Fatores intervenientes e variações nos limiares auditivos em população pediátrica no período pós-diagnóstico
Ano de defesa: | 2014 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Pontifícia Universidade Católica de São Paulo
|
Programa de Pós-Graduação: |
Programa de Estudos Pós-Graduados em Fonoaudiologia
|
Departamento: |
Fonoaudiologia
|
País: |
BR
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | https://tede2.pucsp.br/handle/handle/11981 |
Resumo: | The early detection and diagnosis of hearing loss enable for appropriate intervention, providing the conditions for the child's development of speech, language, hearing, and of psychosocial and educational aspects. However, the diagnostic process can be considered complete only when specifically identified the type, degree and configuration of hearing loss these children. The hearing evaluation process is very important and at the same time dynamic. In this direction, to analyze possible variations in hearing thresholds and consequent changes in the values used for prescription procedures in hearing aids programming are necessary when establishing protocol issues to be addressed when it comes to the pediatric population. Objective: To identify factors that can lead to variations of auditory thresholds in children in the post-diagnosis period. Method: In the period studied were analyzed medical and audiological records of 66 subjects who were diagnosed with hearing loss, selection and fitting of hearing aids performed in CeAC. A hearing descriptive analysis of the subject was performed in the diagnostic process to the fitting of hearing aids. Changes in hearing threshold over the period were analyzed considering factors involved in each return appointment. Results and Discussion: The results show that of the 66 subjects for analysis, 18 (27.3 %) were eliminated because they had only one threshold of diagnostic and they did not perform the monitoring period. 62% subjects were male, 38% female, with a mean chronological age at diagnosis of 23 months, the newest initiated the treatment with 1 month of age and the oldest with 80 months. These subjects, just 2% were classified with mild hearing loss, 17% had moderate degree of hearing loss, 33% had severe degree of hearing loss and 48% had profound degree of hearing loss. 29% of the total sample showed variation in the degree of hearing loss, and 35% of these symmetric hearing losses and 54% asymmetric. In the hearing losses asymmetric when the auditory thresholds in the diagnostic and the last period studied, 28 subjects (58.3%) had improvement or worsening compared the initial thresholds. The factors identified as responsible for variations were neural maturation, progression of hearing loss and presence of otitis. Conclusion: Over the past 10 years, it has been observed that newborn hearing screening programs in hospitals has enabled the diagnosis of hearing impairment earlier in life. Considering the differences in hearing thresholds found over time in children who underwent ABR-FE in the first six months of life, this exam has been effective in determining the hearing thresholds in the period in which VRA is not yet possible. The variation of hearing thresholds related to maturation, progression and otitis suggests that regular monitoring of children diagnosed early in life should be done as systematic procedure at intervals of three to four months, considering the maturity period and the difficulty of parental observation of behaviors related to possible variations in the hearing thresholds |
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Novaes, Beatriz Cavalcanti de Albuquerque Caiubyhttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4340201H2Ogeda, Elaine Cristina Moreira2016-04-27T18:12:03Z2014-07-102014-05-29Ogeda, Elaine Cristina Moreira. Intervening factors and hearing thresholds shifts in pediatric population during post-diagnosis period. 2014. 76 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2014.https://tede2.pucsp.br/handle/handle/11981The early detection and diagnosis of hearing loss enable for appropriate intervention, providing the conditions for the child's development of speech, language, hearing, and of psychosocial and educational aspects. However, the diagnostic process can be considered complete only when specifically identified the type, degree and configuration of hearing loss these children. The hearing evaluation process is very important and at the same time dynamic. In this direction, to analyze possible variations in hearing thresholds and consequent changes in the values used for prescription procedures