Potential Pitfalls of Initiating a Newborn Hearing Screening Program

Kanne, Theodore; Schaefer, Lynne; Perkins, Jonathan A.

doi:10.1001/archotol.125.1.28

Cited by 31 publications

(35 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…No estudo de Kanne et al 22 registraram 11,6% de perda auditiva em cinco crianças, índice bastante semelhante aos nossos achados, uma vez que observamos 7% no grupo II e 4,3% no grupo III, um total de 11,3% de orelhas estudadas. White et al 23 encontraram prevalência de 5,95 para 1000 para perda auditiva neurossensorial e 20 para 1000 para perda auditiva condutiva.…”

Section: Discussionunclassified

See 1 more Smart Citation

Emissão otoacústica evocada transitória: instrumento para detecção precoce de alterações auditivas em recém-nascidos a termo e pré-termo

Garcia

Isaac

Oliveira

2002

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

Introdução:O diagnóstico e a intervenção precoces nas alterações auditivas são de fundamental importância no desenvolvimento infantil. O registro das emissões otoacústicas tem sido largamente indicado, por ser um exame rápido, de fácil aplicação. Objetivo: Os objetivos do presente estudo foram avaliar a função auditiva periférica de recém-nascidos a termo e pré-termo adequados e pequenos para a idade gestacional, por meio da pesquisa das emissões otoacústicas transitórias, identificando a prevalência de alterações auditivas nesta população; verificar a influência das variáveis idade gestacional e peso ao nascimento, assim como de tipos de tratamento, ventilação mecânica, administração de medicamentos ototóxicos e permanência em incubadora e analisar os fatores que interferem nos programas de triagem auditiva neonatal. Forma de estudo: Clínico prospectivo. Material e método: Foram avaliadas 157 crianças, sendo 43 nascidas a termo, 79 pré-termo adequadas à idade gestacional e 35 pré-termo pequenas à idade gestacional. Resultado: Observou-se que recém-nascidos prematuros falham mais nas respostas das emissões otoacústicas. A prevalência de perda auditiva condutiva na população estudada foi de 29 orelhas para 1000 e para perda auditiva neurossensorial de 16 orelhas para 1000. As crianças de peso baixo ao nascimento foram as mais difíceis de serem avaliadas. As emissões otoacústicas transitórias foram observadas a partir de 27 semanas de idade gestacional. Os tipos de tratamentos utilizados foram fatores que influenciaram negativamente nas respostas das emissões otoacústicas nos grupos de prematuros. Conclusão: O trabalho de diagnóstico precoce da perda auditiva deve ser objetivo de equipe interdisciplinar -neonatologista, pediatra, otorrinolaringologista, fonoaudiólogo, enfermeiro e familiares -e deve ser seguido, imediatamente, por programas de intervenção precoce. There were appraised 157 children, whose 43 were born full term, 79 preterm adequate to gestacional age and 35 small preterm to gestacional age. It had been observed that premature neonates fail more in the answers from otoacoustic emissions. Cristiane Fregonesi Results:The prevalence of conductive hearing impairment in the population studied was from 29 ears to 1000 and for the sensory-neural hearing impairment from the 16 to 1000. The low weight children in the birth were the most difficult to be appraised. The transient otoacoustic emissions were observed from the beginning of 27 gestacional weeks old. The kinds of treatments used were factors that influenced negatively in the answers of the otoacoustic emissions in premature groups. Conclusion:The early diagnostic work of the hearing impairment must be objective of the interdisciplinary teamneonatologist, pediatrician, ear/nose and throat doctor, audiologist and speech-language pathologist, nurse and relatives -and must be followed, immediately, by the early interventions programs. ORIGINAL ARTICLE ARTIGO ORIGINALRev Bras Otorrinolaringol.

show abstract

Section: Discussionunclassified

“…Dado compatível com os achados de White et al 23 ; Watkin 24 ; Soares et al 26 ; Kanne et al 22 ; Vallejo et al 27 ; Cone-Wesson et al 28 ; Chapchap & Segre 6 . É importante ressaltar que o cuidado intensivo também foi observado em nossa amostra, principalmente nos componentes do grupo III.…”

