The identification of severe hearing loss in west Essex

Lehner, Katharina; Prendergast, Monique

doi:10.1111/j.1365-2214.1995.tb00409.x

Child

1995

DOI: 10.1111/j.1365-2214.1995.tb00409.x

|View full text |Cite

The identification of severe hearing loss in west Essex

Katharina Lehner¹,

Monique Prendergast²

Abstract: The records were studied of all children identified in the last 16 years as having severe sensorineural hearing loss (bilateral 60 dB or more, across all frequencies) in west Essex (a typical health district with a child population, 0-16 years, of 54,000). The person to first suspect the child's hearing loss and the results of their 8-month distraction test are discussed. The reasons for delay in diagnosis and acquisition of aids are examined.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

1998

1999

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Avoidable Late Diagnosis of Significant Sensorineural Hearing Loss: Implications for Practice

O’Hare

Green

Grigor

1998

British Journal of Audiology

View full text Add to dashboard Cite

The records for all children from a five-year birth cohort in the geographically defined area of Lothian who were referred by their health visitor to a centralized second tier audiology service after they failed their 7-9 month infant distraction hearing screen were reviewed. The sensitivities, specificities, positive predictive values and yield of this screen for the detection of significant sensorineural hearing loss > or =40 dBA requiring aiding and for a conductive loss persisting beyond one month over 30 dBA were determined. In addition, the records were studied for the same five-year birth cohort for children presenting to the centralized multidisciplinary third tier clinic with a significant sensorineural hearing loss requiring aiding, and the reasons for late diagnosis were determined. If high risk neonatal screening had been available for this population then potentially 67.5% (27 out of 40) of cases could have been identified by an appropriate age. Elimination of health visitor distraction screen false negatives for cases with loses over 60 dBA would potentially increase the case identification by the appropriate age to 45% (1 8 out of 40). Thus, there is greater scope for improving our present results with the introduction of high risk neonatal screening than by improvements in the health visitor screen.

show abstract

Avoidable Late Diagnosis of Significant Sensorineural Hearing Loss: Implications for Practice

O’Hare

Green

Grigor

1998

British Journal of Audiology

View full text Add to dashboard Cite

show abstract

Health visitor screening versus vigilance: Outcomes of programmes for detecting permanent childhood hearing loss in West Berkshire

1999

British Journal of Audiology

View full text Add to dashboard Cite

The Health Visitor Distraction Test (HVDT) screen for hearing was replaced in West Berkshire in 1989 with a vigilance programme incorporating a questionnaire. The detection of permanent congenital deafness (bilateral > 50 dB HL) for all children born since 1984 has been audited to compare the two regimes. Sixty-two cases met the criteria, giving an ascertainment of 1.0 per 1000. Performance was similar under the two systems for severe/profound losses (> 70 dB HL), but there was a longer tail of late-detected moderate losses (50-70 dB HL) under the vigilance regime. The sensitivity of the Health Visitor questionnaire in referring those with permanent hearing loss was very similar to that of the HVDT (39% compared with 42%). Coverage for the questionnaire was approximately 87%, but only 78% for the known cases. Referral rate was lower under the vigilance programme, at approximately 3%. The results suggest that a vigilance programme is likely to perform as well as the HVDT but no better. Despite subsequent modifications to the vigilance programme, the poor pickup of moderate losses probably indicates the limitations of parental and professional observation in detecting partial hearing problems. The evidence adds support to the recent recommendations for universal neonatal screening.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

The identification of severe hearing loss in west Essex

Cited by 2 publications

References 8 publications

Avoidable Late Diagnosis of Significant Sensorineural Hearing Loss: Implications for Practice

Avoidable Late Diagnosis of Significant Sensorineural Hearing Loss: Implications for Practice

Health visitor screening versus vigilance: Outcomes of programmes for detecting permanent childhood hearing loss in West Berkshire

Contact Info

Product

Resources

About