Universal Newborn Hearing Screening and Incidence of Hearing Loss in Ramathibodi Hospital: A 5 Years Experience (2014 to 2018)
DOI:
https://doi.org/10.33165/rmj.2022.45.4.258412Keywords:
Newborn, Hearing screening, Hearing loss, OutcomeAbstract
Background: Congenital hearing loss is an important factor affecting a child’s speech and language development. The quality of universal newborn hearing screening and hearing intervention program plays an important role in assisting children with permanent hearing to achieve appropriate speech and language development.
Objectives: To assess outcomes of the revised Ramathibodi Hospital universal newborn hearing screening (RUNHS) during 2014 to 2018, and to analyze the incidence of hearing loss in infants.
Methods: This study was a retrospective analysis, all newborns delivered at Ramathibodi Hospital from January 1, 2014, to December 31, 2018 were included. Data were collected from medical records and evaluated the RUNHS outcomes compared with benchmarks. Descriptive statistics were used to analyze data.
Results: Of 18 597 newborns, the screening coverage rate was 99. 8%, and the referral rate was 2.5%. The follow-up rate was 92.5%, and the diagnosis rate within 3 months of age was 20.1%. Among infants diagnosed with hearing loss, 42.9% received hearing aids by 6 months of age. The incidence of congenital permanent hearing loss was between 0.5 and 1.9 per 1000 live births.
Conclusions: The outcomes met the benchmarks for coverage and referral rate, but the diagnosis and hearing aid fitting rate did not meet the criteria. As of the incidence, the amount of children with congenital hearing loss in this study was similar to those reported by others.
References
American Academy of Pediatrics, Joint Committee on Infant Hearing. Year 2007 position statement: principles and guidelines for early hearing detection and intervention programs. Pediatrics. 2007;120(4):898-921. doi:10.1542/peds.2007-2333
Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL. Language of early-and later-identified children with hearing loss. Pediatrics. 1998;102(5):1161-1171. doi:10.1542/peds.102.5.1161
Magnani C, Bacchi G, Borghini AM, et al. Universal newborn hearing screening: the experience of the University Hospital of Parma. Acta Biomed. 2015;86(3):273-277.
Wroblewska-Seniuk K, Greczka G, Dabrowski P, Szyfter W, Mazela J. The results of newborn hearing screening by means of transient otoacoustic emissions - has anything changed over 10 years? Int J Pediatr Otorhinolaryngol. 2017;96:4-10. doi:10.1016/j.ijporl.2017.02.021
Wenjin W, Xiangrong T, Yun L, et al. Neonatal hearing screening in remote areas of China: a comparison between rural and urban populations. J Int Med Res. 2018;46(2):637-651. doi:10.1177/0300060517706643
Hsu HC, Lee FP, Huang HM. Results of a 1-year government-funded newborn hearing screening program in Taiwan. Laryngoscope. 2013;123(5):1275-1278. doi:10.1002/lary.23713
Levitt H, McGarr N, Geffner D. Development of language and communication skills in hearing-impaired children. Introduction. ASHA Monogr. 1987;(26):1-8.
Moeller MP. Early intervention and language development in children who are deaf and hard of hearing. Pediatrics. 2000;106(3):E43. doi:10.1542/peds.106.3.e43
Sininger YS, Grimes A, Christensen E. Auditory development in early amplified children: factors influencing auditory-based communication outcomes in children with hearing loss. Ear Hear. 2010;31(2):166-185. doi:10.1097/AUD.0b013e3181c8e7b6
Finitzo T, Albright K, O’Neal J. The newborn with hearing loss: detection in the nursery. Pediatrics. 1998;102(6):1452-1460. doi:10.1542/peds.102.6.1452
Dalzell L, Orlando M, MacDonald M, et al. The New York State universal newborn hearing screening demonstration project: ages of hearing loss identification, hearing aid fitting, and enrollment in early intervention. Ear Hear. 2000;21(2):118-130. doi:10.1097/00003446-200004000-00006
Vohr BR, Carty LM, Moore PE, Letourneau K. The Rhode Island hearing assessment program: experience with statewide hearing screening (1993-1996). J Pediatr. 1998;133(3):353-357. doi:10.1016/s0022-3476(98)70268-9
Vohr BR, Maxon AB. Screening infants for hearing impairment. J Pediatr. 1996;128(5 Pt 1):710-714. doi:10.1016/s0022-3476(96)80143-0
Jariengprasert C, Lerdsukprasert K, Kasemsuwan L, Nannareumitra P. Univeral newborn hearing screening using transient otoacoustic emissions: 1 year prevalence in Ramathibodi hospital. Thai J Otolaryngol HNS. 2003;4(1):27-41.
Chouyboonchum T, Tiravanitchakul R, Mongkalanatakul N, Premkraisorn V. Newborn hearing screening in Ramathibodi hospital. Rama Med J. 2015;38(3):197-208.
Joint Committee on Infant Hearing; American Academy of Audiology; American Academy of Pediatrics; American Speech-Language-Hearing Association; Directors of Speech and Hearing Programs in State Health and Welfare Agencies. Year 2000 position statement: principles and guidelines for early hearing detection and intervention programs. Pediatrics. 2000;106(4):798-817. doi:10.1542/peds.106.4.798
Sininger YS, Martinez A, Eisenberg L, Christensen E, Grimes A, Hu J. Newborn hearing screening speeds diagnosis and access to intervention by 20-25 months. J Am Acad Audiol. 2009;20(1):49-57. doi:10.3766/jaaa.20.1.5
Bailey HD, Bower C, Krishnaswamy J, Coates HL. Newborn hearing screening in Western Australia. Med J Aust. 2002;177(4):180-185. doi:10.5694/j.1326-5377.2002.tb04728.x
Neumann K, Gross M, Bottcher P, Euler HA, Spormann-Lagodzinski M, Polzer M. Effectiveness and efficiency of a universal newborn hearing screening in Germany. Folia Phoniatr Logop. 2006;58(6):440-455. doi:10.1159/000095004
De Capua B, Costantini D, Martufi C, Latini G, Gentile M, De Felice C. Universal neonatal hearing screening: the Siena (Italy) experience on 19,700 newborns. Early Hum Dev. 2007;83(9):601-606. doi:10.1016/j.earlhumdev.2007.01.001
Al-Mendalawi MD. Comment on: outcome of a newborn hearing screening program in a tertiary hospital in Malaysia: the first five years. Ann Saudi Med 2011;31:24-28. Ann Saudi Med. 2011;31(3):316-317. doi:10.4103/0256-4947.81534
Vos B, Lagasse R, Levêque A. Main outcomes of a newborn hearing screening program in Belgium over six years. Int J Pediatr Otorhinolaryngol. 2014;78(9):1496-1502. doi:10.1016/j.ijporl.2014.06.019
Escobar-Ipuz FA, Soria-Bretones C, García-Jiménez MA, Cueto EM, Aranda AMT, Sotos JM. Early detection of neonatal hearing loss by otoacoustic emissions and auditory brainstem response over 10 years of experience. Int J Pediatr Otorhinolaryngol. 2019;127:109647. doi:10.1016/j.ijporl.2019.109647
Centers for Disease Control and Prevention. 2018 Summary of Diagnostics Among Infants Not Passing Hearing Screening. Accessed October 17, 2022. https://www.cdc.gov/ncbddd/hearingloss/2018-data/06-diagnostics.html
Centers for Disease Control and Prevention. 2019 Summary of Diagnostics Among Infants Not Passing Hearing Screening. Accessed October 17, 2022. https://www.cdc.gov/ncbddd/hearingloss/2019-data/06-diagnostics.html
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