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Vol. 57. Núm. 1.
Páginas 55-59 (julio 2002)
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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
11283
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.
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Bibliografía
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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
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Copyright © 2002. Asociación Española de Pediatría
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