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The Role of Audiologists in Assuring Follow-Up to Outpatient Screening in Early Hearing Detection and Intervention

Vickie Thomson1, Christine Yoshinaga-Itano2

  • 1Department of Otolaryngology, University of Colorado Denver.

American Journal of Audiology
|July 29, 2018
PubMed

Insights

Infant hearing screening follow-up is crucial. Lack of audiology support and specific demographics like Hispanic ethnicity increase the risk of missed outpatient rescreens, highlighting areas for quality improvement.

Area of Science:

  • Pediatric Audiology
  • Public Health
  • Neonatal Care

Background:

  • Early hearing detection and intervention (EHDI) programs are vital for infant development.
  • Failure to follow up on initial hearing screenings can delay diagnosis and treatment.

Purpose of the Study:

  • To identify factors contributing to the failure of infants to complete follow-up outpatient hearing screenings after initial detection.
  • To examine the specific role of audiology involvement in successful screening completion.

Main Methods:

  • Utilized linear regression, logistical regression, and descriptive analyses.
  • Examined demographic and hospital variables linked to infants who missed follow-up screens.

Main Results:

  • Higher rates of missed follow-up screens were associated with hospitals lacking audiologist involvement.
  • Infants who were Hispanic, born to unmarried mothers, or with mothers having less than 12 years of education showed increased loss to follow-up.
  • Lower Apgar scores and birth in hospitals with low rescreen rates also correlated with missed appointments.

Conclusions:

  • Ensuring audiology support in birthing hospitals is critical for reducing screening attrition.
  • Multilingual information and improved discharge planning are recommended strategies to enhance follow-up rates.
  • Targeted interventions for at-risk demographic groups can improve program effectiveness.
Abstract

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