Pediatric hearing screening in low-resource settings: Incorporation of video-otoscopy and an electronic medical record

Yancey, Kristen L; Cheromei, Loyce J.; Muhando, Jackie; Reppart, Jim; Netterville, James L.; Jayawardena, Asitha D L

doi:10.1016/j.ijporl.2019.109633

Cited by 19 publications

(35 citation statements)

References 22 publications

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“…Almost exclusively, technology was used for hearing screening. These were described in articles from America, 42 , 132 Australia, 43 - 47 Brazil, 133 Canada, 48 Germany, 71 India, 74 , 134 Kenya, 72 South Africa, 49 - 51 , 75 and Tajikistan. 52 In general, results suggest feasibility.…”

Section: Resultsmentioning

confidence: 99%

Telemedicine and Telementoring in Rhinology, Otology, and Laryngology: A Scoping Review

Yang¹,

Kim²,

Hwang³

et al. 2022

OTO Open

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Objective Telemedicine and telementoring have had a significant boost across all medical and surgical specialties over the last decade and especially during the COVID-19 pandemic. The aim of this scoping review is to synthesize the current use of telemedicine and telementoring in otorhinolaryngology and head and neck surgery. Data Sources PubMed and Cochrane Library. Review Methods A scoping review search was conducted, which identified 469 articles. Following full-text screening by 2 researchers, 173 articles were eligible for inclusion and further categorized via relevant subdomains. Conclusions Virtual encounters and telementoring are the 2 main applications of telemedicine in otolaryngology. These applications can be classified into 7 subdomains. Different ear, nose, and throat subspecialties utilized certain telemedicine applications more than others; for example, almost all articles on patient engagement tools are rhinology based. Overall, telemedicine is feasible, showing similar concordance when compared with traditional methods; it is also cost-effective, with high patient and provider satisfaction. Implications for Practice Telemedicine in otorhinolaryngology has been widely employed during the COVID-19 pandemic and has a huge potential, especially with regard to its distributing quality care to rural areas. However, it is important to note that with current exponential use, it is equally crucial to ensure security and privacy and integrate HIPAA-compliant systems (Health Insurance Portability and Accountability Act) in the big data era. It is expected that many more applications developed during the pandemic are here to stay and will be refined in years to come.

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Section: Resultsmentioning

confidence: 99%

Telemedicine and Telementoring in Rhinology, Otology, and Laryngology: A Scoping Review

Yang¹,

Kim²,

Hwang³

et al. 2022

OTO Open

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“…In addition to this, 1 study included an analysis of 210 still images of tympanic membranes collected prospectively from an unspecified number of adult patients. Six studies included adults only [6][7][8][9][10][11], seven studies included children only [12][13][14][15][16][17][18], three studies included both adults and children [2,3,19] and one study did not specify population age [20]. A range of devices were used to perform video-otoscopy (Table 3).…”

Section: Discussionmentioning

confidence: 99%

“…There was 100% concordance between the three assessors. The presence of cerumen was an issue noted in most studies [2,3,7,12,[14][15][16][17][18][19]. Cerumen removal was deemed necessary to make an assessment in between 9 and 36.6% of ears, and the presence of cerumen precluded a diagnosis or assessment of the tympanic membrane in 8-31.3% of ears.…”

Section: Quality Of Imagesmentioning

confidence: 99%

A systematic review of remote otological assessment using video-otoscopy over the past 10 years: reliability and applications

Metcalfe

Muzaffar

Orr

et al. 2021

Eur Arch Otorhinolaryngol

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Purpose This systematic review describes and evaluates the current literature on remote otological assessment using videootoscopy with regards to reliability and potential applications. Methods Systematic review was conducted in accordance with the PRISMA statement. There was heterogeneity of included studies, so a descriptive analysis was undertaken. Results Seventeen studies were included for analysis conducted across a variety of healthcare settings. Overall, there was a trend towards acquisition of adequate images for diagnosis by non-otolaryngology-specialist facilitators with reasonable agreement between asynchronous images and controls; however, there was significant variation between the studies. Conclusion Remote otological assessment using video-otoscopy shows potential as a safe and effective method for detecting the presence of ear disease in a wide range of healthcare settings. Barriers to the acquisition of adequate images include the presence of obstructing cerumen, and strategies to deal with this should be considered. Further work is required to evaluate endoscope-based systems to assess whether they will allow the acquisition of higher quality images.

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“…For example, an 80% reduction in referral rate for tympanometry in children ages 6 and 7 year compared to those five years of age was reported by Swanepoel, Myburgh, et al (2014). A hearing screening protocol that facilitates the diagnosis and management of ear disease may offset future hearing disability, as ear infections are a significant contributor to permanent childhood hearing loss in LMICs (Hunt et al 2017;Mulwafu, Kuper, and Ensink 2016;WHO 2004;Yancey et al 2019).…”

Section: Discussionmentioning

confidence: 99%

Mhealth hearing screening for children by non-specialist health workers in communities

Dawood

Mahomed-Asmail

Louw

et al. 2020

International Journal of Audiology

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Objectives: To compare outcomes of a community-based hearing screening programme using smartphone screening audiometry operated by specialist (School Health Nurses -SHNs) and non-specialist health workers (Community Health Workers -CHWs) in school children. Design: This study used a two-group comparison of screening outcomes as conducted by SHNs and CHWs using smartphone screening for children in communities. Study sample:The study included 71 CHWs and 21 SHNs who conducted community-based hearing screening on 6805 children. One thousand one hundred and fifteen hearing screening tests were conducted by the CHWs and 5690 tests by the SHNs. Results: No significant difference in screening outcome was evident between CHWs and SHNs using a binomial logistic regression analysis considering age, test duration and noise levels as independent variables. Final screening result was significantly affected by age (p < 0.005), duration of test (p < 0.005) and noise levels exceeding at 1 kHz in at least one ear (p < 0.005). Test failure was associated with longer test duration (p < 0.005; B: 119.98; 95% CI: 112.65-127.30). CHWs had significantly (p < 0.005) longer test durations (68.70 s; 70 SD) in comparison to SHNs (55.85 s; 66.1 SD). Conclusion: Low-cost mobile technologies with automated testing facilitated from user-friendly interfaces allow minimally trained persons to provide community-based screening comparable to specialised personnel.

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Pediatric hearing screening in low-resource settings: Incorporation of video-otoscopy and an electronic medical record

Cited by 19 publications

References 22 publications

Telemedicine and Telementoring in Rhinology, Otology, and Laryngology: A Scoping Review

Telemedicine and Telementoring in Rhinology, Otology, and Laryngology: A Scoping Review

A systematic review of remote otological assessment using video-otoscopy over the past 10 years: reliability and applications

Mhealth hearing screening for children by non-specialist health workers in communities

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