in hearing aids programming are necessary when establishing protocol issues to be addressed when it comes to the pediatric population. Objective: To identify factors that can lead to variations of auditory thresholds in children in the post-diagnosis period. Method: In the period studied were analyzed medical and audiological records of 66 subjects who were diagnosed with hearing loss, selection and fitting of hearing aids performed in CeAC. A hearing descriptive analysis of the subject was performed in the diagnostic process to the fitting of hearing aids. Changes in hearing threshold over the period were analyzed considering factors involved in each return appointment. Results and Discussion: The results show that of the 66 subjects for analysis, 18 (27.3 %) were eliminated because they had only one threshold of diagnostic and they did not perform the monitoring period. 62% subjects were male, 38% female, with a mean chronological age at diagnosis of 23 months, the newest initiated the treatment with 1 month of age and the oldest with 80 months. These subjects, just 2% were classified with mild hearing loss, 17% had moderate degree of hearing loss, 33% had severe degree of hearing loss and 48% had profound degree of hearing loss. 29% of the total sample showed variation in the degree of hearing loss, and 35% of these symmetric hearing losses and 54% asymmetric. In the hearing losses asymmetric when the auditory thresholds in the diagnostic and the last period studied, 28 subjects (58.3%) had improvement or worsening compared the initial thresholds. The factors identified as responsible for variations were neural maturation, progression of hearing loss and presence of otitis. Conclusion: Over the past 10 years, it has been observed that newborn hearing screening programs in hospitals has enabled the diagnosis of hearing impairment earlier in life. Considering the differences in hearing thresholds found over time in children who underwent ABR-FE in the first six months of life, this exam has been effective in determining the hearing thresholds in the period in which VRA is not yet possible. The variation of hearing thresholds related to maturation, progression and otitis suggests that regular monitoring of children diagnosed early in life should be done as systematic procedure at intervals of three to four months, considering the maturity period and the difficulty of parental observation of behaviors related to possible variations in the hearing thresholdsA detecção e a identificação diagnóstica precoce da deficiência auditiva possibilitam uma intervenção adequada, oferecendo à criança condições para o desenvolvimento da fala, da linguagem, da audição e dos aspectos psicossociais e educacionais. Entretanto, o processo diagnóstico só pode ser considerado completo quando identificados, especificamente, o tipo, o grau e a configuração da perda auditiva dessas crianças. O processo de avaliação audiológica é muito importante e ao mesmo tempo dinâmico. Nesse sentido, analisar essas variações e as consequentes mudanças na prescrição dos aparelhos de amplificação sonora individual pode ser determinante no estabelecimento de protocolo de aspectos a serem abordados quando se trata da população pediátrica. Objetivo: Identificar fatores intervenientes nas variações dos limiares auditivos na população pediátrica no período pós-diagnóstico. Método: No período estudado foram analisados prontuários de 66 sujeitos que tiveram diagnóstico de perda auditiva, seleção e adaptação de AASI feitas no CeAC. Foi realizada análise descritiva audiológica dos sujeitos, no processo do diagnóstico até a adaptação do AASI. Variações nos limiares audiológicos ao longo do período foram analisadas considerando fatores intervenientes em cada retorno. Resultados e Discussão: Os resultados mostram que dos 66 sujeitos para análise, 18 (27,3%) foram eliminados pois apresentavam apenas um limiar de diagnóstico e não realizaram acompanhamento no período. 