PDF(Pubmed)
Abstract：
Newborn hearing screening (NHS) was implemented in Albania in four maternity hospitals in 2018 and 2019. Implementation outcome, screening outcome, and screening quality measures were evaluated. Infants were first screened by midwives and nurses before discharge from the maternity hospital and returned for follow-up screening. Acceptability, appropriateness, feasibility, adoption, fidelity, coverage, attendance, and stepwise and final-referral rates were assessed by onsite observations, interviews, questionnaires, and a screening database. A post hoc analysis was performed to identify reasons for loss to follow up (LTFU) in a multivariate logistic regression. In total, 22,818 infants were born, of which 96.6% were screened. For the second screening step, 33.6% of infants were LTFU, 40.4% for the third, and 35.8% for diagnostic assessment. Twenty-two (0.1%) were diagnosed with hearing loss of ≥40 dB, six unilateral. NHS was appropriate and feasible: most infants are born in maternity hospitals, hence nurses and midwives could perform screening, and screening rooms and logistic support were supplied. Adoption among screeners was good. Referral rates decreased steadily, reflecting increasing skill. Occasionally, screening was repeated during a screening step, contrary to the protocol. NHS in Albania was implemented successfully, though LTFU was high. It is important to have effective data tracking and supervision throughout the screening.
摘要：
2018年和2019年，阿尔巴尼亚在四家妇产医院实施了新生儿听力筛查（NHS）。执行结果，筛查结果，并对筛查质量措施进行了评估。婴儿首先由助产士和护士进行筛查，然后从妇产医院出院，然后返回进行后续筛查。可接受性,适当性，可行性,收养,保真度，覆盖范围，出席,通过现场观察评估逐步和最终转诊率，采访,问卷，还有一个筛查数据库.在多变量逻辑回归中进行事后分析以确定随访失败（LTFU）的原因。总的来说,22,818名婴儿出生，其中96.6%被筛查。对于第二个筛选步骤，33.6％的婴儿是LTFU，第三占40.4%，和35.8%用于诊断评估。22例（0.1%）被诊断为听力损失≥40dB，六个单方面。NHS是适当且可行的：大多数婴儿在妇产医院出生，因此护士和助产士可以进行筛查，并提供了筛查室和后勤支持。筛查人员的采用很好。转诊率稳步下降,反映不断增长的技能。偶尔,在筛选步骤中重复筛选，与协议相反。阿尔巴尼亚的NHS成功实施，尽管LTFU很高。重要的是在整个筛选过程中进行有效的数据跟踪和监督。
