Prevalence of the five newborn screening tests
Neonatal screening is essential for child health and has the following purposes: (1) pulse oximetry screening to evaluate congenital heart diseases; (2) red reflex examination to investigate eye diseases; (3) newborn hearing screening test to evaluate congenital hearing diseases; (4) tongue test to...
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| creator | Pinheiro, Josilene Maria Ferreira Flor, Taiana Brito Menêzes Marinho, Cristiane da Silva Ramos Pires, Vanessa Cristina da Costa Oliveira, Luana Isabelly Carneiro de Bezerra, Mara Rúbia de Oliveira Clementino, Jéssica Rodrigues Andrade, Fábia Barbosa de |
| description | Neonatal screening is essential for child health and has the following purposes: (1) pulse oximetry screening to evaluate congenital heart diseases; (2) red reflex examination to investigate eye diseases; (3) newborn hearing screening test to evaluate congenital hearing diseases; (4) tongue test to evaluate the lingual frenulum and identify communication and feeding problems; (5) the Guthrie test to screen for metabolic diseases. This study investigated the prevalence of the five neonatal screening tests and its associated institutional and socio-cultural factors using a cross-sectional study with 415 mother and baby binomials from public maternity hospitals in Natal, RN, Brazil in 2019. Pearson's chi-squared, Mann-Whitney and Poisson regression tests were used, with a significance of p ≤ 0.05 and a 95% confidence interval. The sample loss was 71 mothers (17%). The prevalence in the first week and at the end of 28 days was 93% and 99.5% (pulse oximetry screening), 60% and 97.6% (red reflex examination), 71.9% and 93.6% (Guthrie test), 35.5% and 68.2% (hearing screening test), and 19% and 48.9% (tongue test). Only 152 newborns (36.6%) underwent all five tests. The performance of the tests was associated in the final model (p ≤ 0.05) with the residence of the mothers in the state capital (PR = 1.36; 95% CI = 1.18-1.56) and the provision of guidance for mothers about the five tests in maternity hospitals (PR = 1.30; 95% CI = 1.08-1.67). None of the tests met full coverage, and regional inequities were identified indicating the need to restructure the institutions, training and qualification procedures to improve of the work processes and longitudinal care. |
| doi_str_mv | 10.1371/journal.pone.0257282 |
| format | Article |
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This study investigated the prevalence of the five neonatal screening tests and its associated institutional and socio-cultural factors using a cross-sectional study with 415 mother and baby binomials from public maternity hospitals in Natal, RN, Brazil in 2019. Pearson's chi-squared, Mann-Whitney and Poisson regression tests were used, with a significance of p ≤ 0.05 and a 95% confidence interval. The sample loss was 71 mothers (17%). The prevalence in the first week and at the end of 28 days was 93% and 99.5% (pulse oximetry screening), 60% and 97.6% (red reflex examination), 71.9% and 93.6% (Guthrie test), 35.5% and 68.2% (hearing screening test), and 19% and 48.9% (tongue test). Only 152 newborns (36.6%) underwent all five tests. The performance of the tests was associated in the final model (p ≤ 0.05) with the residence of the mothers in the state capital (PR = 1.36; 95% CI = 1.18-1.56) and the provision of guidance for mothers about the five tests in maternity hospitals (PR = 1.30; 95% CI = 1.08-1.67). None of the tests met full coverage, and regional inequities were identified indicating the need to restructure the institutions, training and qualification procedures to improve of the work processes and longitudinal care.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0257282</identifier><identifier>PMID: 34516590</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Binomials ; Biology and Life Sciences ; Births ; Brazil ; Breastfeeding & lactation ; Cardiovascular diseases ; Confidence intervals ; Congenital diseases ; Coronary artery disease ; Cross-Sectional Studies ; Data collection ; Distribution ; Eye diseases ; Female ; Health aspects ; Health care ; Hearing ; Hearing Tests - statistics & numerical data ; Heart diseases ; Hospitals ; Hospitals, Maternity - statistics & numerical data ; Hospitals, Private - statistics & numerical data ; Hospitals, Public - statistics & numerical data ; Humans ; Infant, Newborn ; Infants (Newborn) ; Medical screening ; Medicine and Health Sciences ; Metabolic disorders ; Mothers ; Neonatal Screening - methods ; Neonates ; Newborn babies ; Oximetry ; People and places ; Phenylketonuria ; Pregnancy ; Public health ; Pulse oximetry ; Screening ; Social Sciences ; Statistical analysis ; Tongue</subject><ispartof>PloS one, 2021-09, Vol.16 (9), p.e0257282</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Pinheiro et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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This study investigated the prevalence of the five neonatal screening tests and its associated institutional and socio-cultural factors using a cross-sectional study with 415 mother and baby binomials from public maternity hospitals in Natal, RN, Brazil in 2019. Pearson's chi-squared, Mann-Whitney and Poisson