Pilot Implementation in Universal Newborn Hearing Screening Program in Buri Ram Hospital, Northeast Thailand
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Abstract
Background: Disability from hearing impairment is the significant cause of the congenital disability in the developing country. There is universal guideline for screening hearing impairment in all newborn to help early detection before 3 months of age and treatment with hearing aid before 6 months of age. Aims of this study were to determine the prevalence of hearing impairment.
Methods: A prospective descriptive study of all newborns in Buri Ram hospital, between July 2020 and June 2021. All newborns were accessed with Otoacoustic emissions (OAEs) before discharge, by the certificated nurse teams. The newborns that could not discharge with mother, they were accessed after discharge 1 week later. Newborns who failed the screening test (“refer”) were assessed again with the OAEs test 1 month later. Newborns who failed 2 times of OAEs test were accessed for hearing threshold, with automated auditory brainstem response (AABR).
Results: There were 4,896 newborns, including in this study, 4,751 newborns were accessed with OAEs. One hundred forty-five newborns lost to follow-up (2.9%). The results were pass in first OAEs of 4,314 newborns (90.8%). Four hundred thirty-two of 437 newborns passed in second OAEs (98.9%) and 5 of 437 newborns failed in second OAEs and were tested for AABR (1.1%). There were all of five newborns pass AABR.
Conclusions: In this study, prevalence of congenital hearing impairment at Buri Ram Hospital was negative finding.
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