Universelles Hörscreening bei Neugeborenen - Empfehlungen zu Organisation und Durchführung des universellen Neugeborenen-Screenings auf angeborene Hörstörungen in Deutschland

Gross, Manfred

doi:10.1055/s-2005-870513

Cited by 11 publications

(10 citation statements)

References 9 publications

(10 reference statements)

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“…Best PASS rates are obtained from the second day of life on [9,20] . Because of debris in the ear canal or fluid in the middle ear, usually less than 90% of babies pass a TEOAE screening on the first day of life.…”

Section: Methodsmentioning

confidence: 99%

“…In Germany of 1998, such disorders were diagnosed on average at 31 months of age and treated at 36 months [32,35] . Several previous German pilot projects of spontaneous or regional hearing screening had been unable to reduce the age at diagnosis [36] . Only after the initiative in several federal states to implement a UNHS, the mean age at diagnosis decreased to 24 months (median 18 months) in 2004 [37] but rose again in 2005 ( table 1 ).…”

Section: Improvement In Quality Of Lifementioning

confidence: 99%

“…A bilateral UNHS is recommended in Germany [9] because of evidence that an overlooked unilateral hearing loss may influence the social development as well as cognitive, language, and auditory abilities, and that unilaterally hearing-impaired children have a significantly higher risk for academic failure than normal-hearing children [33] .…”

Section: Bilateral Vs Unilateral Screeningmentioning

confidence: 99%

“…(1) A retrospective search for false-negative cases in a screened cohort large enough to ensure acceptable confidence interval with only 1-2 permanent hearing impairments per 1,000 children; such a retrospective search, however, is biased because several infant hearing disorders develop late or progressively, or fluctuate and may not be present during the screening [9] . (2) The examination of children previously diagnosed as hearing-impaired with the screening device.…”

Section: Validitymentioning

confidence: 99%

“…In Germany legislative efforts are currently undertaken to make a universal hearing screening a regular procedure for each newborn. Recommendations for such a screening have recently been issued [9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness and Efficiency of a Universal Newborn Hearing Screening in Germany

Neumann

Gross

Böttcher

et al. 2006

Folia Phoniatr Logop

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The decision to mandate, finance, and implement a universal newborn hearing screening (UNHS) requires the evaluation of its therapy-directed benefit by comparing (1) a procedure employing a UNHS with (2) a targeted screening for at-risk babies for neonatal hearing disorders and (3) a procedure without systematic screening. In a cohort study the outcome of the UNHS program of Hessen in 2005 with 17,439 screened newborns was analyzed. Validity, effectiveness, and efficiency were evaluated and compared to a sample of 98 Hessian and 355 German children who were detected in 2005 as hearing-impaired but not by an UNHS. The UNHS group had a PASS rate of 97.0%. Forty-nine hearing-impaired children were diagnosed at a median age of 3.1 months and treated at a median age of 3.5 months. Corresponding values for the Hessian non-UNHS group were 17.8 and 21.0 months. For Germany the median age at diagnosis was 39.0 months. The age at therapy onset correlated negatively with parameters of speech/language and psychosocial development. A targeted screening would have resulted in a low sensitivity of 65.3%. Hence, a UNHS is the most effective way to an early therapy of neonatal hearing disorders with an optimal outcome.

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Section: Methodsmentioning

confidence: 99%