Metodología aplicada en el estudio del desarrollo del lenguaje en niños con detección temprana de la hipoacusia neonatal

  1. José Ignacio BENITO OREJAS
  2. Rosa Belén SANTIAGO PARDO
  3. Carmen ROMERO UREÑA
  4. Ángel Luis SÁNCHEZ ROSSO
  5. María Fe MUÑOZ MORENO
  6. Marina ESCARDA BOLAÑOS
  7. Ana HERRERO GALIACHO
  8. Celia GONZÁLEZ NÚÑEZ
  9. María Isabel Rico Paíno
  10. Rebeca Álvarez-Mielgo
  11. Lidia MORENO-FERNÁNDEZ
  12. María CONDE-GONZÁLEZ
  13. Miriam GONZÁLEZ-DEL DEDO
  14. Jorge GUTIÉRREZ-BLANCO
  15. Cristina ARROYO-FERNÁNDEZ
  16. Rocío CERREJÓN MARTÍN
  17. ALBERTO MARTÍN-ROMÁN
  18. Lucía Isabel de CASTRO-DÍEZ
  19. Aarón GARCÍA CABALLERO
  20. María FERNÁNDEZ-GÓMEZ
  21. Cristina GARCÍA-ÁLVAREZ
Journal:
Revista ORL

ISSN: 2444-7986,  2444-7986

Year of publication: 2017

Volume: 8

Volume: 2

Pages: 85-103

Type: Article

DOI: 10.14201/ORL201782.15133 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Revista ORL

Abstract

Introduction and objective: Given that the disabling potential causing neonatal hearing impairment decreases with early detection and intervention, we have drawn up a research project, with which we intend to know the degree of development of the language of children and girls than from the universal hearing screening, have been diagnosed for us of prelingual hearing loss in the last 15 years and analyze the determining variables and which are modifiable. The object of this communication will be to present the methodology that we use. Method: We assume the data stored on our ENT service, including 282 children with hearing loss. We have had the opportunity to create a research group in which we agree ENT and language specialists so we have resources sufficient for the study. Results: We describe the elements that make up this project in relation to the team and to its development. After applying inclusion/exclusion criteria, we have selected a group of 45 children between 3 and 15 years, defining their auditory characteristics. Through specific tests, adapted to the age, we will study the different aspects of the language; and through a structured interview parents, we try to determine the variables that influence the rehabilitator process. Finally, the data will be analyzed statistically. Discussion: The variability and the low prevalence of infant hearing loss, make it difficult studies with sufficient population to obtain statistically significant results. However, we believe that the group of children and the methodology selected will allow us to learn more about the influential in the development of the language variables. Conclusions: The hearing screening program allowed us to earlier intervention, which should improve the levels of language of children detected with hearing loss. Although the standard development of communication depends on other factors difficult to determine, through the presented protocol we equate these findings, validating the process of screening/diagnosis and intervention of our environment.

