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State programs for universal newborn hearing screening.

D Hayes1

  • 1Department of Pediatrics, University of Colorado Health Sciences Center, USA.

Pediatric Clinics of North America
|March 18, 1999
PubMed
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Successful newborn hearing screening identifies infants early, but delays in diagnosis and intervention persist. Coordinated systems are crucial for timely audiology and early intervention services to ensure optimal language development.

Area of Science:

  • Audiology and Speech-Language Pathology
  • Public Health
  • Pediatrics

Background:

  • Universal newborn hearing screening (UNHS) programs have been established in many hospitals and states.
  • While screening rates are high, data on timely diagnosis and intervention are less available.
  • Effective UNHS requires high screening rates, low referral rates, and reasonable costs.

Purpose of the Study:

  • To assess the status of newborn hearing screening, audiologic assessment, and intervention services in 16 states.
  • To identify factors contributing to delays in the diagnosis and intervention continuum for infants with hearing loss.
  • To highlight the need for coordinated systems of care for UNHS.

Main Methods:

  • A survey (MDNC survey) was conducted across 16 states to gather data on hearing screening, diagnosis, and intervention practices.

Related Experiment Videos

  • Analysis of existing reports and data from statewide and hospital-based screening programs.
  • Review of factors influencing the transition from screening to diagnosis and intervention.

    • Main Results:

    • Hospitals are implementing UNHS with appropriate technology, but confirmation of hearing loss and intervention are often delayed beyond recommended timelines.
    • Lack of mandatory statewide tracking and reporting systems hinders the transition of infants through the care continuum.
    • Delayed intervention, particularly after 6 months of age, negatively impacts language development outcomes.

    Conclusions:

    • Coordinated systems linking screening, diagnosis, and early intervention are essential for UNHS success.
    • Addressing delays requires improved tracking, standardized guidelines, and increased understanding of the urgency for early intervention.
    • Developing comprehensive systems of care is a priority to maximize the benefits of UNHS.