Making universal newborn hearing screening a success

Korres, Stavros; Balatsouras, Dimitrios G.; Nikolopoulos, Thomas P.; Korres, George; Ferekidis, Eleftherios

doi:10.1016/j.ijporl.2005.06.010

Cited by 33 publications

(41 citation statements)

References 17 publications

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“…A commonly reported challenge for community-based screening programs is a loss of patients to follow-up [2,14,15]. The challenge of high default rates is not however specific to community-based IHS programs and not uncommon in the early stages of hospital-based NHS programs in developed countries [20,21].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of a community-based infant hearing screening program utilizing existing clinic personnel in Western Cape, South Africa

Friderichs

Swanepoel

Hall

2012

International Journal of Pediatric Otorhinolaryngology

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Objective: Screening programs at primary health care immunization clinics have been proposed as an alternative to hospital-based programs in South Africa. The objective of this study was to evaluate the first systematic community-based infant hearing screening program in a developing South African community in the Western Cape.Methods: A community-based universal infant hearing screening program initiated at eight primary health care clinics in the Cape Metropolitan area was evaluated over a 19-month research period. During this time 6227 infants that were candidates for screening attended their 6, 10 or 14-week immunization visit at the relevant clinic. Clinic nurses were trained as screening personnel. A two-stage distortion product otoacoustic emissions screening protocol was utilized.The target disorder was uni-or bilateral hearing loss and infants referring the first screen were scheduled for a 4-week follow-up visit at the clinic. Diagnostic audiological and medical evaluations were scheduled at referral hospitals when indicated. The study evaluated the 3 efficacy of the program based on coverage, referral and follow-up rates and diagnostic outcomes according to guidelines specified by the Health Professions Council of South Africa 2007 Position Statement.Results: Overall coverage rate across the eight clinics was 32.4% with 2018 infants (aged 0-14 weeks) screened. The mean age of the sample at first stage screen was 3.9 weeks of age and 13.5 weeks of age for first hospital visit. Overall first stage screen referral rate was 9.5% with 62 subjects (3%) referred for diagnostic services at hospital level after a follow-up screen. The average follow-up rate for rescreens at clinic level was 85.1% and for initial diagnostic assessments at hospital level it was 91.8%. Prevalence rates were 4.5/1000 with significant hearing loss, including sensorineural (1.5/1000) and conductive (3/1000) losses, and 12.9/1000 for subjects with middle ear effusion. Conclusions:The community-based infant hearing screening program was valuable in attaining high follow-up return rates but reaching sufficient coverage may require dedicated screening personnel as opposed to existing nursing personnel.

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Section: Introductionmentioning

confidence: 99%

Efficacy of a community-based infant hearing screening program utilizing existing clinic personnel in Western Cape, South Africa

Friderichs

Swanepoel

Hall

2012

International Journal of Pediatric Otorhinolaryngology

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“…This value is similar to the 73.1% described in the Durante et al study and more expressive than the 41.8% compliance observed by Korres et al at the end of the fifth year of universal screening with TOAE only (Chart 2). 2,13 Thus, a follow up above the 70% reference indicated by the JCIH in the beginning of the NAS implementation was near reach. 3 On the second screening stage, 6.6% of the children failed the TOAE test.…”

Section: Discussionmentioning

confidence: 94%

“…The test repetition would require a longer hospital stay for the NB. 10,13,14 In the hospital of our study, children are discharged between 36 and 48 hours of life. Korres et al, in a recent publication from 2006, observed a failure rate in emissions in only 3.1% of the NBs in the first three years of the program.…”

Section: Discussionmentioning

confidence: 99%

“…However, the children were kept in the hospital in the first 4 to 5 days of life. 13 All the children with the first TOAE positive test and or without CPR, were referred for retesting in the lab. And, following the guidelines suggested by the JCIH, the NBs with some high risk indication concerning hearing loss, because of the risk of progressive loss or a loss of late onset, were referred for follow up every six months for three years.…”