Bibliographic References

  • Benito-Orejas JI, Pardal-Refoyo JL. Evidencia y recomendación: ¿Cuál es la mejor técnica para el cribado auditivo neonatal?. Rev ORL. 2016;7(2):97-102. DOI: http://dx.doi.org/10.14201/orl201672.14680
  • Benito-Orejas JI, Poncela-Blanco M, García-Vicario F, Benito-González F, Martín-Sigüenza G, San Román-Carbajo J. ¿Es fácil encargarse de coordinar un «programa de hipoacusia infantil»? Rev ORL. 2016;7(2):77-90. DOI: http://dx.doi.org/10.14201/orl201672.14237 - https://doi.org/10.14201/orl201672.14237
  • Benito-Orejas JI, Ramírez B, Morais D, Almaraz A, Fernández-Calvo JL. Comparison of two-step transient evoked otoacoustic emissions (TEOAE) and automated auditory brainstem response (AABR) for universal newborn hearing screening programs. Int J Pediatr Otorhinolaryngol. 2008;72(8):1193-201 - https://doi.org/10.1016/j.ijporl.2008.04.011 - PMid:18550180
  • Benito-Orejas JI, Ramírez B, Morais D, Fernández-Calvo JL, Almaraz A. Resultados de aplicar durante 42 meses un protocolo universal de detección e intervención precoz de la hipoacusia en neonatos. Acta Otorrinolaringol Esp.2008;59(3):96-101 - https://doi.org/10.1016/S0001-6519(08)73274-6
  • Borg E, Edquist G, Reinholdson AC, Risberg A, McAllister B. Speech and language development in a population of Swedish hearing-impaired pre-school children, a cross-sectional study. Int J Pediatr Otorhinolaryngol. 2007;71(7):1061-77 - https://doi.org/10.1016/j.ijporl.2007.03.016 - PMid:17512613
  • Boudewyns A, Declau F, Van den Ende J, Van Kerschaver E, Dirckx S, Hofkens-Van den Brandt A, et al. Otitis media with effusion: an underestimated cause of hearing loss in infants. Otol Neurotol. 2011;32(5):799-804 - https://doi.org/10.1097/MAO.0b013e31821b0d07 - PMid:21593700
  • Bubbico L, Di Castelbianco FB, Tangucci M, Salvinelli F. Early hearing detection and intervention in children with prelingual deafness, effects on language development. Minerva Pediatr. 2007;59(4):307-13 - PMid:17947837
  • Ching TY, Dillon H, Marnane V, Hou S, Day J, Seeto M, et al. Outcomes of early- and late-identified children at 3 years of age: findings from a prospective population-based study. Ear Hear. 2013;34(5):535-52 - https://doi.org/10.1097/AUD.0b013e3182857718 - PMid:23462376 PMCid:PMC3681915
  • Comisión para la detección precoz de la hipoacusia infantil (CODEPEH). Propuesta para la detección e intervención precoz de la hipoacusia infantil. An Esp Pediatr.1999;51:336-344 - PMid:10690224
  • Fitzpatrick E, Angus D, Durieux-Smith A, Graham ID, Coyle D. Parent´s needs following identification of childhood hearing loss. Am J Audiol 2008;17(1): 38-49 - https://doi.org/10.1044/1059-0889(2008/005)
  • Fitzpatrick E, Durieux-Smith A, Eriks-Brophy A, Olds J, Gaines R. The impact of newborn hearing screening on communication development. J Med Screen. 2007;14(3):123-31 - https://doi.org/10.1258/096914107782066248 - PMid:17925084
  • Fulcher A, Purcell AA, Baker E, Munro N. Listen up: children with early identified hearing loss achieve age-appropriate speech/language outcomes by 3 years-of-age. Int J Pediatr Otorhinolaryngol. 2012;76(12):1785-94 - https://doi.org/10.1016/j.ijporl.2012.09.001 - PMid:23084781
  • Fulcher AN, Purcell A, Baker E, Munro N. Factors influencing speech and language outcomes of children with early identified severe/profound hearing loss: Clinician-identified facilitators and barriers. Int J Speech Lang Pathol. 2015;17(3):325-33 - https://doi.org/10.3109/17549507.2015.1032351 - PMid:25958792
  • Geers AE, Moog JS, Biedenstein J, Brenner C, Hayes H. Spoken language scores of children using cochlear implants compared to hearing age-mates at school entry. J Deaf Stud Deaf Educ. 2009;14(3):371-85 - https://doi.org/10.1093/deafed/enn046 - PMid:19155289
  • Isaacson G. Universal newborn hearing screening in an inner-city, managed care environment. Laryngoscope. 2000;110:881-94 - https://doi.org/10.1097/00005537-200006000-00002 - PMid:10852501
  • JCIH (2007). Joint Committee on Infant Hearing: Principles and guidelines for early hearing detection and intervention programs (Position Statement). Pediatrics. 2007;120:898-921 - PMid:17908777
  • Junta de Castilla y León. Consejería de Sanidad. Programa de detección precoz y atención integral de la hipoacusia infantil. 2004. 78 pp
  • Keren R, Helfand M, Homer C, McPhillips H, Lieu TA. Projected cost-effectiveness of statewide universal newborn hearing screening. Pediatrics. 2002;110(5):855-64 - https://doi.org/10.1542/peds.110.5.855 - PMid:12415021