62% dos sujeitos eram do genero masculino, 38% do gênero feminino, com uma média de idade cronológica no diagnóstico de 23 meses, sendo o mais novo iniciou o atendimento com 1 mês de vida e o mais velho com 80 meses. Destes sujeitos, apenas 2% apresentaram grau de perda leve,17% apresentavam grau de perda moderado, 33% grau de perda severo e 48% grau de perda profundo. Do total estudado 29% apresentaram variação no grau da perda, sendo 35% destas perdas simétricas e 54% de perdas assimétricas. Nas assimétricas quando comparados os limiares de diagnóstico e do último acompanhamento no período estudado, 28 sujeitos ( 58,3%) apresentaram melhora ou piora no limiar auditivo. Fatores como maturação, progressão e presença de otite foram os principais responsáveis pelas variações. Conclusão: Nos últimos 10 anos foi observado que os programas de Triagem Auditiva Neonatal nas maternidades tem possibilitado o diagnóstico mais cedo. Considerando as diferenças de limiares encontrados ao longo do tempo em crianças que realizaram o PEATE-FE nos primeiros seis meses de vida, esse exame tem sido efetivo na determinação de limiares no período no qual a obtenção ocorre através de VRA não é possível. A variação de limiares auditivos relacionados a maturação, progressão e otites sugere que o acompanhamento periódico de crianças diagnosticadas nos primeiros anos de vida deve ser realizado como procedimento sistemático em intervalos de três a quatro meses, considerando o período maturacional e a dificuldade de observação pelos pais de variações de limiaresCoordenação de Aperfeiçoamento de Pessoal de Nível Superiorapplication/pdfhttp://tede2.pucsp.br/tede/retrieve/24866/Elaine%20Cristina%20Moreira%20Ogeda.pdf.jpgporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em FonoaudiologiaPUC-SPBRFonoaudiologiaDeficiência auditivaAuxiliares de audiçãoTriagem auditiva neonatalHearing lossHearing aidNeonatal screeningCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIAFatores intervenientes e variações nos limiares auditivos em população pediátrica no período pós-diagnósticoIntervening factors and hearing thresholds shifts in pediatric population during post-diagnosis periodinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_SPinstname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPTEXTElaine Cristina Moreira Ogeda.pdf.txtElaine Cristina Moreira Ogeda.pdf.txtExtracted texttext/plain115113https://repositorio.pucsp.br/xmlui/bitstream/handle/11981/3/Elaine%20Cristina%20Moreira%20Ogeda.pdf.txt2c29397c03291f65500ae722f0a93a20MD53ORIGINALElaine Cristina Moreira Ogeda.pdfapplication/pdf3962060https://repositorio.pucsp.br/xmlui/bitstream/handle/11981/1/Elaine%20Cristina%20Moreira%20Ogeda.pdfd47328a4e3f3d56955948bc7a01c7acfMD51THUMBNAILElaine Cristina Moreira Ogeda.pdf.jpgElaine Cristina Moreira Ogeda.pdf.jpgGenerated Thumbnailimage/jpeg2953https://repositorio.pucsp.br/xmlui/bitstream/handle/11981/2/Elaine%20Cristina%20Moreira%20Ogeda.pdf.jpg68a7210e9a349c2f3c43da35d12ee3f7MD52handle/119812022-04-27 18:04:58.045oai:repositorio.pucsp.br:handle/11981Biblioteca Digital de Teses e Dissertaçõeshttps://sapientia.pucsp.br/https://sapientia.pucsp.br/oai/requestbngkatende@pucsp.br||rapassi@pucsp.bropendoar:2022-04-27T21:04:58Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP)false |
dc.title.por.fl_str_mv |
Fatores intervenientes e variações nos limiares auditivos em população pediátrica no período pós-diagnóstico |
dc.title.alternative.eng.fl_str_mv |
Intervening factors and hearing thresholds shifts in pediatric population during post-diagnosis period |
title |
Fatores intervenientes e variações nos limiares auditivos em população pediátrica no período pós-diagnóstico |
spellingShingle |
Fatores intervenientes e variações nos limiares auditivos em população pediátrica no período pós-diagnóstico Ogeda, Elaine Cristina Moreira Deficiência auditiva Auxiliares de audição Triagem auditiva neonatal Hearing loss Hearing aid Neonatal screening CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
title_short |
Fatores intervenientes e variações nos limiares auditivos em população pediátrica no período pós-diagnóstico |
title_full |
Fatores intervenientes e variações nos limiares auditivos em população pediátrica no período pós-diagnóstico |
title_fullStr |
Fatores intervenientes e variações nos limiares auditivos em população pediátrica no período pós-diagnóstico |
title_full_unstemmed |
Fatores intervenientes e variações nos limiares auditivos em população pediátrica no período pós-diagnóstico |
title_sort |
Fatores intervenientes e variações nos limiares auditivos em população pediátrica no período pós-diagnóstico |
author |
Ogeda, Elaine Cristina Moreira |
author_facet |
Ogeda, Elaine Cristina Moreira |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Novaes, Beatriz Cavalcanti de Albuquerque Caiuby |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4340201H2 |
dc.contributor.author.fl_str_mv |
Ogeda, Elaine Cristina Moreira |
contributor_str_mv |
Novaes, Beatriz Cavalcanti de Albuquerque Caiuby |
dc.subject.por.fl_str_mv |
Deficiência auditiva Auxiliares de audição Triagem auditiva neonatal |
topic |
Deficiência auditiva Auxiliares de audição Triagem auditiva neonatal Hearing loss Hearing aid Neonatal screening CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
