Universal newborn hearing screening

Patel, Hiteshree C; Feldman, Mark

doi:10.1093/pch/16.5.301

Cited by 111 publications

(77 citation statements)

References 32 publications

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“…Ambos son exámenes fisiológicos, no invasivos, y pueden ser realizados junto a la cama del recién nacido 34 . Las OEA evalúan la vía auditiva desde el conducto auditivo externo hasta el oído interno, y se encuentran presentes en 99% de los oídos sanos.…”

Section: Métodos De Pesquisaunclassified

“…Las OEA evalúan la vía auditiva desde el conducto auditivo externo hasta el oído interno, y se encuentran presentes en 99% de los oídos sanos. Los PEAT-A evalúan la vía auditiva desde el conducto auditivo externo hasta el tronco cerebral 34 . En la mayoría de los programas de tamizaje universal se ha implementado una estrategia en dos pasos, por ser costo efectiva y más certera 34 .…”

Section: Métodos De Pesquisaunclassified

“…Los PEAT-A evalúan la vía auditiva desde el conducto auditivo externo hasta el tronco cerebral 34 . En la mayoría de los programas de tamizaje universal se ha implementado una estrategia en dos pasos, por ser costo efectiva y más certera 34 . Lo habitual es la realización de OEA en todos los niños como primer paso, y la realización de PEAT-A en los niños que no pasen las OEA, y en casos de niños con factores de riesgo conocidos para hipoacusia 35 .…”

Section: Métodos De Pesquisaunclassified

“…En Canadá un reporte informó que el costo de implementación total de un programa de pesquisa universal de hipoacusia fue de USD 5.200.000, pero con un beneficio en términos de ahorro por año de USD 1.700.000 principalmente por concepto de ahorro educacional y prestaciones sanitarias 34 . Las fuentes de financiamiento de los programas de tamizaje tienen diferentes modalidades.…”

Section: Aspectos Económicosunclassified

“…Además, existe evidencia respecto a que los niños con hipoacusia son mejor manejados por equipos multidisciplinarios 34 .…”

Section: Implementación Del Programaunclassified

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Programa de tamizaje universal e intervención precoz (PTUIP) en hipoacusia sensorioneural bilateral congénita: Tarea pendiente desde la perspectiva de políticas públicas de salud en Chile

Cardemil

Rahal

et al. 2013

Rev. méd. Chile

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Universal screening program and early intervention (USPEI) in congenital bilateral sensorineural hearing loss in Chile Congenital hearing loss is the total or partial inability to hear sounds through the ears. It is the most common disability in newborns inDefinición y relevancia del problema L a hipoacusia sensorioneural bilateral congé-nita (HSNBC) corresponde a la discapacidad más frecuente del recién nacido. Tiene un carácter permanente e irreversible y actualmente persiste como un problema de salud pública pendiente por resolver en Chile 1 . Consiste en la incapacidad total o parcial de percibir sonidos, secundario a una alteración o disfuncionalidad a nivel de los receptores auditivos en el oído interno, o bien a la alteración de la vía auditiva nerviosa en cualquiera de sus niveles hasta llegar a la corteza cerebral 2,3 .Las consecuencias directas en aquellos niños que no son pesquisados e implementados adecuadamente son la generación de alteraciones en la adquisición del lenguaje y cognitivas, dis-

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Section: Métodos De Pesquisaunclassified

Section: Aspectos Económicosunclassified

“…Además, existe evidencia respecto a que los niños con hipoacusia son mejor manejados por equipos multidisciplinarios 34 .…”

Section: Implementación Del Programaunclassified

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Programa de tamizaje universal e intervención precoz (PTUIP) en hipoacusia sensorioneural bilateral congénita: Tarea pendiente desde la perspectiva de políticas públicas de salud en Chile

Cardemil

Rahal

et al. 2013

Rev. méd. Chile

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Genetic screening of 15 hearing loss variants in 77,647 neonates with clinical follow‐up

