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Neonatal Hearing Rescreening in a Second-Level Hospital: Problems and Solutions.

Marta Gómez-Delgado¹, Jose Miguel Sequi-Sabater², Ana Marco-Sabater¹

¹Pediatric Department, Francesc de Borja University Hospital, 46702 Gandia, Spain.

Audiology Research

|August 25, 2023

Summary

Implementing hearing rescreening in second-level hospitals is challenging due to staffing and time constraints, leading to delays and high loss-to-follow-up rates, especially for referred infants.

Keywords:

auditory potentials hearing loss neonatal hearing screening otoacoustic emissions rescreening

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Area of Science:

Audiology
Public Health
Pediatrics

Background:

Second-level hospitals encounter unique challenges in executing hearing rescreening protocols.
Existing hearing screening processes often face difficulties in various healthcare settings.

Purpose of the Study:

To analyze the hearing rescreening process specifically within second-level hospitals.
To identify bottlenecks and challenges impacting the effectiveness of hearing rescreening.

Main Methods:

A cohort of 1130 individuals was studied, including hospital newborns and those initially screened in outpatient clinics.
Data collection focused on screening outcomes, referral pathways, and follow-up adherence.

Main Results:

A significant proportion of rescreenings occurred beyond recommended timeframes, particularly for infants referred from other hospitals.
High rates of lost-to-follow-up were observed, especially for referrals to otolaryngologists.
Staffing and time constraints in second-level hospitals contribute to extended turnaround times for neonatal hearing screening.

Conclusions:

Delays in hearing rescreening hinder the timely detection of hearing loss, posing risks to affected children.
Referrals to distant centers result in substantial follow-up losses.
Legislative support and systemic changes are crucial to improve hearing rescreening processes and outcomes.