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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Issues in newborn ABR screening
1Department of Otolaryngology-Head and Neck Surgery, University of Texas Health Science Center, Houston 77030.
Insights
Early identification of infant hearing loss is crucial. This review addresses key issues in newborn hearing screening programs, emphasizing diagnosis and follow-up care for better outcomes.
Area of Science:
- Pediatrics
- Audiology
- Public Health
Background:
- Electrophysiologic measures have increased interest in early identification of hearing loss in newborns and infants.
- Mandatory and voluntary newborn hearing screening programs exist across states, aiming for early detection and management.
- Despite established techniques, challenges persist in newborn hearing screening programs.
Purpose of the Study:
- To highlight current concerns in newborn hearing screening.
- To discuss critical aspects including screening versus diagnosis, program design, and stimulus variables.
- To reiterate the importance of follow-up services for infants identified with hearing loss.
Main Methods:
- This article is a review of current issues in newborn hearing screening.
- It focuses on analyzing key areas of concern within existing screening programs.
- No new experimental data was collected; it synthesizes existing knowledge and identifies gaps.
Main Results:
- Several unresolved problems exist within newborn hearing screening programs.
- Key areas for improvement include differentiating screening from diagnosis, optimizing program design, and selecting appropriate stimulus variables.
- The necessity of robust follow-up services is a critical component for successful intervention.
Conclusions:
- Effective newborn hearing screening requires careful consideration of program design and diagnostic accuracy.
- Addressing current challenges can improve the early identification and management of hearing loss in infants.
- Consistent and comprehensive follow-up care is essential for optimal developmental outcomes in affected infants.
Abstract:
The introduction of electrophysiologic measures has provided a renewed interest in the early identification of newborns and infants at risk for hearing loss. To date, 14 states have enacted mandatory legislation for newborn hearing screening, whereas other states have incorporated private and hospital-based programs. Although all state and local programs are inherently different, their common goal is to identify hearing loss as early as possible, and to provide appropriate management strategies in the rehabilitative process. While many technical and recording techniques have been established, there remain several unresolved problems associated with newborn screening programs. The purpose of this article is to bring to the forefront several issues of current concern. Major topic areas include screening versus diagnosis, program design, and stimulus variables. A final recommendation regarding the importance of follow-up services is reiterated.
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