" 1 => "Cribado neonatal" 2 => "Hipoacusia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec186513" "palabras" => array:3 [ 0 => "Evoked otoacoustic emissions" 1 => "Neonatal screening" 2 => "Hy-poacusis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir la puesta en marcha de un programa de detección precoz de la sordera en época neonatal y en un hospital privado.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En el período comprendido entre el 1 de agosto de 1994 y el 31 de julio de 1999 se estudiaron 1.750 recién nacidos procedentes de la <span class="elsevierStyleItalic">nursery</span> y de la unidad de neo-natología de nuestro centro, mediante la técnica de las oto-emisiones acústicas provocadas (OEA), practicadas a partir de las 24 h de vida, tras obtener la autorización de los padres.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La cobertura (número de niños a los que se practican las OEA respecto al total de recién nacidos vivos) ascendió del 6% en 1994 al 37,5% en 1999. Se detectaron seis hipoacu-sias neurosensoriales de rango leve-moderado con unos resultados globales del 4%o de hipoacusias y del 2,3 %o de hipoacusias bilaterales.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En este trabajo se demuestra que es posible detectar la sordera en período neonatal mediante OEA y su efectividad. También se comprueba la dificultad de alcanzar un cribado universal, debido a la falta de concienciación de la población, lo cual hace necesario la participación de los gobiernos y los estamentos médicos oficiales en la tarea de legislar dichos programas de detección y en concienciar a la población.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe the implementation of a program for the early detection of deafness in newborn infants in a private hospital.</p> <span class="elsevierStyleSectionTitle">Materials and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Between August 1, 1994 and July 31, 1999, 1,750 neonates from the nursery and neonatology unit of our hospital were studied using evoked acoustic emissions (EAE). Screening was performed after the first 24 hours of life and after parent consent had been obtained.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The coverage (number of neonates screened using otoa-coustic emissions compared with the total number of live births) increased from 6% in 1994 to 37.5% in 1999. Six mild-moderate neurosensory hypoacusis were detected; overall results were 4 % hypoacusis and 2.3 % bilateral hy-poacusis.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">This study demonstrates that hardness of hearing can be detected at birth by means of EAE. Because of lack of awareness in the general population, universal screening is difficult. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 8 | 17 | 25 |
| 2024 Octubre | 33 | 50 | 83 |
| 2024 Septiembre | 45 | 50 | 95 |
| 2024 Agosto | 48 | 72 | 120 |
| 2024 Julio | 31 | 36 | 67 |
| 2024 Junio | 50 | 30 | 80 |
| 2024 Mayo | 50 | 44 | 94 |
| 2024 Abril | 44 | 49 | 93 |
| 2024 Marzo | 29 | 37 | 66 |
| 2024 Febrero | 36 | 33 | 69 |
| 2024 Enero | 26 | 31 | 57 |
| 2023 Diciembre | 30 | 27 | 57 |
| 2023 Noviembre | 37 | 36 | 73 |
| 2023 Octubre | 37 | 35 | 72 |
| 2023 Septiembre | 13 | 21 | 34 |
| 2023 Agosto | 23 | 18 | 41 |
| 2023 Julio | 37 | 41 | 78 |
| 2023 Junio | 27 | 29 | 56 |
| 2023 Mayo | 34 | 26 | 60 |
| 2023 Abril | 25 | 19 | 44 |
| 2023 Marzo | 21 | 34 | 55 |
| 2023 Febrero | 25 | 28 | 53 |
| 2023 Enero | 19 | 43 | 62 |
| 2022 Diciembre | 38 | 45 | 83 |
| 2022 Noviembre | 40 | 62 | 102 |
| 2022 Octubre | 78 | 81 | 159 |
| 2022 Septiembre | 31 | 47 | 78 |
