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United Kingdom school-entry hearing screening: current practice.

K Bristow1, H Fortnum, S Fonseca

  • 1Institute of Health and Society, Fourth Floor, William Leech Building Medical School, Newcastle University, Newcastle upon Tyne NE2 4HH, UK. kirsty.bristow@newcastle.ac.uk

Archives of Disease in Childhood
|November 28, 2007
PubMed
Summary
This summary is machine-generated.

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The school-entry hearing screening (SEHS) program shows variable implementation and data collection across the UK. Despite potential value in identifying childhood hearing impairment, national guidelines are urgently needed to define its role post-universal newborn screening.

Area of Science:

  • Audiology
  • Public Health
  • Pediatrics

Background:

  • Universal newborn hearing screening is now standard.
  • The role of school-entry hearing screening (SEHS) requires re-evaluation.
  • Childhood hearing impairment identification remains a public health priority.

Purpose of the Study:

  • To assess the current implementation and effectiveness of the SEHS program in the UK.
  • To determine if SEHS remains valuable for identifying childhood hearing impairment after universal newborn screening.
  • To inform future policy on childhood hearing screening.

Main Methods:

  • A national postal questionnaire survey of 244 UK school health services.
  • 195 SEHS service leads responded.
  • Data collected on SEHS implementation, screening test positive predictive value, and referral criteria.

Related Experiment Videos

Main Results:

  • SEHS implementation is inconsistent, with no unified national approach to data collection or quality assurance.
  • Robust data were available from less than 10% of services.
  • Screening yields for permanent hearing impairment varied, with positive predictive values ranging from 0.62% to 17.56% depending on hearing loss type.

Conclusions:

  • The SEHS program's implementation is variable, lacking national standardization.
  • Available data suggest SEHS may play a small but significant role in identifying childhood hearing impairment.
  • Urgent development of national guidelines is needed to clarify the SEHS program's value and role in the context of universal newborn hearing screening.