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A universal newborn hearing screening program in Taiwan.

Hung-Ching Lin1, Min-Tsan Shu, Ke-Chang Chang

  • 1Department of Otolaryngology, Mackay Memorial Hospital, No. 92, Chung-Shan N Road, Sec. 2, 104, Taipei, Taiwan. hclin59@ms29.hinet.net

International Journal of Pediatric Otorhinolaryngology
|May 9, 2002
PubMed
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Universal newborn hearing screening in Taiwan is feasible and cost-effective. This pilot program identified congenital hearing loss in approximately 1 in 752 newborns, enabling early intervention.

Area of Science:

  • Audiology
  • Public Health
  • Pediatrics

Background:

  • Congenital hearing loss is the most common birth defect.
  • Early detection and intervention are crucial for infant development.
  • Universal newborn hearing screening (UNHS) is becoming a global standard of care.

Purpose of the Study:

  • To assess the feasibility, accuracy, and cost-effectiveness of a UNHS program in Taiwan.
  • To establish an early identification and intervention system for newborns with hearing loss.

Main Methods:

  • A pilot UNHS program was implemented at Mackay Memorial Hospital from November 1998 to October 2000.
  • Transient evoked otoacoustic emissions (TEOAE) were used for initial screening.
  • Diagnostic auditory brainstem response (ABR) testing was employed for referred infants.

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Main Results:

  • 6765 newborns were screened, with a TEOAE screening time of approximately 41 seconds per ear.
  • The overall pass rate was 93.6%, resulting in a 6.4% referral rate for diagnostic testing.
  • Nine newborns had bilateral hearing impairment and 26 had unilateral impairment, with early hearing aid fitting and intervention provided.

Conclusions:

  • UNHS using TEOAEs is a feasible, accurate, and cost-effective method for identifying congenital hearing loss in Taiwan.
  • The incidence of bilateral congenital hearing loss requiring amplification is approximately 1 in 752 newborns.
  • Early identification and intervention through UNHS significantly benefit infants with hearing loss, aligning with global standards of care.