Información de la revista
Vol. 57. Núm. 1.
Páginas 55-59 (julio 2002)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 57. Núm. 1.
Páginas 55-59 (julio 2002)
Acceso a texto completo
Protocolo combinado de cribado auditivo neonatal
A Combined Neonatal Hearing Screening Protocol
Visitas
11341
A. Almenar Latorrea,
Autor para correspondencia
almenar@wanadoo.es

Correspondencia: Santa Engracia, 105, 3.º F. 28010 Madrid. España.
, M.C. Tapia Tocab, C. Fernández Pérezc, M. Moro Serranoa
a Servicios de Neonatología.
b Otorrinolaringología y de.
c Medicina Preventiva. Hospital Clínico San Carlos. Madrid. España.
Este artículo ha recibido
Información del artículo
Resumen
Bibliografía
Descargar PDF
Estadísticas
Objetivo

El objetivo de este estudio es analizar un protocolo decribado auditivo neonatal en el que se combina el usode otoemisiones acústicas (OEA) evocadas y potencialesevocados auditivos de tronco cerebral (PEATC).

Pacientes y métodos

Se estudiaron 1.532 recién nacidos con un protocolo enel que se realizaron OEA y PEATC. Además, se realizó unaevaluación del desarrollo auditivo hasta los 12 meses deedad mediante unos cuestionarios trimestrales.

Resultados

Superaron las OEA 1.485 niños (97%), a 185 bebés(12%) fue necesario realizarles PEATC y sólo 11 niños(0,7%) precisaron ser remitidos al servicio de otorrinolaringologíapara completar el estudio y realizar el diagnósticodefinitivo. En 4 niños se detectó enfermedad auditiva.En este estudio no se detectó ningún falso negativo duranteel seguimiento.

Conclusiones

Este protocolo de estudio en el que se usa OEA y PEATCde forma combinada, demuestra ser útil para la detecciónde la hipoacusia en recién nacidos. La prevalencia dela hipoacusia detectada en este estudio fue de 2,6% reciénnacidos vivos.

Palabras clave:
Hipoacusia
Cribado auditivo neonatal
Otoemisionesacústicas
Potenciales evocados auditivos de tronco cerebral
Objective

To analyze a neonatal hearing screening protocol with transient evoked otoacoustic emissions (OAE) and audito-ry brainstem response (ABR).

Patients and methods

We studied 1,532 newborns with a protocol using transientevoked otoacoustic emissions and auditory brainstemresponse. We also evaluated auditory developmentuntil twelve months of age with quarterly questionnaires.

Results

A total of 1,485 (97%) newborns had normal OAE,185 (12%) were referred for ABR exploration and only11 (0.7%) were referred to the otorhinolaryngology servicefor auditory study and diagnosis. Four neonates hadauditory disjunction. No false negatives were detected inthe follow-up.

Conclusions

This hearing screening protocol with OEA and ABR isuseful for detecting hearing loss in neonates. The prevalenceof hearing loss in this study was 2.6% of live newborns.

