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Overcoming difficulties in implementing a universal newborn hearing screening program.

Stavros Korres1, Dimitrios G Balatsouras, Stamatia Vlachou

  • 1Department of Ear, Nose and Throat Diseases, Athens National University Hippokration Hospital, Athens, Greece.

The Turkish Journal of Pediatrics
|October 28, 2005
PubMed
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This study evaluated a universal newborn hearing screening program using transiently evoked otoacoustic emissions (TEOAE). The protocol successfully reduced initial screening failures and lost follow-ups, achieving low refer rates.

Area of Science:

  • Audiology
  • Neonatal Care
  • Public Health

Background:

  • Early detection of hearing loss in newborns is critical for developmental outcomes.
  • Universal newborn hearing screening programs aim to identify infants with hearing impairment shortly after birth.
  • Implementing and optimizing screening protocols presents logistical challenges.

Purpose of the Study:

  • To report on the experience and efficiency of a universal newborn hearing screening program.
  • To identify and address challenges encountered since the program's inception.
  • To assess the effectiveness of protocol modifications in improving screening outcomes.

Main Methods:

  • Analysis of screening data from 22,195 newborns.
  • Utilized transiently evoked otoacoustic emissions (TEOAE) for hearing screening.

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  • Implemented protocol modifications to reduce non-screening and lost follow-up rates.

    • Main Results:

    • 84.8% of newborns passed the initial TEOAE test.
    • An additional 12.15% passed upon rescreening before discharge, yielding a total pass rate of 96.95%.
    • The overall "not pass" rate was 3.05%, with reductions observed in newborns not undergoing screening and those lost to follow-up over time.

    Conclusions:

    • The implemented screening protocol proved effective in achieving low refer rates for follow-up.
    • Protocol modifications successfully decreased the incidence of newborns not screened and lost to follow-up.
    • A significant unresolved issue remains the lack of effective follow-up mechanisms for infants identified with potential hearing loss.