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Universal newborn hearing screenings: a three-year experience

L Barsky-Firkser¹, S Sun

¹Speech and Hearing Department, Department of Pediatrics, Saint Barnabas Medical Center, Livingston, NJ 07039, USA.

|June 1, 1997

Summary

Universal newborn hearing screening using auditory brainstem evoked responses is effective and cost-efficient. This program enables early identification of hearing loss, facilitating timely intervention for infants.

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Area of Science:

Pediatric audiology
Neonatal screening programs
Neuroscience

Background:

Hearing loss is a common congenital disability.
Early detection and intervention are crucial for infant development.
Newborn hearing screening programs aim to identify hearing impairments at birth.

Purpose of the Study:

To evaluate the practicality of universal newborn hearing screening.
To analyze the time, cost, and failure rates of auditory brainstem evoked response (ABR) screenings.
To assess the effectiveness of ABR screening in a hospital setting.

Main Methods:

Auditory brainstem evoked response (ABR) screenings were conducted on 15,749 infants over three years (1993-1995).
Screenings were performed before hospital discharge by certified audiologists.

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The Nicolet Compass Evoked Potential System was utilized for testing.

Main Results:

The screening program proved cost-effective, with costs under $30.00 per baby.
A total of 52 infants were identified with sensorineural hearing loss (46 bilateral, 6 unilateral).
The program demonstrated a low failure rate, indicating efficiency.

Conclusions:

Universal newborn hearing screening is effective, beneficial, and necessary for hospitals with high birth volumes (>5000 annually).
Early identification facilitated by the screening program leads to prompt intervention for infants with hearing loss.
The program provided essential education and follow-up services for parents and physicians.