| 2022 Agosto | 50 | 70 | 120 |
| 2022 Julio | 33 | 67 | 100 |
| 2022 Junio | 25 | 51 | 76 |
| 2022 Mayo | 27 | 51 | 78 |
| 2022 Abril | 35 | 80 | 115 |
| 2022 Marzo | 46 | 66 | 112 |
| 2022 Febrero | 29 | 37 | 66 |
| 2022 Enero | 25 | 47 | 72 |
| 2021 Diciembre | 20 | 49 | 69 |
| 2021 Noviembre | 36 | 47 | 83 |
| 2021 Octubre | 36 | 55 | 91 |
| 2021 Septiembre | 19 | 47 | 66 |
| 2021 Agosto | 36 | 43 | 79 |
| 2021 Julio | 19 | 46 | 65 |
| 2021 Junio | 26 | 59 | 85 |
| 2021 Mayo | 37 | 46 | 83 |
| 2021 Abril | 50 | 90 | 140 |
| 2021 Marzo | 49 | 28 | 77 |
| 2021 Febrero | 52 | 27 | 79 |
| 2021 Enero | 35 | 35 | 70 |
| 2020 Diciembre | 49 | 35 | 84 |
| 2020 Noviembre | 30 | 25 | 55 |
| 2020 Octubre | 34 | 20 | 54 |
| 2020 Septiembre | 58 | 17 | 75 |
| 2020 Agosto | 15 | 15 | 30 |
| 2020 Julio | 29 | 26 | 55 |
| 2020 Junio | 48 | 32 | 80 |
| 2020 Mayo | 40 | 30 | 70 |
| 2020 Abril | 30 | 20 | 50 |
| 2020 Marzo | 50 | 20 | 70 |
| 2020 Febrero | 29 | 24 | 53 |
| 2020 Enero | 37 | 17 | 54 |
| 2019 Diciembre | 32 | 28 | 60 |
| 2019 Noviembre | 23 | 12 | 35 |
| 2019 Octubre | 15 | 20 | 35 |
| 2019 Septiembre | 24 | 25 | 49 |
| 2019 Agosto | 24 | 27 | 51 |
| 2019 Julio | 18 | 39 | 57 |
| 2019 Junio | 24 | 34 | 58 |
| 2019 Mayo | 37 | 35 | 72 |
| 2019 Abril | 41 | 44 | 85 |
| 2019 Marzo | 12 | 14 | 26 |
| 2019 Febrero | 25 | 18 | 43 |
| 2019 Enero | 13 | 19 | 32 |
| 2018 Diciembre | 19 | 28 | 47 |
| 2018 Noviembre | 15 | 29 | 44 |
| 2018 Octubre | 28 | 9 | 37 |
| 2018 Septiembre | 17 | 5 | 22 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Julio | 1 | 0 | 1 |
| 2018 Junio | 1 | 0 | 1 |
| 2018 Mayo | 5 | 0 | 5 |
| 2018 Abril | 13 | 0 | 13 |
| 2018 Marzo | 11 | 0 | 11 |
| 2018 Febrero | 15 | 0 | 15 |
| 2018 Enero | 9 | 0 | 9 |
| 2017 Diciembre | 14 | 0 | 14 |
| 2017 Noviembre | 13 | 0 | 13 |
| 2017 Octubre | 8 | 0 | 8 |
| 2017 Septiembre | 17 | 0 | 17 |
| 2017 Agosto | 9 | 0 | 9 |
| 2017 Julio | 16 | 0 | 16 |
| 2017 Junio | 26 | 14 | 40 |
| 2017 Mayo | 18 | 9 | 27 |
| 2017 Abril | 15 | 17 | 32 |
| 2017 Marzo | 15 | 31 | 46 |
| 2017 Febrero | 19 | 9 | 28 |
| 2017 Enero | 17 | 9 | 26 |
| 2016 Diciembre | 40 | 12 | 52 |
| 2016 Noviembre | 51 | 18 | 69 |
| 2016 Octubre | 59 | 14 | 73 |
| 2016 Septiembre | 57 | 15 | 72 |
| 2016 Agosto | 34 | 6 | 40 |
| 2016 Julio | 21 | 11 | 32 |
| 2016 Junio | 0 | 14 | 14 |
| 2016 Mayo | 1 | 22 | 23 |
| 2016 Abril | 0 | 25 | 25 |
| 2016 Febrero | 1 | 0 | 1 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Agosto | 2 | 0 | 2 |
| 2015 Julio | 14 | 0 | 14 |
| 2015 Junio | 15 | 0 | 15 |
| 2015 Mayo | 14 | 31 | 45 |
| 2015 Abril | 10 | 28 | 38 |
| 2015 Marzo | 13 | 0 | 13 |
| 2015 Febrero | 14 | 0 | 14 |
| 2015 Enero | 16 | 0 | 16 |
| 2014 Diciembre | 9 | 1 | 10 |
| 2014 Noviembre | 5 | 0 | 5 |
| 2014 Octubre | 11 | 0 | 11 |
| 2014 Septiembre | 12 | 2 | 14 |
| 2014 Agosto | 12 | 4 | 16 |
| 2014 Julio | 17 | 4 | 21 |
| 2014 Junio | 26 | 3 | 29 |
| 2014 Mayo | 21 | 3 | 24 |
| 2014 Abril | 21 | 2 | 23 |
| 2014 Marzo | 17 | 4 | 21 |
| 2014 Febrero | 15 | 13 | 28 |
| 2014 Enero | 10 | 7 | 17 |
| 2013 Diciembre | 18 | 18 | 36 |
| 2013 Noviembre | 23 | 7 | 30 |
| 2013 Octubre | 28 | 8 | 36 |
| 2013 Septiembre | 27 | 9 | 36 |
| 2013 Agosto | 15 | 6 | 21 |
| 2013 Julio | 3 | 3 | 6 |
| 2013 Junio | 2 | 5 | 7 |
| 2013 Mayo | 4 | 2 | 6 |
| 2013 Abril | 3 | 2 | 5 |
| 2013 Marzo | 7 | 3 | 10 |
| 2013 Febrero | 27 | 2 | 29 |
| 2013 Enero | 19 | 3 | 22 |
| 2012 Diciembre | 24 | 4 | 28 |
| 2012 Noviembre | 20 | 0 | 20 |
| 2012 Octubre | 21 | 1 | 22 |
| 2012 Septiembre | 13 | 1 | 14 |
| 2012 Agosto | 1 | 0 | 1 |
| 2000 Diciembre | 2233 | 0 | 2233 |
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