Impact on performance of hearing screening program through prevalence and diagnostic age evaluation in elementary school students in north-eastern city of Iran, Mashhad

TarvijEslami, Saeedeh; Nassirian, Hossain; Bayesh, Seyedehsara

doi:10.1016/j.pepo.2017.07.005

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…Ten studies reported using subjective hearing screening tests, two studies used questionnaire or otoscopy for screening67 75 and another three studies used TEOAE 76 77. Pure tone audiometry (PTA) was the most commonly used subjective test for screening older children 68 69 72–74 78. Two studies reported the use of automated software-based PTA 70 71.…”

Section: Resultsmentioning

confidence: 99%

“…PTA was frequently included in the diagnostic test battery,71 74 91 but in three studies, PTA was the only diagnostic test used 8 73 78. Of the studies that reported the use of PTA for diagnosis, only four studies72–74 78 mentioned information related to bone conduction testing. Apart from these studies, ENT examination was included in five studies 68 72 73 75 79.…”

Section: Resultsmentioning

confidence: 99%

“…In screening programmes for older children, 11 studies reported number of cases with hearing loss including conductive and sensori neural hearing losses. However, in four studies,67 68 79 80 the specific audiological tests conducted to diagnose were not mentioned, and in seven studies,69 72–75 78 details of diagnostic audiometry were provided. In this age group, the percentage of conductive hearing loss reported was higher compared with sensori neural hearing loss across all the studies.…”

Section: Resultsmentioning

confidence: 99%

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Early hearing detection and intervention (EHDI) programmes for infants and young children in low-income and middle-income countries in Asia: a systematic review

Ramkumar

Nair³

et al. 2023

bmjpo

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BackgroundEarly hearing detection and intervention (EHDI) measures initiated in high-income countries (HICs) were attempted in low-income and middle-income countries (L&MICs). However, information regarding the models of EHDI, context-specific adaptations made to strategies and outcomes are not known.AimsThe aims of this systematic review were to identify the various models of EHDI used in Asian L&MICs in the published scientific literature and to describe their efficacy and validity.MethodsThe studies were eligible if the programme was from Asian L&MICs, implemented for children below 6 years of age and published between 2010 and 2021. Google Scholar, PubMed, Web of Science, Scopus, EBSCOHost and EBSCO–CINAHL were used to find articles. Data were extracted from each selected article, and the risk of bias was assessed. The search results were summarised using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram. For primary outcomes, narrative synthesis was used, and forest plots were generated for secondary outcomes.ResultsIn all, 82 studies were included, and these studies were divided into two categories: newborn and infant screening programmes and screening programmes for older children. Predominantly, a two-stage objective otoacoustic emission (Distortion Product/Transient Evoked) or automated auditory brainstem response screening, followed by a detailed auditory brainstem response to confirm the hearing loss, was used in newborn and infant screening programmes. Audiologists were the most frequent screening personnel. Screening of older children was mostly done by otolaryngologists, school instructors and nurses. They performed a single-stage pure tone audiometry screening followed by a detailed examination.ConclusionThe screening tools and protocols used were similar to those used in HICs. However, no uniform protocols were followed within each country. Long-term viability of EHDI programmes was not known as there was limited information on impact outcomes such as cost–benefit.PROSPERO registration numberCRD42021240341.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Early hearing detection and intervention (EHDI) programmes for infants and young children in low-income and middle-income countries in Asia: a systematic review

Ramkumar

Nair³

et al. 2023

bmjpo

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How the World’s Children Hear: A Narrative Review of School Hearing Screening Programs Globally

et al. 2020

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Objective School hearing screening may mitigate the effects of childhood hearing loss through early identification and intervention. This study provides an overview of existing school hearing screening programs around the world, identifies gaps in the literature, and develops priorities for future research. Data Sources A structured search of the PubMed, Embase, and Cochrane Library databases. Review Methods A total of 65 articles were included according to predefined inclusion criteria. Parameters of interest included age groups screened, audiometric protocols, referral criteria, use of adjunct screening tests, rescreening procedures, hearing loss prevalence, screening test sensitivity and specificity, and loss to follow-up. Conclusions School hearing screening is mandated in few regions worldwide, and there is little accountability regarding whether testing is performed. Screening protocols differ in terms of screening tests included and thresholds used. The most common protocols included a mix of pure tone screening (0.5, 1, 2, and 4 kHz), otoscopy, and tympanometry. Estimates of region-specific disease prevalence were methodologically inaccurate, and rescreening was poorly addressed. Loss to follow-up was also a ubiquitous concern. Implications for Practice There is an urgent need for standardized school hearing screening protocol guidelines globally, which will facilitate more accurate studies of hearing loss prevalence and determination of screening test sensitivity and specificity. In turn, these steps will increase the robustness with which we can study the effects of screening and treatment interventions, and they will support the development of guidelines on the screening, diagnostic, and rehabilitation services needed to reduce the impact of childhood hearing loss.

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Impact on performance of hearing screening program through prevalence and diagnostic age evaluation in elementary school students in north-eastern city of Iran, Mashhad

Cited by 2 publications

References 17 publications

Early hearing detection and intervention (EHDI) programmes for infants and young children in low-income and middle-income countries in Asia: a systematic review

Early hearing detection and intervention (EHDI) programmes for infants and young children in low-income and middle-income countries in Asia: a systematic review

How the World’s Children Hear: A Narrative Review of School Hearing Screening Programs Globally

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