Identification of Hearing Impairment in the Neonatal Intensive Care Unit Population: Outcome of a Five-Year Project at The Johns Hopkins Hospital

Shimizu, Hiroshi; Walters, Roger; Proctor, Leonard R.; Kennedy, David W.; Allen, Marilee C; Markowitz, Ricka K.

doi:10.1055/s-0028-1091343

Cited by 14 publications

(7 citation statements)

References 26 publications

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“…1 Once an infant is discharged from the newborn nursery or neonatal intensive care unit, there is a strong likelihood that the infant will fail to meet outpatient appointments for follow-up care. Schimizu et al 11 reported that more than one-third of college-educated mothers failed to return their children for scheduled appointments, and more than two-thirds of mothers with a ninth grade education failed to do so. 11 This is the reason that screening before discharge is strongly recommended.…”

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Universal Newborn Hearing Screenings: A Three-Year Experience

Barsky-Firkser

Sun

1997

Pediatrics

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ABSTRACT. Objective. To perform hearing screenings on all newborns before hospital discharge, using auditory brainstem evoked responses with analysis of time, cost, and failure rates to evaluate and determine the screening practicality.Method. Over a 3-year period from January 1, 1993 to December 31, 1995, auditory brainstem evoked response screenings were performed on 15 749 infants born at Saint Barnabas Medical Center, Livingston, New Jersey, before their hospital discharge by certified/licensed audiologists. The auditory brainstem evoked response screenings were conducted using the Nicolet Compass Evoked Potential System.Results. A 3-year experience of testing 15 749 infants proved to be a cost-effective program with costs less than $30.00/baby. To date, 46 babies have been identified with bilateral sensorineural hearing loss and 6 babies with unilateral sensorineural hearing loss.Conclusions. The universal newborn hearing screening program at Saint Barnabas Medical Center has proved to be effective, beneficial, and necessary for an institution with more than 5000 births, annually. Early identification of hearing loss has resulted in infants receiving early intervention, and the screening program has provided education and follow-up services to both parents and physicians. Pediatrics 1997;99(6). URL: http: //www.pediatrics.org/cgi/content/full/99/6/e4; auditory brainstem evoked responses, early hospital discharge of newborns, early identification of hearing loss, screening auditory brainstem evoked responses, universal newborn hearing screening.

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confidence: 99%

“…Schimizu et al 11 reported that more than one-third of college-educated mothers failed to return their children for scheduled appointments, and more than two-thirds of mothers with a ninth grade education failed to do so. 11 This is the reason that screening before discharge is strongly recommended.…”

mentioning

confidence: 99%

Universal Newborn Hearing Screenings: A Three-Year Experience

Barsky-Firkser

Sun

1997

Pediatrics

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“…Of the three basic approaches currently employed in neonatal hearing screening, objective methods, in particular those employing auditory brain stem response methods (ABR), have also proven to be the most cost effective. 14,15 While the case history analysis-High Risk Register or Questionnaire-can identify 50 to 75 percent of hearing impaired infants, 3,10 many infants who eventually are found to have severe hearing impairment may not be identified by this approach. 16 Indeed, Stein and colleagues have observed that only one out of every three hearing impaired infants is identified via screening programs confined to high risk infants, in this case those requiring admission to a NICU.…”

Section: Advances In Screening Technologymentioning

confidence: 99%

Managing the Infant Hearing Impairment Problem: The Contributions of Industry

Moore¹

1991

Semin Hear

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“…This decision represents an advancement in infant hearing health, for it will provide the outlining of early identifi cation and intervention services for hearing health at the national level. However, part of the newborns will continue with no access to specialized assistance, owing to secondary factors such as families ' adherence to the program and the possibility of later or progressive hearing loss (Shimizu et al, 1990;Carney & Moeller, 1998;Melo, 2008). Therefore, the need to develop other strategies related to infant hearing health is evident.…”

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confidence: 97%