scholarly journals Newborn Hearing Screening and Intervention in Children with Unilateral Hearing Impairment: Clinical Practices in Three Nordic Countries

2021 ◽  
Vol 10 (21) ◽  
pp. 5152
Author(s):  
Nina Jakhelln Laugen ◽  
Elsa Erixon ◽  
Kerttu Huttunen ◽  
Elina Mäki-Torkko ◽  
Ulrika Löfkvist
Keyword(s):  
Hearing Impairment ◽  
Policy Making ◽  
Online Survey ◽  
Hearing Screening ◽  
Nordic Countries ◽  
Newborn Hearing Screening ◽  
Clinical Decisions ◽  
Clinical Practices ◽  
Newborn Hearing ◽  
Screening Diagnostics

Studies have limitedly considered children with early-identified unilateral hearing impairment (UHI), and clinical practices regarding screening, diagnostics and habilitation in this group are rarely documented. In this study, routines for newborns with UHI from screening to diagnostics and habilitation were explored in Norway, Sweden and Finland. An online survey was sent to hospitals responsible for the hearing diagnostics of children requesting information about their practices regarding congenital UHI. Responses covered 95% of the children born in the three included countries. The results revealed large variations in ways of organising healthcare and in clinical decisions regarding hearing screening, diagnostics and habilitation of children with congenital UHI. Finally, implications for policy making and research are also discussed.

scholarly journals Newborn hearing screening coverage and detection rates of hearing impairment across China from 2008-2016

2020 ◽  
Author(s):  
Xuelian Yuan ◽  
Kui Deng ◽  
Jun Zhu ◽  
Liangcheng Xiang ◽  
Yongna Yao ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Detection Rate ◽  
Accurate Estimate ◽  
Hearing Screening ◽  
Newborn Hearing Screening ◽  
Detection Rates ◽  
Live Births ◽  
Universal Newborn Hearing Screening ◽  
Secondary Screening ◽  
Newborn Hearing

Abstract Background: Newborn hearing screening (NHS) can reduce the economic and social burden of hearing impairment. To track the progress of the goal set by the National Program of Action for Child Development (NPACD) and to estimate the detection rates of hearing impairment, the present study examined NHS coverage in 2008-2010 and 2016 and the detection of hearing impairment across China in 2016. Methods: Licensed medical institutions across China were surveyed in 2012 and 2018 by the National Center for Birth Defects Monitoring of China to collect data for the 2008-2010 period and for 2016 on live births, initial screening rates (total and failed), secondary screening rates (total and failed), and rates of hearing impairment diagnosis among infants who failed secondary screening. To calculate universal newborn hearing screening (UNHS) coverage, the number of newborns who received NHS within four weeks after birth was divided by the number of live births. The detection rate of hearing impairment was calculated by combining failure rates on primary and secondary screening with the rate of diagnosis. Results: National UNHS coverage increased from 29.9% in 2008 to 86.5% in 2016, with different regions showing different increases. During this period, the number of provinces with UNHS coverage over 90.0% increased from 2 to 17, with UNHS coverage in 2016 being substantially higher in eastern provinces (93.1%) than in western provinces (79.4%). In 2016, the detection rate of hearing impairment across the country was 0.23% (95% CI 0.15-0.25%), and it varied from 0.17% in western provinces to 0.22% in central provinces and 0.28% in eastern provinces. The lowest rate was 0.02% in Heilongjiang Province and the highest rate was 0.63% in Hainan Province. Conclusions: National UNHS coverage increased substantially from 2008 to 2016, although provinces and regions still showed differences. The detection rate of infant hearing impairment in China is comparable to that in other countries. A national individual-level information system is urgently needed in China to facilitate the integration of screening, diagnosis and treatment of infant hearing impairment, which may also lead to a more accurate estimate of the detection rate.

scholarly journals Accuracy of Reflexive Behavioral (“Baah”) Test in the Screening for Hearing Impairment in Infants Six Months Old and Below

2012 ◽  
Vol 27 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Marieflor Cristy M. Garcia ◽  
Charlotte M. Chiong ◽  
Generoso T. Abes ◽  
Ryner Jose C. Carrillo
Keyword(s):  
Hearing Loss ◽  
Negative Predictive Value ◽  
Hearing Impairment ◽  
Predictive Value ◽  
Hearing Screening ◽  
Newborn Hearing Screening ◽  
Care Providers ◽  
Government Hospital ◽  
Female Ratio ◽  
Newborn Hearing