Section: Discussionmentioning

confidence: 99%

“…In the studies reported above, the authors observed higher failure rates in the retest with TOAE, from 23.81 to 39.91%. 10,2,13 The behavioral assessment is considered an important part of the investigation as it provides information of how auditory resources are used by the child and for assessing central auditory pathways. The presence of behavioral information suggests integrity of the hearing pathways and no severe hearing loss.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Análise da implantação de programa de triagem auditiva neonatal em um hospital universitário

Mattos¹,

Cardoso

Bissani

et al. 2009

Rev. Bras. Otorrinolaringol.

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Heari ng loss is more prevalent than other disorders found at birth. Efforts have been put up towards the early identification and treatment of hearing loss by means of neonatal hearing screening programs. Aim: prospective study with the goal of characterizing the process of implementing a Neonatal Auditory Screening Program (NASP) at a University Hospital. To analyze hearing loss diagnostic investigations in newborns, and to present proposals for NASP improvement. Materials and Methods: we studied newborns (NB) submitted to Newborn Auditory Screening (NAS) by transient evoked otoacoustic emissions (TEOE), cochlear-eyelid reflex (CER) and Brainstem Evoked Auditory Potential (BEAP). Results: we tested 625 children. In the first stage, 458 NBs passed and 155 failed. 122 NBs returned to the second stage, and 8 underwent it because they were positive for HL risk factors. 12 NBs (1.9%) were referred for diagnostic investigation. Of the 5 who returned for the BAEP, we observed HL in two NBs. Conclusions: the program tested 81.7% of the candidates. The program compliance rate was of 68.2%. In the first stage, 26.7% of the NBs failed. The program is being implemented and requires constant analyzes of its difficulties, aiming at solving them in order to turn the Universal Newborn Auditory Screening into reality.

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Promotion of early pediatric hearing detection through patient navigation: A randomized controlled clinical trial

et al. 2017

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Objectives To assess the efficacy of a patient navigator intervention to decrease non-adherence to obtain audiological testing following failed screening, compared to those receiving the standard of care. Methods Using a randomized controlled design, guardian-infant dyads, in which the infants had abnormal newborn hearing screening, were recruited within the first week after birth. All participants were referred for definitive audiological diagnostic testing. Dyads were randomized into a patient navigator study arm or standard of care arm. The primary outcome was the percentage of patients with follow-up non-adherence to obtain diagnostic testing. Secondary outcomes were parental knowledge of infant hearing testing recommendations and barriers in obtaining follow-up testing. Results Sixty-one dyads were enrolled in the study (patient navigator arm=27, standard of care arm=34). The percentage of participants non-adherent to diagnostic follow-up during the first 6 months after birth was significantly lower in the patient navigator arm compared with the standard of care arm (7.4% versus 38.2%) (p=0.005). The timing of initial follow-up was significantly lower in the navigator arm compared with the standard of care arm (67.9 days after birth versus 105.9 days, p=0.010). Patient navigation increased baseline knowledge regarding infant hearing loss diagnosis recommendations compared with the standard of care (p=0.004). Conclusions Patient navigation decreases non-adherence rates following abnormal infant hearing screening and improves knowledge of follow-up recommendations. This intervention has the potential to improve the timeliness of delivery of infant hearing healthcare and future research is needed to assess the cost and feasibility of larger scale implementation.

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Making universal newborn hearing screening a success

Cited by 33 publications

References 17 publications

Efficacy of a community-based infant hearing screening program utilizing existing clinic personnel in Western Cape, South Africa

Efficacy of a community-based infant hearing screening program utilizing existing clinic personnel in Western Cape, South Africa

Análise da implantação de programa de triagem auditiva neonatal em um hospital universitário

Promotion of early pediatric hearing detection through patient navigation: A randomized controlled clinical trial

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