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Hearing screening at well-child visits.

Donna R Halloran1, Terry C Wall, H Hughes Evans

  • 1Division of General Pediatrics and Adolescent Medicine, Departments of Pediatrics and Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. dhallor2@slu.edu [corrected]

Archives of Pediatrics & Adolescent Medicine
|October 6, 2005
PubMed
Summary

In primary care, 10% of children failed hearing screening. However, pediatricians failed to refer or recheck over half of these children, hindering early identification of hearing impairment.

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Area of Science:

  • Pediatrics
  • Audiology
  • Public Health

Background:

  • Hearing impairment is a common condition in children that can impact development.
  • Early identification and intervention are crucial for managing hearing loss.
  • Primary care settings offer a valuable opportunity for routine hearing screening.

Purpose of the Study:

  • To determine hearing screening failure rates in primary care.
  • To examine referral practices following an abnormal hearing screening test.

Main Methods:

  • A convenience sample of 1061 children aged 3-19 years underwent hearing screening during well-child visits.
  • Failure was defined as missing any frequency (1000, 2000, 4000 Hz) at 20-dB hearing level in either ear.
  • Pediatricians determined referral decisions for children with abnormal screening results.

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Main Results:

  • 10% of children (96 out of 948) failed the hearing screening.
  • Developmental delay was the only significant predictor of a failed screen (P = .02).
  • Of those who failed, 59% received no further evaluation, 13% were rechecked, and 28% were referred.

Conclusions:

  • A significant proportion of children fail hearing screenings in primary care settings.
  • A substantial number of children who fail screening do not receive timely follow-up care.
  • Current screening practices may be inefficient, failing to ensure proper identification and management of childhood hearing impairment.