Universal screening for infant hearing impairment: simple, beneficial, and presently justified

White, Karl R.; Maxon, Antonia B.

doi:10.1016/0165-5876(95)01165-8

Cited by 65 publications

(36 citation statements)

References 12 publications

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“…Several studies thereafter suggested that up to 50% of all the children with congenital hearing loss have no risk factors and would be missed by screening only those at high risk [6][7][8][9]. Universal Screening of all infants for hearing loss within the fi rst few months of life hence became the accepted strategy [8].…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of hearing loss in infants is more than twice that of other screened newborn disorders like congenital hypothyroidism and phenylketonuria [6]. In addition, 50% of children with moderate to profound congenital hearing loss exhibit no risk factors for hearing loss [6][7][8][9][10]. Early detection followed by appropriate treatment provides the best chance for maximizing the critical period of hearing, to avail of the resources to improve hearing and oral communication skills.…”

Section: Introductionmentioning

confidence: 99%

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Neonatal screening for hearing loss: pilot study from a tertiary care centre

John

Balraj

Kurien

2009

Indian J Otolaryngol Head Neck Surg

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Many developed countries have well established universal neonatal hearing screening programs. In India, the viability of such a program, in an already overburdened health system is indeed a challenge. This cross sectional study was undertaken to evaluate the possible burden of hearing loss among neonates born at a tertiary care hospital in Southern India. Five hundred neonates were screened with automated distortion product otoacoustic emission (aDPOAE) for hearing loss, 9.2% of whom had one or more high risk factors. Although 6.4% had hearing loss at initial assessment, only 1.6% had hearing loss on retesting with aDPOAE. Retesting with OAE before an automated Auditory brainstem response (aABR) helped to exclude patients without hearing loss. The frequency of moderate to moderately severe hearing loss in this study was 0.6%. This pilot study underscores the importance of the introduction of screening for congenital deafness in specialized centers in India, despite its challenges.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Neonatal screening for hearing loss: pilot study from a tertiary care centre

John

Balraj

Kurien

2009

Indian J Otolaryngol Head Neck Surg

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“….there is little evidence to support the routine universal screening for all neonates." Although the conclusions of Bess and Paradise and others who urged caution for the implementation of newborn hearing screening were widely criticized [e.g., White and Maxon, 1995], the fact is that there was very little research from large, systematically-implemented universal newborn hearing screening programs to support the recommendations of the NIH Consensus Panel. Other than the report of the Rhode Island Hearing Assessment Project [White and Behrens, 1993], research about newborn hearing screening available at that time was based on small samples of infants (primarily from NICUs) over a short period of time.…”

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confidence: 99%

The current status of EHDI programs in the United States

White

2003

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

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109

105

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The importance of identifying congenital hearing loss during the first few months of life has been recognized for almost 60 years. Unfortunately, until more effective newborn hearing screening equipment and procedures were developed in the late 1980s, it was not practical to implement programs for identifying hearing loss during the first few months of life. This paper reviews the activities implemented by the federal government in the last 15 years to promote more effective Early Hearing Detection and Intervention (EHDI) programs, and summarizes legislation passed by states related to universal newborn hearing screening. In surveys conducted in 1998 and 2001, State EHDI Coordinators were asked to rate the degree to which various issues were obstacles to implementing effective EHDI programs. The most serious obstacles are the shortage of qualified pediatric audiologists, inadequate reimbursement for screening and diagnosis, and lack of knowledge among primary health care providers about EHDI issues. Opposition to EHDI programs by hospital administrators was rated substantially lower in 2001 than in 1998. State EHDI Coordinators were also surveyed about how well their EHDI program is addressing issues related to screening, diagnosis, early intervention, linkages to medical home providers, tracking and data management, and family support programs. Although substantial progress has been made, many gaps remain with current EHDI programs.

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“…The introduction of neonatal hearing screening programs in developed countries over the past decade has meant that hearing loss is now identified in babies as young as a few days or months old, and there is earlier referral and diagnosis than ever before (Dalzell, 2000;White & Maxon, 1995;Yoshinaga-Itano, 2003a). Very young infants and toddlers now represent the majority of paediatric cochlear implant candidates in these countries, and for these children, decisions about candidacy must currently be based solely or primarily on audiometric information if cochlear implants are to be given early, as there are limited tools available to measure speech perception or language abilities in this age group.…”

Section: Criteria For Candidaturementioning

confidence: 99%

Cochlear Implants in Children: A Review

Sarant¹

2012

Hearing Loss

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Universal screening for infant hearing impairment: simple, beneficial, and presently justified

Cited by 65 publications

References 12 publications

Neonatal screening for hearing loss: pilot study from a tertiary care centre

Neonatal screening for hearing loss: pilot study from a tertiary care centre

The current status of EHDI programs in the United States

Cochlear Implants in Children: A Review

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