dc.subject.eng.fl_str_mv |
Hearing loss Hearing aid Neonatal screening |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
description |
The early detection and diagnosis of hearing loss enable for appropriate intervention, providing the conditions for the child's development of speech, language, hearing, and of psychosocial and educational aspects. However, the diagnostic process can be considered complete only when specifically identified the type, degree and configuration of hearing loss these children. The hearing evaluation process is very important and at the same time dynamic. In this direction, to analyze possible variations in hearing thresholds and consequent changes in the values used for prescription procedures in hearing aids programming are necessary when establishing protocol issues to be addressed when it comes to the pediatric population. Objective: To identify factors that can lead to variations of auditory thresholds in children in the post-diagnosis period. Method: In the period studied were analyzed medical and audiological records of 66 subjects who were diagnosed with hearing loss, selection and fitting of hearing aids performed in CeAC. A hearing descriptive analysis of the subject was performed in the diagnostic process to the fitting of hearing aids. Changes in hearing threshold over the period were analyzed considering factors involved in each return appointment. Results and Discussion: The results show that of the 66 subjects for analysis, 18 (27.3 %) were eliminated because they had only one threshold of diagnostic and they did not perform the monitoring period. 62% subjects were male, 38% female, with a mean chronological age at diagnosis of 23 months, the newest initiated the treatment with 1 month of age and the oldest with 80 months. These subjects, just 2% were classified with mild hearing loss, 17% had moderate degree of hearing loss, 33% had severe degree of hearing loss and 48% had profound degree of hearing loss. 29% of the total sample showed variation in the degree of hearing loss, and 35% of these symmetric hearing losses and 54% asymmetric. In the hearing losses asymmetric when the auditory thresholds in the diagnostic and the last period studied, 28 subjects (58.3%) had improvement or worsening compared the initial thresholds. The factors identified as responsible for variations were neural maturation, progression of hearing loss and presence of otitis. Conclusion: Over the past 10 years, it has been observed that newborn hearing screening programs in hospitals has enabled the diagnosis of hearing impairment earlier in life. Considering the differences in hearing thresholds found over time in children who underwent ABR-FE in the first six months of life, this exam has been effective in determining the hearing thresholds in the period in which VRA is not yet possible. The variation of hearing thresholds related to maturation, progression and otitis suggests that regular monitoring of children diagnosed early in life should be done as systematic procedure at intervals of three to four months, considering the maturity period and the difficulty of parental observation of behaviors related to possible variations in the hearing thresholds |
publishDate |
2014 |
dc.date.available.fl_str_mv |
2014-07-10 |
dc.date.issued.fl_str_mv |
2014-05-29 |
dc.date.accessioned.fl_str_mv |
2016-04-27T18:12:03Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Ogeda, Elaine Cristina Moreira. Intervening factors and hearing thresholds shifts in pediatric population during post-diagnosis period. 2014. 76 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2014. |
dc.identifier.uri.fl_str_mv |
https://tede2.pucsp.br/handle/handle/11981 |
identifier_str_mv |
Ogeda, Elaine Cristina Moreira. Intervening factors and hearing thresholds shifts in pediatric population during post-diagnosis period. 2014. 76 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2014. |
url |
https://tede2.pucsp.br/handle/handle/11981 |
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por |
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Pontifícia Universidade Católica de São Paulo |
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Programa de Estudos Pós-Graduados em Fonoaudiologia |
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PUC-SP |
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BR |
dc.publisher.department.fl_str_mv |
Fonoaudiologia |
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Pontifícia Universidade Católica de São Paulo |
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