Key words:
Hearing loss
Neonatal hearing screening
Transientevoked otoacoustic emissions
Auditory brainstem response
El Texto completo está disponible en PDF
BibliografÍa
[1.]
K.R. White, T.R. Behrens.
The Rhode Island Hearing Assessment Project: Implications for universal newborn hearing screening.
Sem Hear, 14 (1993), pp. 1-122
[2.]
Wessex Universal Neonatal Hearing Screening Trial Group Controlled trial of universal neonatal screening for early identification of permanent childhood hearing impairment.
Lancet, 352 (1998), pp. 1957-1964
[3.]
American Academy of Pediatrics. Task force on newborn and infant hearing. Newborn and infant hearing loss: Detection and intervention.
Pediatrics, 103 (1999), pp. 527-530
[4.]
European Consensus Development Conference on NeonatalHearing Screening. European consensus statement on neonatal hearing screening. Milano, 1998
[5.]
Comisión para la detección precoz de la hipoacusia: Propuesta para la detección e intervención precoz de la hipoacusia infantil.
An Esp Pediatr, 51 (1999), pp. 336-344
[6.]
Joint Committee on Infant Hearing. 1994 Possition Statement.
Audiol Today, 6 (1994), pp. 6-7
[7]
M.E. Lutman, A.C. Davis, H.M. Fortum, S. Wood.
Field sensitivity of targeted neonatal hearing screening by transient-evoked otoacoustic emissions.
Ear Hear, 18 (1997), pp. 265-276
[8.]
B.R. Vorh, L.M. Carty, P.E. Moore, K. Letourneau.
The Rhode Island Hearing Assessment Program: Experience with statewide hearing screening (1993-1996).
J Pediatr, 133 (1998), pp. 353-357
[9.]
P.M. Watkin, M. Baldwin.
Confirmation of deafness in infancy.
Arch Dis Child, 31 (1999), pp. 39-54
[10.]
K.R. White, T.R. Behrens.
The Rhode Island Hearing Assessment Project: Implications for Universal Newborn Hearing Screening.
Seminars in Hearing, 14 (1993), pp. 1-122
[11.]
T. Morlet, C. Ferber-Viart, B. Putet, F. Sevin, R. Dulcaux.
Auditory screening in high-risk pre-term and full-term neonates using transient evoked otoacoustic emissions and brainstem auditory evoked potentials.
Int J Pediatr Otorhinolaryngol, 45 (1998), pp. 31-40
[12.]
B. Van Zanten, M. Kok, M. Brocaar, P. Saucer.
The click-evoked otoacoustic emissions, c-oea, in preterm born infants in the post conceptual age range between 30 and 68 weeks.
Int J Pediatr Otorhinolaryngol, 32 (1995), pp. 187-197
[13.]
C.R. Kennedy.
Controlled trial of universal neonatal screening for early identification of permanent childhood hearing impairment: Coverage, positive predictive value, effect on mothers and incremental yield. Wessex Universal Neonatal Screening Trial Group.
Acta Paediatrica, 88 (1999), pp. 73-75
[14.]
G. Paludetti, F. Ottaviani, A.R. Fetoni, A.A. Zuppa, G. Tortorolo.
Transient evoked otoacoustic emissions (TEOAEs) in newborns: Normative data.
Int J Pediatr Otorhinolaryngol, 47 (1999), pp. 235-241
[15.]
A.B. Maxon, K. White, B. Vorh, T. Behrens.
Feasibility of identifyin risk for conductive hearing loss in a newborn universal hearing screening program.
Sem Hear, 14 (1993), pp. 73-86
[16]
D. Haye.
State programs for universal newborn hearing screening En: Hearing loss in children.
Pediatr Clin North Am, 46 (1999), pp. 89-94
[17.]
M.D. Kemp.
The use of transient evoked otoacoustic emissions in neonatal hearing screening programs.
Sem Hear, 14 (1993), pp. 30-45
[18.]
K.R. White, B.R. Vohr, A.B. Maxon, T. Behrens, M.G. McPherson, G.W. Mauk.
Screening all newborns for hearing loss using transient evoked otoacoustic emissions.
Int J Pediatr Otorhinolaryngol, 29 (1994), pp. 203-212
[19.]
M. Manrique, C. Morera, M. Moro.
Detección precoz de la hipoacusia infantil en recién nacidos de alto riesgo: Estudio multicéntrico.
An Esp Pediatr, 40 (1994), pp. 11-45
[20.]
A. Parving.
Prevalence of Congenital Hearing Impairment and Risk Factors.
Ecdc Nhse, (1998), pp. 18-23
[21]
B.R. Vorh, A.B. Maxon, M.J. Johnson.
Factors affecting the interpretation of transient evoked otoacoustic emission results in neonatal hearing screening.
Seminars in Hearing, 14 (1993), pp. 57-72
[22.]
G. Sutton, S. Rowe.
Risk factors for childhood deafness in Oxford Region.
Br J Audiol, 31 (1997), pp. 39-54
[23.]
T. Finitzo, K. Albright, J. O'Neal.
The newborn with hearing loss: Detection in the nursery.
Pediatrics, 102 (1998), pp. 1452-1460
[24.]
T.J. Kanne, L. Schaefer, J.A. Perkins.
Potential pitfalls of initiating a newborn hearing screening program. Arch Otolaryngol Head.
Neck Surg, 125 (1999), pp. 28-32
[25.]
C. Meyer, J. White, A. Hildmann, K.H. Hennecke, K.U. Schunck, K. Maul.
Neonatal screening for hearing disorders in infants at risk: Incidence, risk factors and follow-up.
Pediatrics, 104 (1999), pp. 900-904
[26.]
P.M. Watkin.
Neonatal otoacoustic emission screening and the identification of deafness.
Arch Dis Child, 74 (1996), pp. 16-25
[27.]
J.A. Mason, K.R. Herrmann.
Universal infant hearing screening by automated auditory brain stem response measurement.
Pediatrics, 101 (1998), pp. 221-228
[28.]
A.B. Maxon, K. White, T.R. Behrens, B.R. Vohr.
Referral rates and cost efficiency in a universal newborn hearing screening program using transient otoacoustic emissions.
J Am Acad Audiol, 6 (1995), pp. 271-277
[29.]
P.M. Watkin.
Outcomes of neonatal screening for hearing loss by otoacoustic emissions.
Arch Dis Child, 75 (1996), pp. 58-68
[30.]
J.M. Cubells, J.M. Gairí.
Cribaje neonatal de la sordera mediante otoemisiones acústicas evocadas.
An Esp Pediatr, 53 (2000), pp. 586-591
[31.]
A.L. Mehl, V. Thomson.
Newborn Hearing Screening: The great omission.
Pediatrics, 101 (1998), pp. 1-6
[32.]
M. Moro, C. Sánchez.
Detección precoz de la sordera en la infancia Teoría vs práctica.
An Esp Pediatr, 38 (1993), pp. 1-3
[33.]
T. Finitzo, G. Wendy.
The role of the pediatrician inhearing loss From detection to connection.
Pediatr Clin North Am, 46 (1999), pp. 15-33
Copyright © 2002. Asociación Española de Pediatría
Descargar PDF
Idiomas
Anales de Pediatría
Opciones de artículo
Herramientas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?