Kun,

Jiexiang,

Hua

et al. 2023

Molec Gen & Gen Med

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BackgroundTo analyze the genotype distribution and frequency of hearing loss genes in newborn population and evaluate the clinical value of genetic screening policy in China.MethodsGenetic screening for hearing loss was offered to 84,029 neonates between March 2019 and December 2021, of whom 77,647 newborns accepted the screening program with one‐year follow‐up. The genotyping of 15 hot spot variants in GJB2, GJB3, SLC26A4, and MT‐RNR1 was performed on microarray platform.ResultsA total of 3.05% (2369/77,647) newborns carried at least one genetic hearing loss‐associated variant, indicated for early preventive management. The carrier frequency of GJB2 gene was the highest, at 1.48% (1147/77,647), followed by SLC26A4 gene at 1.07% (831/77,647), and GJB3 gene at 0.23% (181/77,647). GJB2 c.235delC variant and SLC26A4 IVS7‐2A>G variant were the most common allelic variants with allele frequency of 0.6304% (979/155,294) and 0.3992% (620/155,294), respectively. 10 children are identified as homozygous or compound heterozygous for pathogenic variants (4 in GJB2, 6 in SLC26A4), and 7 of these infants had passed the hearing screening. Following up of the genetically screened newborns revealed that genetic screening detected more hearing‐impaired infants than hearing screening alone. Genetic screening helped identify the infants who had passed the initial hearing screening, and reduced time for diagnosis and intervention of hearing aid. In addition, we identified 234 newborns (0.30%, 234/77,647) susceptible to preventable aminoglycoside antibiotic ototoxicity undetectable by hearing screening.ConclusionWe performed the largest‐scale neonatal carrier screening for hearing loss genes in Southeast China. Our results indicated that genetic screening is an important complementation to conventional hearing screening. Our practice and experience may facilitate the application and development of neonatal genetic screening policy in mainland China.

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Disparities in Newborn Hearing Screening Outcomes in the United States From 2007 to 2017

Gutierrez,

Koyamatsu,

Lahiff

et al. 2023

Otolaryngol.--head neck surg.

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ObjectiveEstablishing timely language intervention for children who are deaf or hard of hearing is crucial for their cognitive and language development. Newborn hearing screening (NBHS) programs are now commonplace, but disparities in receipt of support may exist. This study seeks to investigate if states with more diverse populations, less educated mothers, fewer resources, and no legislative mandate of screening have lower rates of milestone completion.Study DesignThis is a cross‐sectional study.SettingData describing screening, identification, and intervention rates from individual state NBHS programs were aggregated by the Centers for Disease Control and Prevention from 2007 to 2017.MethodsRegression models were fitted to assess associations between these outcomes and state demographic and policy variables. Forest plots from meta‐analyses were used to obtain nationwide pooled estimates of the relative risk (RR) of maternal predictors from individual state data.ResultsState averages of maternal education level, age, and race/ethnicity were found to be significantly associated with various outcomes. The presence of program funding and legislative state mandate were associated with multiple improved outcomes. Meta‐analyses identified increased RRs for most outcomes based on maternal education less than high school, age 19 and below, and non‐White race/ethnicity.ConclusionThere is evidence of disparities in access to and timing of screening, identification testing, and intervention by various demographic and policy factors at the state level. More research is needed to further explore these relationships and determine how to address existing disparities in order to provide more equitable care.

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Universal newborn hearing screening

Cited by 111 publications

References 32 publications

Programa de tamizaje universal e intervención precoz (PTUIP) en hipoacusia sensorioneural bilateral congénita: Tarea pendiente desde la perspectiva de políticas públicas de salud en Chile

Programa de tamizaje universal e intervención precoz (PTUIP) en hipoacusia sensorioneural bilateral congénita: Tarea pendiente desde la perspectiva de políticas públicas de salud en Chile

Genetic screening of 15 hearing loss variants in 77,647 neonates with clinical follow‐up

Disparities in Newborn Hearing Screening Outcomes in the United States From 2007 to 2017

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