The feasibility of hospital-based universal newborn hearing screening in the United Kingdom

Albuquerque, Wendy; Kemp, David T.

doi:10.1080/010503901750166565

Cited by 7 publications

(5 citation statements)

References 6 publications

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“…Após a MAF os achados (24,41%) foram semelhantes aos obtidos em pesquisas realizadas em RN maiores que 48 horas 5,14,17 e próximo ao previsto quando a TA é realizada nas primeiras horas de vida do RN 3,16 . Estudos onde o critério de "passa" considera apenas uma orelha 18 também obtiveram índices inferiores (12,3%) a esse estudo.…”

Section: Resultsunclassified

Respostas falso-positivas na triagem auditiva neonatal universal: possíveis causas

Simonek

Azevedo

2010

Rev. CEFAC

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RESUMOObjetivo: avaliar a ocorrência de respostas falso-positivas na Triagem Auditiva dentro de uma maternidade particular, suas possíveis causas e soluções. Método: foram avaliados 1.110 recém-nascidos eutróficos entre 6 e 48 horas de vida no berçário, com o analisador de Emissões Otoacústicas Evocadas Transientes (EOATE) modelo Echochek da Ilodynamics Ltd. Na ausência de resposta, foi realizada a manipulação do meato acústico externo (Manobra Facilitadora) e colhido novo resultado. Os que falharam foram retestados em 15 dias. Resultados: 50,09% dos RN falhou na primeira tentativa. Após a manobra facilitadora, 24,41% continuou falhando, mas demonstraram EOATE presentes no reteste. O tempo médio de internação foi de 42,27 h, sendo 93,42% oriundos de cesareana. Pertenciam a convênios particulares padrão enfermaria 98% e 2% quarto individual. A idade média do grupo que passou foi de 24,14 h (± 10,21) e a do grupo que falhou 19,19 horas (±8,43). Possuíam menos de 24 horas de vida no momento do teste 66,12% dos RN, foi constatado vérnix obliterante em 4.9%. Conclusão: face a alta precoce hospitalar, é necessário que o Fonoaudiólogo realize o teste antes das 48 horas de vida do RN. Desta forma, além das causas biológicas inerentes a faixa etária, detectou-se um problema estrutural de administração hospitalar, que independe da habilidade ou experiência do Fonoaudiólogo. A Manobra Facilitadora é altamente recomendada.

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Section: Resultsunclassified

Respostas falso-positivas na triagem auditiva neonatal universal: possíveis causas

Simonek

Azevedo

2010

Rev. CEFAC

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“…16 False-positive results may be obtained when the transmission of sound from the earphone to the cochlea and back to the recording microphone is interrupted. 65 Screening newborns on the day of birth is of particular concern because of the presence of vernix in the external auditory meatus. 65 Based on this fact, the high refer rate at this screening session is not unexpected.…”

Section: Discussionmentioning

confidence: 99%

“… 65 Screening newborns on the day of birth is of particular concern because of the presence of vernix in the external auditory meatus. 65 Based on this fact, the high refer rate at this screening session is not unexpected. Albuquerque and Kemp 66 have stated that, when newborns are discharged from the birthing facility within six hours of birth, OAEs will render an unacceptably high false-positive rate; a finding supported by the results of the current study.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of universal newborn hearing screening in South African primary care

Khoza-Shangase

Harbinson

2015

Afr. j. prim. health care fam. med.

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Background: Universal Newborn Hearing Screening (UNHC) is the gold standard toward early hearing detection and intervention, hence the importance of its deliberation within the South African context.Aim: To determine the feasibility of screening in low-risk neonates, using Otoacoustic Emissions (OAEs), within the Midwife Obstetric Unit (MOU) three-day assessment clinic at a Community Health Centre (CHC), at various test times following birth.Method: Within a quantitative, prospective design, 272 neonates were included. Case history interviews, otoscopic examinations and Distortion Product OAEs (DPOAEs) screening were conducted at two sessions (within six hours and approximately three days after birth). Data were analysed via descriptive statistics.Results: Based on current staffing profile and practice, efficient and comprehensive screening is not successful within hours of birth, but is more so at the MOU three-day assessment clinic. Significantly higher numbers of infants were screened at session 2, with significantly less false-positive results. At session 1, only 38.1% of the neonates were screened, as opposed to more than 100% at session 2. Session 1 yielded an 82.1% rate of false positive findings, a rate that not only has important implications for the emotional well-being of the parents; but also for resource-stricken environments where expenditure has to be accounted for carefully.Conclusion: Current findings highlight the importance of studying methodologies to ensure effective reach for hearing screening within the South African context. These findings argue for UNHS initiatives to include the MOU three-day assessment to ensure that a higher number of neonates are reached and confounding variables such as vernix have been eliminated.

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“…As many studies conducted in the United Kingdom, Israel, and a majority of the developed countries have already established the feasibility of hospital-based hearing screening programs despite early postnatal hospital discharge;[ 14 34 ] studies investigating improved methodological strategies need to be prioritized before the realization of effective and efficient low-cost universal new-born hearing screening programs. This includes the appropriate timing of such programs in the postnatal period, to minimize false positive results, while ensuring early identification of neonatal hearing loss prior to hospital discharge.…”

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confidence: 99%

The influence of epidural anesthesia on new-born hearing screening: A pilot study

Khoza-Shangase

Joubert

2011

J Pharm Bioall Sci

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Objective:The main aim was to establish if epidural anesthesia had an influence on new-born hearing screening results in newborns born via elective Cesarean section in healthy pregnancies. Specific objectives included determining screening results in a group of newborns born to mothers who had undergone epidural anesthesia during Cesarean section childbirth (experimental group); and comparing the findings with those of a group of newborns born to mothers who had undergone natural delivery without epidural anesthesia (comparison group); while establishing if the time of screening following delivery had any effect on the overall screening results.Materials and Methods:The above objectives were achieved through the use of a prospective quasi-experimental repeated measures design with a comparison group, where 40 newborns (20 in the experimental and 20 in the comparison group) were screened at three different times through transient otoacoustic emissions (TEOAEs) and automated auditory brainstem response (AABR) measures. All participants were screened while resting quietly in open bassinets in an empty new-born nursery. For both test measures, the results were recorded as either pass or refer. Data were analyzed through both descriptive and inferential statistics.Results:Findings indicated that hearing screening earlier than four hours after birth, for both the experimental and comparison groups yielded more false positive findings than testing conducted after 24 hours. An index of suspicion in relation to the influence of epidural anesthesia on Automated Auditory Brainstem Response (AABR), when conducted less than four hours after birth, was raised, as statistically significant findings (P<0.05) were obtained.Conclusions:The findings have implications for timing of screening where universal newborn hearing screening is being implemented.

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The feasibility of hospital-based universal newborn hearing screening in the United Kingdom

Cited by 7 publications

References 6 publications

Respostas falso-positivas na triagem auditiva neonatal universal: possíveis causas

Respostas falso-positivas na triagem auditiva neonatal universal: possíveis causas

Evaluation of universal newborn hearing screening in South African primary care

The influence of epidural anesthesia on new-born hearing screening: A pilot study

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