Section: Discussionunclassified

Emissão otoacústica evocada transitória: instrumento para detecção precoce de alterações auditivas em recém-nascidos a termo e pré-termo

Garcia

Isaac

Oliveira

2002

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

show abstract

“…In addition, physician examinations and parental observations only occasionally succeed in identifying congenital hearing loss in infants under the age of one. To improve the early detection of infant hearing loss, in the past 15 years many countries and cities have instituted universal newborn hearing screening programs (UNHSPs) or have set up a series of screening measures (American Academy of Pediatrics 1999; American Academy of Pediatrics and Joint Committee on Infant Hearing 1995; Kanne et al 1999;Wessex Universal Neonatal Hearing Screening Trial Group 1998;Grandori 1999).…”

Section: Introductionmentioning

confidence: 99%

Development of an Effective Public Health Screening Program to Assess Hearing Disabilities among Newborns in Shanghai: A Prospective Cohort Study

Sun¹,

Shen²,

Zakus³

et al. 2009

whp

View full text Add to dashboard Cite

BackgroundAn effective, systematic program of screening, diagnosis and intervention against hearing loss in infants could help them avoid developmental impediments and could help society stem preventable healthcare burdens. We assessed the feasibility and outcomes of a new public health universal newborn hearing screening program (UNHSP) for neonates born in Shanghai. Methods InterpretationA government-sponsored public health program to screen, diagnose, treat and provide interventions for all newborns with permanently hearing impairment can be effectively implemented and can achieve outcomes that surpass comparable clinical initiatives.

show abstract

“…In other cases, estimates are derived for the cost per baby identified with hearing loss. There are several papers that provide information on each of the above factors and describe how they impact the cost of UNHS [Johnson et al, 1993;Maxon et al, 1995;Mehl and Tomson, 1998;Robinette and White, 1998;Kanne et al, 1999;Dort et al, 2000;Kemper and Downs, 2000;Stewart et al, 2000;Stone et al, 2000;Gorga et al, 2001; Kezirian et al, 2001;Vohr et al, 2001]. The reader is referred to these papers for more details and specific arguments related to cost.…”

Section: Introductionmentioning

confidence: 99%

Cost‐effectiveness and test‐performance factors in relation to universal newborn hearing screening

Gorga

Neely

2003

Ment. Retard. Dev. Disabil. Res. Rev.

View full text Add to dashboard Cite

The first portion of this paper reviews current understanding of the cost of universal newborn hearing screening (UNHS), including capital and operating expenses, as well as the costs for follow-up testing on infants who do not pass the hearing screening test in the perinatal period. Capital expenses include the cost of equipment. Operating expenses include the costs for disposables and personnel. Follow-up costs relate to the diagnostic testing that must be performed in order to determine hearing status in those infants who do not pass the newborn hearing screening test. This section is followed by a more theoretical approach, in which test performance, prevalence, program costs, and "costs of hearing loss" are combined in a model that includes all costs of hearing loss, including screening, follow-up testing, and costs (benefits) associated with identifying hearing loss early in life. While some of the model's cost/benefit assumptions may be incorrect, the general approach of taking into account both costs and benefits provides a framework for evaluating the utility of UNHS in a more global manner. Model assumptions (costs, benefits, prevalence, sensitivity, specificity) can be changed to values deemed more appropriate, but the general approach is still informative. With the present assumptions, it is shown that initially, the costs of UNHS exceed its benefits. However, after only four years of operation, UNHS programs will result in a net savings to society. These savings increase rapidly, reaching a maximum annual benefit of seven billion dollars 75 years after initiation of the program, which is also the societal benefit for all years thereafter.

show abstract

Potential Pitfalls of Initiating a Newborn Hearing Screening Program

Cited by 31 publications

References 16 publications

Emissão otoacústica evocada transitória: instrumento para detecção precoce de alterações auditivas em recém-nascidos a termo e pré-termo

Emissão otoacústica evocada transitória: instrumento para detecção precoce de alterações auditivas em recém-nascidos a termo e pré-termo

Development of an Effective Public Health Screening Program to Assess Hearing Disabilities among Newborns in Shanghai: A Prospective Cohort Study

Cost‐effectiveness and test‐performance factors in relation to universal newborn hearing screening

Contact Info

Product

Resources

About