Abstract
US Preventive Services Task Force recommends universal screening of all newborns for early detection of hearing impairment and early intervention to prevent its effects on normal development and acquisition of language skills. During comparison of universal screening of all newborns versus targeted screening of high risk cases to detect hearing impairment, it emphasized the importance of Universal newborn hearing screening (UNHS) among neonatologists, pediatricians as well as ENT specialists taking care of newborns and young children. Among those who had early versus late confi rmation of hearing loss and those who had undergone universal newborn screening versus none, better language outcomes at school age were found than those not screened. Infants identifi ed with hearing loss through universal newborn screening had earlier referral, diagnosis, and treatment than those not screened. Targeted screening of newborns with high risk criteria missed 50% of cases of hearing impairment, either because infants were hearing impaired but did not meet any of the high- risk criteria, or because they developed hearing loss after the newborn period.
Keywords: Hearing impairment, Hearing screening, Targeted screening, Newborn screening
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Glossary
- UNHS
universal newborn hearing screening
- PCHL
permanent congenital hearing loss
- OAE
otoacoustic emission
- ABR
auditory brainstem response
References
- 1.Deafness and Hearing Loss. Washington, DC: Publication; 2007. [Google Scholar]
- 2.Joint Committee on Infant Hearing: American Academy of Audiology; American Academy of Pediatrics; American Speech-Language-Hearing Association; Directors of SpeechHearing Programs in State HealthWelfare 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. [DOI] [PubMed] [Google Scholar]
- 3.Davis A., Hind S. The impact of hearing impairment: a global health problem. Int J Pediatr Otorhinolaryngol. 1999;49(suppl1):51–54. doi: 10.1016/s0165-5876(99)00213-x. [DOI] [PubMed] [Google Scholar]
- 4.Vostanis P., Hayes M., Feu M.D., Warren J. Detection of behavioural and emotional problems in deaf children and adolescents: comparison of two rating scales. Child Care Health Dev. 1997;23(3):233–246. doi: 10.1111/j.1365-2214.1997.tb00966.x. [DOI] [PubMed] [Google Scholar]
- 5.Mehl AL, Thomson V (2002) The Colorado newborn hearing screening project, 1992-1999: on the threshold of effective population-based universal newborn hearing screening. Pediatrics 109(1) Available at: www.pediatrics.org/cgi/content/full/109/1/e7 [DOI] [PubMed]
- 6.Uus K, Bamford J (2006) Effectiveness of population-based newborn hearing screening in England: ages of interventions and profi le of cases. Pediatrics 117(5) Available at: www.pediatrics.org/cgi/content/full/117/5/e887 [DOI] [PubMed]
- 7.American Speech-Language Hearing Association. Newborns and infants. Available at: www.asha.org/public/hearing/testing#newborns_and_infants
- 8.Govaerts P.J., Beukelaer C., Daemers K. Outcome of cochlear implantation at different ages from 0 to 6 years. Otol Neurotol. 2002;23(6):885–890. doi: 10.1097/00129492-200211000-00013. [DOI] [PubMed] [Google Scholar]
- 9.Schauwers K., Gillis S., Daemers K., De B. C., Govaerts P.J. Cochlear implantation between 5 and 20 months of age: the onset of babbling and the audiologic outcome. Otol Neurotol. 2004;25(3):263–270. doi: 10.1097/00129492-200405000-00011. [DOI] [PubMed] [Google Scholar]
- 10.Nelson H.D., Bougatsos C.M., Nygren P. Universal Newborn Hearing Screening: Systematic Review to Update the 2001 US Preventive Services Task Force Recommendation. Rockville, MD: Agency for Healthcare, Research, and Quality; 2007. [PubMed] [Google Scholar]
- 11.Crockett R., Wright A.J., Uus K., Bamford J., Marteau T.M. Maternal anxiety following newborn hearing screening: the moderating role of parents’ knowledge. J Med Screen. 2006;13(1):20–25. doi: 10.1258/096914106776179854. [DOI] [PubMed] [Google Scholar]