Objective: To determine the prevalence of hearing loss among infants six months old and below sent for newborn hearing screening in our institution, and to measure the accuracy, sensitivity, specificity and positive predictive values of reflexive behavioral (“Baah”) test in detecting hearing loss in infants.Methods:     Design: Cross-sectional study     Setting: Ear Unit of a tertiary government hospital     Participants: Infants less than Six months old sent for newborn hearing screening at the Ear Unit of a tertiary government hospital from April to September, 2011 were recruited. All participants were tested with OAE for hearing screening. OAE was also used as the standard for evaluating hearing impairment. The reflexive behavioral (“Baah”) test was then done using the human voice as a loud sound stimulus, and the response recorded were auropalpebral, startle and blinking response to the sound. Thesensitivity, specificity, accuracy, positive and negative predictive value of the test was then measured.Results: From April to September 2011, a total of 101 patients were tested, with a male to female ratio of 1.1:1 (53 males, 48 females). The prevalence of hearing impairment in this study population was 6.9% (7 out of 101). The reflexive behavioral (“Baah”) test was found to have sensitivity of 71.4%, specificity of 95.7%, accuracy rate of 94%, positive predictive value of 55.6% and negative predictive value of 97.8%.Conclusion: The reflexive behavioral (“Baah”) test shows potential as an accurate, acceptable and cost-effective screening tool to identify infants that may be at higher risk for hearing impairment. This test may aid the health care providers, in areas without OAEs, in identifying infants who are in need further hearing diagnostic evaluation, with OAEs or other hearing tests. It is recommended that the “Baah” test be implemented in the community to test its reproducibility in a larger population and outside the hospital setting.Keywords: reflexive behavioral test, “Baah” test, otoacoustic emission, hearing screening

scholarly journals Newborn Hearing Screening vs Later Hearing Screening and Developmental Outcomes in Children With Permanent Childhood Hearing Impairment

JAMA ◽  
2010 ◽  
Vol 304 (15) ◽  
pp. 1701 ◽  
Author(s):  
Anna M. H. Korver ◽  
Saskia Konings ◽  
Friedo W. Dekker ◽  
Mieke Beers ◽  
Capi C. Wever ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Developmental Outcomes ◽  
Hearing Screening ◽  
Newborn Hearing Screening ◽  
Newborn Hearing

scholarly journals Newborn hearing screening coverage and detection rates of hearing impairment across China from 2008-2016

2020 ◽  
Author(s):  
Xuelian Yuan ◽  
Kui Deng ◽  
Jun Zhu ◽  
Liangcheng Xiang ◽  
Yongna Yao ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Detection Rate ◽  
Accurate Estimate ◽  
Hearing Screening ◽  
Newborn Hearing Screening ◽  
Detection Rates ◽  
Live Births ◽  
Social Burden ◽  
Secondary Screening ◽  
Newborn Hearing

Abstract Background: Newborn hearing screening (NHS) can reduce the economic and social burden of hearing impairment. The present study examined NHS coverage and detection of hearing impairment across China for 2008-2010 and 2016. Methods: Medical institutions across China were surveyed in 2012 and 2018 by the National Center for Birth Defects Monitoring of China to collect data for the period 2008-2010 and for 2016 on live births, initial screening rates (total and failed), secondary screening rates (total and failed), and rates of hearing impairment diagnosis among infants who failed secondary screening. To calculate NHS coverage, the number of newborns who received NHS within four weeks after birth was divided by the number of live births. The detection rate of hearing impairment was calculated by combining failure rates on primary and secondary screening with the rate of diagnosis. Results: National NHS coverage increased from 29.9 in 2008 to 86.5 in 2016, with different regions showing different increases. During this period, the number of provinces with NHS coverage over 90.0% increased from 2 to 17, with NHS coverage in 2016 substantially higher in eastern provinces (93.1%) than in western ones (79.4%). In 2016, the detection rate of hearing impairment across the country was 0.23% (95%CI 0.15-0.25%), and it varied from 0.17% in western provinces to 0.22% in central ones and 0.28% in eastern ones. The lowest rate was 0.02% in Heilongjiang and the highest rate was 0.63% in Hainan. Conclusions: National NHS coverage has increased substantially from 2008 to 2016, but provinces and regions still show differences. The detection rate of infant hearing impairment in China is comparable to that in other countries. A national individual-level information system is urgently needed in China to facilitate integration of screening, diagnosis and treatment of infant hearing impairment, which may also lead to a more accurate estimate of the detection rate.

Sign in / Sign up

Export Citation Format

Share Document