regression tests were used, with a significance of p ≤ 0.05 and a 95% confidence interval. The sample loss was 71 mothers (17%). The prevalence in the first week and at the end of 28 days was 93% and 99.5% (pulse oximetry screening), 60% and 97.6% (red reflex examination), 71.9% and 93.6% (Guthrie test), 35.5% and 68.2% (hearing screening test), and 19% and 48.9% (tongue test). Only 152 newborns (36.6%) underwent all five tests. The performance of the tests was associated in the final model (p ≤ 0.05) with the residence of the mothers in the state capital (PR = 1.36; 95% CI = 1.18-1.56) and the provision of guidance for mothers about the five tests in maternity hospitals (PR = 1.30; 95% CI = 1.08-1.67). None of the tests met full coverage, and regional inequities were identified indicating the need to restructure the institutions, training and qualification procedures to improve of the work processes and longitudinal care.</description><subject>Binomials</subject><subject>Biology and Life Sciences</subject><subject>Births</subject><subject>Brazil</subject><subject>Breastfeeding & lactation</subject><subject>Cardiovascular diseases</subject><subject>Confidence intervals</subject><subject>Congenital diseases</subject><subject>Coronary artery disease</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Distribution</subject><subject>Eye diseases</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Hearing</subject><subject>Hearing Tests - statistics & numerical data</subject><subject>Heart diseases</subject><subject>Hospitals</subject><subject>Hospitals, Maternity - statistics & numerical 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One</addtitle><date>2021-09-13</date><risdate>2021</risdate><volume>16</volume><issue>9</issue><spage>e0257282</spage><pages>e0257282-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Neonatal screening is essential for child health and has the following purposes: (1) pulse oximetry screening to evaluate congenital heart diseases; (2) red reflex examination to investigate eye diseases; (3) newborn hearing screening test to evaluate congenital hearing diseases; (4) tongue test to evaluate the lingual frenulum and identify communication and feeding problems; (5) the Guthrie test to screen for metabolic diseases. This study investigated the prevalence of the five neonatal screening tests and its associated institutional and socio-cultural factors using a cross-sectional study with 415 mother and baby binomials from public maternity hospitals in Natal, RN, Brazil in 2019. Pearson's chi-squared, Mann-Whitney and Poisson regression tests were used, with a significance of p ≤ 0.05 and a 95% confidence interval. The sample loss was 71 mothers (17%). The prevalence in the first week and at the end of 28 days was 93% and 99.5% (pulse oximetry screening), 60% and 97.6% (red reflex examination), 71.9% and 93.6% (Guthrie test), 35.5% and 68.2% (hearing screening test), and 19% and 48.9% (tongue test). Only 152 newborns (36.6%) underwent all five tests. The performance of the tests was associated in the final model (p ≤ 0.05) with the residence of the mothers in the state capital (PR = 1.36; 95% CI = 1.18-1.56) and the provision of guidance for mothers about the five tests in maternity hospitals (PR = 1.30; 95% CI = 1.08-1.67). None of the tests met full coverage, and regional inequities were identified indicating the need to restructure the institutions, training and qualification procedures to improve of the work processes and longitudinal care.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34516590</pmid><doi>10.1371/journal.pone.0257282</doi><tpages>e0257282</tpages><orcidid>https://orcid.org/0000-0003-0564-4828</orcidid><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_2572202945 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Binomials Biology and Life Sciences Births Brazil Breastfeeding & lactation Cardiovascular diseases Confidence intervals Congenital diseases Coronary artery disease Cross-Sectional Studies Data collection Distribution Eye diseases Female Health aspects Health care Hearing Hearing Tests - statistics & numerical data Heart diseases Hospitals Hospitals, Maternity - statistics & numerical data Hospitals, Private - statistics & numerical data Hospitals, Public - statistics & numerical data Humans Infant, Newborn Infants (Newborn) Medical screening Medicine and Health Sciences Metabolic disorders Mothers Neonatal Screening - methods Neonates Newborn babies Oximetry People and places Phenylketonuria Pregnancy Public health Pulse oximetry Screening Social Sciences Statistical analysis Tongue |
| title | Prevalence of the five newborn screening tests |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-12T01%3A30%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Prevalence%20of%20the%20five%20newborn%20screening%20tests&rft.jtitle=PloS%20one&rft.au=Pinheiro,%20Josilene%20Maria%20Ferreira&rft.date=2021-09-13&rft.volume=16&rft.issue=9&rft.spage=e0257282&rft.pages=e0257282-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0257282&rft_dat=%3Cgale_plos_%3EA675239694%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2572202945&rft_id=info:pmid/34516590&rft_galeid=A675239694&rft_doaj_id=oai_doaj_org_article_9ac8eacd1fe742c3a0d22b816ed3ccce&rfr_iscdi=true |