title: Newborn hearing screening and early diagnostic in the NICU.
abstract: The aim was to describe the outcome of neonatal hearing screening (NHS) and audiological diagnosis in neonates in the NICU. The sample was divided into Group I: neonates who underwent NHS in one step and Group II: neonates who underwent a test and retest NHS. NHS procedure was automated auditory brainstem response. NHS was performed in 82.1% of surviving neonates. For GI, referral rate was 18.6% and false-positive was 62.2% (normal hearing in the diagnostic stage). In GII, with retest, referral rate dropped to 4.1% and false-positive to 12.5%. Sensorineural hearing loss was found in 13.2% of infants and conductive in 26.4% of cases. There was one case of auditory neuropathy spectrum (1.9%). Dropout rate in whole process was 21.7% for GI and 24.03% for GII. We concluded that it was not possible to perform universal NHS in the studied sample or, in many cases, to apply it within the first month of life. Retest reduced failure and false-positive rate and did not increase evasion, indicating that it is a recommendable step in NHS programs in the NICU. The incidence of hearing loss was 2.9%, considering sensorineural hearing loss (0.91%), conductive (1.83%) and auditory neuropathy spectrum (0.19%).
authors.affiliation: The Department of Development Human and Rehabilitation (CEPRE), Faculty of Medical Sciences, State University of Campinas (FCM/UNICAMP), Rua Tessália Vieira de Camargo, 126 Caixa Postal 6111, Cidade Universitária "Zeferino Vaz," 13083-887 Campinas, SP, Brazil.
authors.forename: Maria Francisca
authors.initials: MF
authors.lastname: Colella-Santos
authors.affiliation: Child and Adolescent Health Program, Center for Investigation in Pediatrics, Faculty of Medical Sciences, State University of Campinas (FCM/UNICAMP), Rua Tessália Vieira de Camargo, 126 Caixa Postal 6111, 13083-887 Campinas, SP, Brazil.
authors.forename: Thaís Antonelli Diniz
authors.initials: TA
authors.lastname: Hein
authors.affiliation: Child and Adolescent Health Program, Center for Investigation in Pediatrics, Faculty of Medical Sciences, State University of Campinas (FCM/UNICAMP), Rua Tessália Vieira de Camargo, 126 Caixa Postal 6111, 13083-887 Campinas, SP, Brazil.
authors.forename: Gabriele Libano
authors.initials: GL
authors.lastname: de Souza
authors.affiliation: Child and Adolescent Health Program, Center for Investigation in Pediatrics, Faculty of Medical Sciences, State University of Campinas (FCM/UNICAMP), Rua Tessália Vieira de Camargo, 126 Caixa Postal 6111, 13083-887 Campinas, SP, Brazil.
authors.forename: Maria Isabel Ramos
authors.initials: MI
authors.lastname: do Amaral
authors.affiliation: Child and Adolescent Health Program, Center for Investigation in Pediatrics, Faculty of Medical Sciences, State University of Campinas (FCM/UNICAMP), Rua Tessália Vieira de Camargo, 126 Caixa Postal 6111, 13083-887 Campinas, SP, Brazil.
authors.forename: Raquel Leme
authors.initials: RL
authors.lastname: Casali
mesh_terms: D042241:Early Diagnosis; D005260:Female; D006309:Hearing; D006311:Hearing Disorders / Q000175:diagnosis* / Q000473:pathology; D006320:Hearing Tests; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008297:Male; D015997:Neonatal Screening