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Examples of implemented neonatal hearing screening programs in Austria.

K Welzl-Müller1, K Stephan

  • 1Department of Hearing, Speech and Voice Disorders, Innsbruck, Austria. Kunigunde.Welzl-Mueller@uibk.ac.at

Scandinavian Audiology. Supplementum
|April 25, 2001
PubMed
Summary

Universal neonatal hearing screening effectively identifies congenital permanent childhood hearing impairment. Early detection enables timely intervention, significantly improving outcomes for affected infants.

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Area of Science:

  • Pediatrics
  • Audiology
  • Public Health

Background:

  • Congenital permanent childhood hearing impairment requires early detection for optimal management.
  • The Austrian ENT society recommended universal neonatal hearing screening in 1995.
  • Current screening coverage varies, with lower rates for healthy full-term neonates.

Purpose of the Study:

  • To evaluate the effectiveness of universal neonatal hearing screening in Austria.
  • To determine the incidence of permanent childhood hearing impairment in screened neonates.
  • To assess the impact of early detection on intervention and management.

Main Methods:

  • Retrospective analysis of screening and follow-up data from 37,543 neonates.
  • Documentation of screening test results and outcomes for infants with failed screenings.

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  • Tracking of intervention and family management for identified cases of hearing loss.

    • Main Results:

    • Screening coverage reached 67% for healthy neonates and 86% for intensive care unit neonates.
    • Referral rates were 1-3.7% in maternity units and 2.7-15% in intensive care units.
    • Bilateral permanent hearing loss was identified in 91 infants (2.4 per 1000), with early intervention initiated.

    Conclusions:

    • Universal neonatal hearing screening is a valuable tool for early detection of hearing impairment.
    • The incidence of permanent hearing loss identified supports the screening program's utility.
    • Early intervention and management are crucial for infants diagnosed with hearing loss through screening.