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2016 — 2022年北京市朝阳区新生儿听力筛查质量评估分析

Quality assessment analysis of neonatal hearing screening in Chaoyang District, Beijing, 2016 − 2022

  • 摘要:
    目的 评估2016 — 2022年北京市朝阳区新生儿听力筛查各项质量指标,并提出提高群体筛查检出率的改进措施,旨在为卫生行政部门决策提供管理数据及参考依据。
    方法 通过北京市妇幼信息系统收集2016 — 2022年朝阳区新生儿听力筛查资料,回顾性分析各年度新生儿听力筛查初筛率、复筛率及转诊情况等,并与国家相关质量控制标准进行比较,以全面评价本地区新生儿听力筛查工作质量。
    结果 2016 — 2022年北京市朝阳区活产儿共计315 298例,新生儿听力筛查初筛306 101例,初筛率为97.08%,超过《全国新生儿疾病筛查工作规划》90%的要求;初筛通过292 814例,未通过13 287例,初筛未通过率为4.34%,初筛通过率高于《新生儿及婴幼儿早期听力检测及干预指南(草案)》(简称“指南”)90%的要求;新生儿听力筛查复筛10 952例,复筛率为82.43%,超过“指南”80%的要求;复筛未通过2 160例,复筛未通过率为19.72%,复筛未通过转诊人数占筛查人数的0.71%(2 160/306 101),控制在“指南”规定的5%以内;实际转诊1 445例,转诊率为66.90%;最终确诊听力损失735例,听力损失检出率为2.40‰。
    结论 2016 — 2022年北京市朝阳区新生儿听力筛查初筛率稳步增长,各年筛查率均达到“指南”要求,但需要进一步加强听力复筛召回管理,并提高听力损失患儿的转诊率。

     

    Abstract:
    Objective To evaluate the quality indicators of newborn hearing screening in Chaoyang District, Beijing over the past 7 years from 2016 to 2022, and propose measures to improve the effectiveness of newborn hearing screening.
    Methods The neonatal hearing screening data in Chaoyang District from 2016 to 2022 were collected through the Beijing Maternal and Child Information System. A retrospective analysis of primary screening rate, re-screening rate, and referral rate was conducted to calculate the related quality indicators and make comparisons with the national quality standard.
    Results From 2016 to 2022, there were a total of 315 298 live births in Chaoyang District, with 306 101 newborns were screened in Chaoyang District, achieving a primary screening rate of 97.08%, exceeding the requirement of the national “screening program” (90%). Of these screened, 292 814 infants passed the primary screening, while 13 287 infants failed, resulting in a failure rate of 4.34%. The primary screening pass rate was higher than the requirement of “listening test intervention guide” (90%). There were 10 952 cases were recalled, with a re-screening rate of 82.43%, which was higher than the requirement of “listening test intervention guide” (80%). Of those re-screened, 2 160 cases failed the re-screening, with a failure rate of 19.72%. The number of referrals who failed the re-screening accounted for 0.71% of the total screening population, within the provisions of the “listening test intervention guide” (5%). A total of 1 445 cases were referred, with a referral rate of 66.90%. Finally, 735 cases were diagnosed with hearing loss, with a detection rate of 2.40‰.
    Conclusion From 2016 to 2022, the initial screening rate of newborn hearing screening in Chaoyang District of Beijing has steadily increased, with screening reaching the requirements of the guidelines in all years. However, it is necessary to further strengthen the recall management of hearing screening and improve the referral rate of children with hearing loss.

     

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