Evaluation of the Austrian Newborn Hearing Screening Program

Weichbold, Viktor; Nekahm-Heis, Doris; Welzl-Müller, K

doi:10.1007/s00508-005-0414-z

Cited by 12 publications

(13 citation statements)

References 19 publications

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“…Numerous studies have described the correlation between hyperbilirubinemia and hearing disorders 20,27 . Risk indicator: mechanical ventilation, also seems to be associated with hearing disorders in the literature 28 .…”

Section: Discussionmentioning

confidence: 98%

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Triagem auditiva neonatal: ocorrência de falhas, perdas auditivas e indicadores de riscos

Onoda¹,

Azevedo²,

Santos³

2011

Braz. j. otorhinolaryngol. (Impr.)

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To check the rate of failure, hearing loss and its association with demographic variables and risk indicators for hearing loss in newborns submitted to the Newborn Hearing Screening in a secondary hospital. Materials and Methods:Cross-sectional and retrospective study, involving 1,570 newborns submitted to the different stages of the Newborn Hearing Screening Program. Initially, we carried out otoacoustic emission tests (ILO Echocheck) and the cochlear-eyelid reflex. Afterwards, we analyzed the demographic and clinical characteristics of the newborns, screening rate of failure, hearing loss and its association with demographic variables and risk indicators.Results: Twenty-six newborns had failures in the first stages of the Program (1.7%), who were then referred to diagnostic evaluation. Of these, 16 (61.5%) did not come, two (7.7%) had normal results and eight (30.8%) were diagnosed with hearing disorders. The screening failure rate was 1.7% and the frequency of hearing disorders was 0.5%. Conclusions:Pre-term newborns of very low birth weights had higher rates of screening failures and a greater occurrence of hearing changes. The factors associated with screening failure and hearing changes were similar to the ones described in the literature. Braz J Otorhinolaryngol. 2011;77(6):775-83. BJORL ORIGINAL ARTICLE

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Section: Discussionmentioning

confidence: 98%

“…The effect of ototoxic drugs in the hearing of highrisk newborns has been compared by many authors 20,28,29 .…”

Section: Discussionmentioning

confidence: 99%

Triagem auditiva neonatal: ocorrência de falhas, perdas auditivas e indicadores de riscos

Onoda¹,

Azevedo²,

Santos³

2011

Braz. j. otorhinolaryngol. (Impr.)

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“…In Hamburg, hearing aid fitting and beginning of early rehabilitation was even earlier. UNHS programs result in an earlier time point for the adjustment of hearing aid devices than for children without UNHS [25,26,35,56,75]. An analysis of efficiency by the UNHS program in Hessen showed a reduction of the median age at treatment of the non-UNHS group from 21 to 3.5 months for the UNHS group.…”

Section: Prevalence Of Hearing Lossmentioning

confidence: 98%

“…Key points Before UNHS was implemented, the median age at identification of permanent hearing loss was about 3 years [55,75]. International recommendations now include diagnosis by 3 months and therapeutic intervention no later than 6 months.…”

Section: Prevalence Of Hearing Lossmentioning

confidence: 99%

Interdisciplinary approach to design, performance, and quality management in a multicenter newborn hearing screening project

et al. 2010

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Previously presented results of the newborn hearing screening in Hamburg and the perspectives are subsequently discussed. Minimum standards referring a participation of 95% of the neonates and a fail rate of less than 4% hearing-impaired children at the primary screening are fulfilled in Hamburg. Systematic screening of newborn hearing by an interdisciplinary approach provides early identification and intervention for children with permanent unilateral and bilateral hearing loss. But a newborn hearing screening on a voluntary basis alone cannot be maintained in the long run. Further, an anonymous data collection is not sufficient in regard to an uninterrupted tracking of conspicuous and unscreened neonates. A lost-to-follow-up rate of 31.3% at primary screening in Hamburg is much too high and emphasizes the need for a public health approach to a population-based newborn hearing screening with an elaborate and name-based tracking system. The legislation and implementation of a nationwide newborn hearing screening program in Germany and the association of German newborn hearing screening centers are highlighting long efforts of hearing professionals. But the implementation of a newborn hearing screening only makes sense if there exists an efficient tracking system. Sad to say, we are still a long way from the implementation of such a tracking system.

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“…5 Routine new born screening has been implemented in many developed countries with varying success rates. [6][7][8][9][10] Many of these countries follows the AAP guidelines. But in many developing countries including India, universal screening is not available and follows elective screening in high risk infants.…”

Section: Introductionmentioning

confidence: 99%

Audiological screening of high risk infants and prevalence of risk factors

Regina¹,

Moideen

Mohan

et al. 2017

Int J Contemp Pediatr

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Background: Hearing loss in early life can have deleterious effects on child’s psychosocial, scholastic and social-emotional development. Early identification and timely intervention can provide the child with better speech and language development. This study has been done to estimate the prevalence of hearing impairment among high risk infants as per Joint Committee on Infant Hearing (JCIH) criteria and to study the risk factors associated with neonatal hearing impairment.Methods: This multicentric observational study was conducted among 613 high risk infants admitted and discharged from neonatal intensive care units (NICU) of Academy of Medical Sciences, Kannur, Kerala and Sri Siddhartha Medical College and Research Centre, Tumakuru, Karnataka, India (level III neonatology units with an NICU admissions of average around 1200 per year), during the period August 2015 - August 2016 (12 months). The babies were selected based on the JCIH 2007 criteria. All babies were subjected to behavioral audiometry (BA) and Oto Acoustic Emissions (OAE), preferably within 3 weeks. Those failing OAE were reevaluated at 6th week and with Auditory brain stem response (ABR) within 3 months time. Results: A total of 613 high risk babies were screened. 42 (6.76%) among them were having hearing impairment. The most common risk factors associated with hearing impairment was NICU stay for more than 24 hours, prematurity, low birth weight and meningitis/sepsis etc.Conclusions: Hearing impairment among high risk babies is not a rare condition. In our study, the prevalence was 6.76%. Low birth weight, admission to NICU for more than 24 hours, low APGAR, meningitis/sepsis, maternal and neonatal complications are significant risk factors for hearing impairment among neonates. This highlights the need for neonatal screening. Though we recommend a universal screening program, at least a targeted approach should be practiced in neonatal care. Those babies who are found to have hearing impairment should be closely followed up with early intervention and rehabilitation.

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Evaluation of the Austrian Newborn Hearing Screening Program

Cited by 12 publications

References 19 publications

Triagem auditiva neonatal: ocorrência de falhas, perdas auditivas e indicadores de riscos

Triagem auditiva neonatal: ocorrência de falhas, perdas auditivas e indicadores de riscos

Interdisciplinary approach to design, performance, and quality management in a multicenter newborn hearing screening project

Audiological screening of high risk infants and prevalence of risk factors

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