The Parkland Memorial Hospital experience in ensuring compliance with Universal Newborn Hearing Screening follow-up

Shoup, Angela G.; Owen, Kris E.; Jackson, Greg; Laptook, Abbot R.

doi:10.1016/j.jpeds.2004.08.052

Cited by 22 publications

(18 citation statements)

References 20 publications

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“…As seen in this study, however, conventional click ABR and 226 Hz tympanometry are not enough to evaluate all possible hearing conditions. Some recent studies implemented bone conduction click or tone burst ABR with/without 1,000 Hz tympanometry in evaluation of failed newborn hearing screening and it can bring proper early diagnosis by distinguishing amongst permanent sensorineural hearing loss, permanent conductive hearing loss, and temporary conductive hearing loss (8, 11, 12). …”

Section: Discussionmentioning

confidence: 99%

“…Conventional click air conduction auditory brainstem response (ABR) has been used as a diagnostic method in many previous studies (3-6). Since conventional click ABR may give limited information in differentiation between permanent and temporary, or sensorineural and conductive hearing loss, use of bone conduction ABR in evaluation of failed newborn hearing screening has been reported (8, 11, 12). We have operated a newborn hearing screening program using staged AABR since 2004 with conventional click ABR testing, which is considered to be examined in terms of feasibility with extended follow-up.…”

Section: Introductionmentioning

confidence: 99%

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Audiological Follow-up Results after Newborn Hearing Screening Program

Lim

Kim

Chung

2012

Clin Exp Otorhinolaryngol

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ObjectivesTo investigate the validity of newborn hearing screening protocol using automated auditory brainstem response (AABR) with a confirmation method using click auditory brainstem response (ABR) and to evaluate changes in hearing status of infants with confirmed congenital hearing loss.MethodsNeonates in the well-baby nursery were screened by staged AABR. Subjects whose final AABR result was "refer" were tested by diagnostic click ABR and 226 Hz tympanometry within 3 months of age. Changes in hearing status of subjects with confirmed hearing loss were analyzed by follow-up ABR at 3-6 month intervals.ResultsOf the 12,193 healthy babies born during this period, 10,879 (89.22%) were screened by AABR. Of 10,879 neonates screened by AABR, 148 (1.36%) were "referred"; of these, 45 subjects showed ABR thresholds over 30 dB nHL in at least one ear. Thirty-four subjects underwent serial follow-up ABR tests, with 11 (32.4%) found to have normal ABR thresholds. Most subjects with mild to moderate hearing loss were found to be normal before 1 year of age, whereas all infants with severe or profound hearing loss were identified as having congenital hearing loss.ConclusionThe referral rate and the positive predictive value of our protocol were acceptable. We have also found here that substantial temporary hearing loss can be included in the first confirmative diagnosis. Temporary hearing loss of our study on follow-up give emphasis to need of further differentiation using the testing for bone conduction and middle ear status.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Audiological Follow-up Results after Newborn Hearing Screening Program

Lim

Kim

Chung

2012

Clin Exp Otorhinolaryngol

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“…Parkland Memorial Hospital has an annual birth rate of approximately 16,000. The delivery population is 79% Hispanic and 15% African-American; maternal age is younger than 20 yr in 20%, and 95% of women receive prenatal care (19). Inclusion criteria included postnatal age of 24 -48 h and gestational age 37-40 wk.…”

Section: Subjects and Methods Subjectsmentioning

confidence: 99%

Insulin Resistance in Hispanic Large-for-Gestational-Age Neonates at Birth

Dyer

Rosenfeld

Rice

et al. 2007

The Journal of Clinical Endocrinology &Amp; Metabolism

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“…The incidence of permanent childhood HI in the literature is reportedly 100-200 children every 100,000 births [1][2][3][4][5][6][7] as compared to the incidence of commonly screened newborn disorders which stand at 2/100,000 for galactosemia, 10/100,000 for phenylketonuria and 25/100,000 for hypothyroidism. In our previous report, we estimated the incidence of permanent childhood HI in the Ligurian neonatal population at around 1%, whereas 0.7% were found to have BHI.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of permanent childhood hearing impairment (HI) in the newborn is greater than all other currently screened neonatal conditions put together, and it affects approximately 100 to 200 children per 100,000 births [1][2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%