Volunteer-based universal newborn hearing screening program.

A H Messner; M Price; K Kwast; K Gallagher; J Forte

doi:10.1016/s0165-5876(01)00507-9

Home/Archive/PubMed

PubMed · 11518589

Volunteer-based universal newborn hearing screening program.

A H Messner·M Price·K Kwast·K Gallagher·J Forte

View original source ↗Export metadata ↓

Abstract

OBJECTIVE: To evaluate efficacy and costs of a volunteer-based universal newborn hearing screening program. METHODS: The Lucile Packard Children's Hospital at Stanford newborn hearing screening program database was reviewed. Results and costs of the hearing screens were analyzed. RESULTS: Hearing screens were performed on 5771 newborns treated in the well-baby nursery and nine infants from this population were identified with hearing loss, seven of whom had no risks factors for hearing loss. Using volunteers to perform the first-line screen with the automated auditory brainstem response (AABR) technology, 91% of infants registered for screening were evaluated prior to discharge. An additional 4% of infants were screened as outpatients. If an infant failed the AABR on two occasions, he or she was rescreened with the AABR or transient evoked otoacoustic emissions by a licensed audiologist, often while the infant was still in the hospital. Using this algorithm, 5% of infants tested in the well-baby nursery needed additional follow-up as an outpatient. Cost analysis of this volunteer-based program reveals a per/baby screening cost of $27.41. CONCLUSIONS: A volunteer-based hearing screening program is a viable option for hearing screening in well-baby nurseries but does not result in significant cost savings during the first 2 years of the program.

Explore related subjects

Audiometry California Costs and Cost Analysis Evoked Potentials, Auditory, Brain Stem Female Follow-Up Studies Hearing Disorders Hospital Volunteers Hospitals, Pediatric Humans Infant, Newborn Male Neonatal Screening Program Development Program Evaluation Sensitivity and Specificity Journal Article

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

A H Messner, M Price, K Kwast, K Gallagher, J Forte. 2001-08-20. Volunteer-based universal newborn hearing screening program.. https://doi.org/10.1016/s0165-5876(01)00507-9

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2002

Receptive and expressive language skills of 106 children with a minimum of 2 years' experience in hearing with a cochlear implant.

OBJECTIVE: The aim of the study was to assess the speech development of children with at least 2 years' hearing experience with a cochlear implant (CI). METHODS: One hundred and six children were tested, all of whom had used the CI for at least 2 years. Receptive and expressive language development were tested using the scales of early communication skills for hearing-impaired children after Geers and Moog and the Reynell developmental language scales III. In addition, free-field audiometry was performed. Pre-postoperative measurements were compared statistically, and a linear regression analysis was carried out. RESULTS: Clear improvements in the gain in functional hearing 2 years after receiving the CI as well as clear improvements in both speech perception and speech production were ascertained. All deviations were statistically highly significant (P<0.000). The receptive and expressive speech test results correlate positively to a great extent. The results of logistic regressive analysis indicate that the speech production measured depends decisively on age at implantation, age at time of test, speech production before implantation, and additional handicaps. CONCLUSION: Based on the conception of the WHO, a statistically significant improvement of both impairment and disability can be confirmed. In the present study, the regression analysis established the age at implantation as the most important prognostic factor. While the percentage of children with good speech development is larger with early implanted children than with late implanted children, some of the children among the early implanted group show unsatisfactory speech development of unknown origin. Improvements in speech development are likely to be achieved when more children are diagnosed and implanted early. This finding urgently requires the introduction of a general newborn screening program. Thorough anamnesis and assessment during parent counseling of the manifold factors described are a prerequisite for the precise estimation of the difficulties to be met and the expected effectiveness of the implant in each individual case.

Audiometry↗

PubMed2002

A protocol of study for tinnitus in childhood.

The presence in childhood of tinnitus is still a neglected problem both in pediatric and otorhinolaryngological literature, even if it is not uncommon in the pediatric population. In fact its incidence ranges from 13 to 29% in children with normal hearing function and is reported in 59% of children with hearing loss. Even if a child does not mention the existence of tinnitus, nevertheless, it may cause difficulties in concentration and bring about behavioral problems such as irritation, nervousness and deterioration in the lingual capacity. It is recommended to perform standardized studies regarding pediatric tinnitus. First of all, an accurate medical history must be performed asking specifically about tinnitus. Then it is necessary to perform an audiological examination that includes the subjective description and the following audiometric tests, pure tone audiometry; tympanometry; and tinnitus measurements.

Audiometry↗

PubMed2002

Cochlear implantation in prelingually deafened children with residual hearing.

OBJECTIVE: The purpose of this study was to examine the speech perception skills of prelingually deafened French children with preoperative residual hearing who received multichannel cochlear implants. DESIGN: The design of the study incorporated a within-subject, repeated measures design for assessing speech perception skills. SETTING: Montpellier, Toulouse and Lyon Pediatric Cochlear Implant Centers. SUBJECTS: Seven prelingually deafened children demonstrating marginal benefit from conventional amplification prior to implantation with a Nucleus multichannel cochlear implant, served as subjects for the speech perception assessment (a speech recognition score less than 30% defines marginal benefit from acoustic amplification on open set materials). The mean age at implantation was 7 years, 9 months. OUTCOME MEASURES: Speech perception skills were assessed using open set materials and the MUSS and MAIS questionnaires. RESULTS: Open-set speech recognition averaged 21.4% before implantation, and 83.6% after 1 year's cochlear implant experience. All children demonstrated an open-set score over 60% after 12 months of CI use. MAIS test scores averaged 18.1/40 before implantation and 35.1/40 after 9 months of CI use. MUSS test scores averaged 24.4/40 before implantation and 34.1/40 after 9 months of CI use. CONCLUSIONS: Cochlear implantation should be considered for prelingually hearing impaired children demonstrating marginal benefit from hearing aids, with a speech recognition score less than 30% on open set materials, in order to improve their speech discrimination skills.

Audiometry↗