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[Neonatal hearing screening]

M L Kuan1, C F Lien, S J Chen

  • 1Department of Otolaryngology, Veterans General Hospital, Taipei, Taiwan, R.O.C.

Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|November 1, 1993
PubMed
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Neonatal hearing screening is crucial for early detection of hearing loss, impacting development. A high-risk register identified most hearing-impaired infants efficiently, saving resources.

Area of Science:

  • Pediatric Audiology
  • Neonatal Care
  • Developmental Pediatrics

Context:

  • Early life auditory deprivation negatively impacts speech, language, cognition, and learning.
  • Timely detection and management of hearing impairment before age three are critical.
  • Neonatal hearing screening programs are essential for identifying infants with hearing loss.

Purpose:

  • To evaluate the effectiveness of a neonatal hearing screening program.
  • To assess the utility of a high-risk register for identifying hearing-impaired neonates.
  • To compare the incidence of hearing loss in high-risk versus non-high-risk groups.

Summary:

  • A neonatal hearing screening program identified 1885 neonates, with 2.7% classified as high-risk for hearing loss.

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  • The incidence of hearing loss was 8-14% in the high-risk group and 0.11% in the non-high-risk group.
  • Behavioral audiometry and questionnaires proved ineffective; a high-risk register identified 67-78% of hearing-impaired infants efficiently.

    • Impact:

    • The high-risk register approach significantly reduced the number of infants needing screening (2.7% of total population).
    • This targeted screening strategy is cost-effective and time-efficient.
    • Early identification through effective screening facilitates timely intervention for hearing-impaired infants.