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Related Experiment Videos

Neonatal hearing loss in the indigent.

John S Oghalai1, Lei Chen, Megan L Brennan

  • 1Bobby R. Alford Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston, Texas, USA. oghalai@itsa.ucsf.edu

The Laryngoscope
|March 13, 2002
PubMed
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Indigent neonates have different risk factors for hearing loss (HL) and face delays in intervention compared to insured populations. Timely follow-up and treatment for hearing-impaired infants remain a significant concern.

Area of Science:

  • Neonatal care
  • Audiology
  • Public health

Background:

  • Neonatal hearing loss (HL) is a significant concern requiring early detection and intervention.
  • Risk factor profiles and follow-up care for neonatal HL can vary between socioeconomic groups.

Purpose of the Study:

  • To compare the risk factor profile for neonatal hearing loss (HL).
  • To assess the follow-up rate of neonates identified with HL.
  • To compare indigent and insured populations regarding HL risk factors and follow-up.

Main Methods:

  • Retrospective review of 4526 neonates from high-risk nurseries/NICUs at two Houston hospitals.
  • Comparison between a public county hospital (Ben Taub General Hospital - BTGH) serving the indigent and a private tertiary care center (Texas Children's Hospital - TCH) serving insured patients.

Related Experiment Videos

  • Analysis of screening failures, diagnostic follow-up rates, and intervention timeliness.

    • Main Results:

    • 133 infants failed initial screening; 48 had definite HL.
    • Indigent infants at BTGH had higher screening failure rates but significantly lower follow-up rates for diagnostic testing (43% vs. 10%).
    • Delays in hearing aid acquisition and higher prevalence of dysmorphic features/CNS disease were noted in the indigent group.

    Conclusions:

    • Significant differences exist in neonatal hearing loss risk factors between indigent and insured populations.
    • A critical issue is the delayed intervention for hearing-impaired indigent neonates.
    • Targeted strategies are needed to improve follow-up and timely care for this vulnerable group.