  • Korver AM, Konings S, Dekker FW, Beers M, Wever CC, Frijns JH, et al. DECIBEL Collaborative Study Group. Newborn hearing screening vs later hearing screening and developmental outcomes in children with permanent childhood hearing impairment. JAMA. 2010;304(15):1701-8 - https://doi.org/10.1001/jama.2010.1501 - PMid:20959580
  • Martínez R, Benito JI, Condado MA, Morais D, Fernández-Calvo JL. Resultados de aplicar durante 1 a-o un protocolo universal de detección precoz de la hipoacusia en neonatos. An Otorrinolaringol Ibero Am. 2003;30(3):277-87 - https://doi.org/10.1016/s0001-6519(03)78419-2
  • McCann DC, Worsfold S, Law CM, Mullee M, Petrou S, Stevenson J, et al. Reading and communication skills after universal newborn screening for permanent childhood hearing impairmentArch Dis Child. 2009;94(4):293-7
  • Moeller MP. Early intervention and language development in children who are deaf and hard of hearing. Pediatrics. 2000;106(3):E43 - https://doi.org/10.1542/peds.106.3.e43 - PMid:10969127
  • Mohr PE, Feldman JJ, Dunbar JL, McConkey-Robbins A, Niparko JK, Rittenhouse RK, et al. The societal costs of severe to profound hearing loss in the United States. Int J Technol Assess Health Care. 2000;16(4):1120-35 - https://doi.org/10.1017/S0266462300103162 - PMid:11155832
  • Pimperton H, Kennedy CR. The impact of early identification of permanent childhood hearing impairment on speech and language outcomes. Arch Dis Child. 2012;97(7):648-53 - https://doi.org/10.1136/archdischild-2011-301501 - PMid:22550319
  • Sarant JZ, Holt CM, Dowell RC, Rickards FW, Blamey PJ. Spoken language development in oral preschool children with permanent childhood deafness. J Deaf Stud Deaf Educ. 2009;14(2):205-17 - https://doi.org/10.1093/deafed/enn034 - PMid:18840616
  • Schroeder L, Petrou S, Kennedy C, McCann D, Law C, Watkin PM, et al. The economic costs of congenital bilateral permanent childhood hearing impairment. Pediatrics. 2006;117(4):1101-12 - https://doi.org/10.1542/peds.2005-1335 - PMid:16585304
  • Thompson DC, McPhillips H, Davis RL, Lieu TL, Homer CJ, Helfand M. Universal newborn hearing screening: summary of evidence. JAMA. 2001;286(16):2000-10 - https://doi.org/10.1001/jama.286.16.2000 - PMid:11667937
  • Tobey EA, Geers AE, Brenner C, Altuna D, Gabbert G. Factors associated with development of speech production skills in children implanted by age five. Ear Hear. 2003;24(1 Suppl):36S-45S - https://doi.org/10.1097/01.AUD.0000051688.48224.A6 - PMid:12612479
  • Verhaert N, Willems M, Van Kerschaver E, Desloovere C. Impact of early hearing screening and treatment on language development and education level: evaluation of 6 years of universal newborn hearing screening (ALGO) in Flanders, Belgium. Int J Pediatr Otorhinolaryngol. 2008;72(5):599-608 - https://doi.org/10.1016/j.ijporl.2008.01.012 - PMid:18295908
  • Vohr B, Jodoin-Krauzyk J, Tucker R, Johnson MJ, Topol D, Ahlgren M. Early language outcomes of early-identified infants with permanent hearing loss at 12 to 16 months of age. Pediatrics. 2008;122(3):535-44 - https://doi.org/10.1542/peds.2007-2028 - PMid:18762523
  • Wake M, Poulakis Z, Hughes EK, Carey-Sargeant C, Rickards FW. Hearing impairment: a population study of age at diagnosis, severity, and language outcomes at 7-8 years. Arch Dis Child. 2005;90(3):238-44 - https://doi.org/10.1136/adc.2003.039354 - PMid:15723906 PMCid:PMC1720307
  • Watkin PM. Neonatal hearing screening: methods and outcome. Audiol Med. 2003;1:165-74 - https://doi.org/10.1080/16513860310002022
  • Yoshinaga-Itano C, Baca RL, Sedey AL. Describing the trajectory of language development in the presence of severe-to-profound hearing loss: a closer look at children with cochlear implants versus hearing aids. Otol Neurotol. 2010;31(8):1268-74 - https://doi.org/10.1097/MAO.0b013e3181f1ce07 - PMid:20818291 PMCid:PMC3014847
  • Yoshinaga-Itano C, Coulter D, Thomson V. The Colorado Newborn Hearing Screening Project: effects on speech and language development for children with hearing loss. J Perinatol. 2000;20(8 Pt 2):S132-7 - https://doi.org/10.1038/sj.jp.7200438 - PMid:11190694
  • Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL. Language of early- and later-identified children with hearing loss. Pediatrics. 1998;102(5):1161-71 - https://doi.org/10.1542/peds.102.5.1161 - PMid:9794949
Data source: Dialnet