Low Follow Up Rates In Newborn Hearing Screening
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Low Follow Up Rates In Newborn Hearing Screening
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Author : Tamara Lynn Graham
language : en
Publisher:
Release Date : 2002
Low Follow Up Rates In Newborn Hearing Screening written by Tamara Lynn Graham and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with Audiometry categories.
Hospital Based Implementation Of Newborn Hearing Screening In A Cohort Of Infants Admitted To The Nicu
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Author : Liza Michelle Creel
language : en
Publisher:
Release Date : 2015
Hospital Based Implementation Of Newborn Hearing Screening In A Cohort Of Infants Admitted To The Nicu written by Liza Michelle Creel and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with categories.
Hearing loss affects approximately 1-3 live births per 1,000. Infants admitted to the NICU are at greater risk of hearing loss than infants in the newborn nursery. Family history, as well as very low birth weight and exposure to certain therapies such as assisted ventilation, are also risk factors associated with hearing loss. Many states mandate newborn screening for hearing loss after birth due to evidence that early diagnosis and intervention improve communication skills and school performance, but following these infants over time can be challenging. This retrospective study describes temporal trends in primary screening outcomes including screening rates, loss to follow-up, and screen sensitivity and specificity. It also evaluated the likelihood of newborn hearing screening, loss to follow-up, false-positive and false-negative results, as well as hearing loss diagnosis among at-risk infants. Time-to-diagnosis for infants with and without screening was also assessed. The study utilizes a database of births and follow-up encounters for infants born in a large Texas integrated health system between 1996 and 2007. Most newborn hearing screening program outcomes have improved since implementation in 1996. Outcomes differ by group, with black infants having higher probabilities of being lost to follow-up and receiving a false-positive result, but a lower probability of hearing loss than the overall study population. Infants diagnosed with persistent pulmonary hypertension had a higher probability of a false-negative result. Infants with craniofacial anomalies and neonatal infections have 5-7 times higher probability of hearing loss than those without the diagnoses. The overall incidence of hearing loss among the study population was 5%. Survival estimates demonstrate that infants identified through screening have a higher probability of early diagnosis. Infants with false-negative screens have the same probability of early diagnosis as infants with no screen. The study findings can inform both policy and practice. Newborn hearing screening leads to earlier diagnosis of infants with hearing loss, but improving targeted follow-up of high risk NICU infants may lead to earlier diagnosis of infants with delayed onset of hearing loss. Community-based providers can monitor high risk NICU infants after discharge for potential hearing loss.The electronic version of this dissertation is accessible from http://hdl.handle.net/1969.1/155380
Universal Newborn Hearing Screening
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Author : Lynn G. Spivak
language : en
Publisher: Thieme
Release Date : 1998
Universal Newborn Hearing Screening written by Lynn G. Spivak and has been published by Thieme this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998 with Hearing disorders in infants categories.
Following the NIH recommendations of 1993, most U.S. hospitals now carry out Universal Newborn Hearing Screening. This new book-the first complete guide to this expanding field-provides detailed information on staff training, data collection, quality control measures and other UNHS issues. Practical and up-to-date, the book is a must for all specialists concerned with the development and management of newborn screening programs. The only book to combine specific management tips with the first-hand experience of seasoned UNHS professionals, this book should be in the collection of all audiologists, physicians, nurses and hospital administrators.
A Hearing Screening Programme For Infants From A Neonatal Intensive Care Unit In A South African Provincial Hospital
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Author : Frances Kriek
language : en
Publisher:
Release Date : 2013
A Hearing Screening Programme For Infants From A Neonatal Intensive Care Unit In A South African Provincial Hospital written by Frances Kriek and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.
The field of early detection and intervention of hearing loss in neonates and infants has been marked by a growing international body of research investigating hearing screening programmes, protocols and outcomes of early detection for hearing loss. In South Africa, screening for neonates and infants in general and particularly for hearing loss is not common practice and is not meeting the needs of the South African population, with very few infants identified with hearing loss early in life. The Year 2002 Hearing Screening Position Statement recommends an intermediate step toward universal screening in the form of Targeted Newborn Hearing Screening (TNHS) as an option for developing countries with limited resources. The Neonatal Intensive Care Unit (NICU) provides a starting point for TNHS because it encompasses a number of risk factors for hearing loss. A combined descriptive and exploratory research methodology was followed to provide a comprehensive perspective on longitudinal hearing screening for NICU neonates and infants at a provincial hospital in South Africa. The quantitative methods included a structured interview to compile risk factor information. Immittance measurements used included acoustic reflex measurements, 226 Hz and 1000 Hz tympanometry. Automated Otoacoustic Emission (AOAE) as well as Automated Auditory Brainstem Response (AABR) screening was conducted. Routine follow-up visits at three month intervals were booked if a subject passed the screen and a follow-up screening for further testing was booked if a subject referred the screening. A total of 49 neonates and infants as well as mothers were enrolled in the first year and followed up for the second year of data collection period. The results indicated that the NICU had potential as platform for TNHS in South Africa. The high incidence of risk factors reported is more when compared with developed countries and highlights the importance of hearing screening in the at risk population for a developing country. The results confirmed reports that 226 Hz probe tone tympanometry produces erroneous responses in young infants. A high correspondence between high frequency tympanometry and AOAE results was found and underlines the need for differential diagnosis to accurately detect middle ear effusion and/or sensorineural hearing loss in neonates and infants. The unilateral AOAE refer rate (7%) was within range of the reported values for initial screening at discharge from the NICU. AABR results indicated a relatively high unilateral refer result (24%) and may be attributed to irritability and restlessness. The highest referral rates in the current study were recorded during the second and third visit and may be attributed to the presence of middle-ear pathology in older infants. The perceptions of mothers emphasized the lack of awareness regarding hearing and hearing loss in South Africa. Lack of knowledge may be a contributing actor to poor compliance with screening follow-up. Despite prevailing challenges, such as a low follow-up return rate, lack of awareness regarding the benefits of early detection of hearing loss, the effect of middle ear effusion on screening results, the cost of hearing screening and different priorities of the national healthcare system, such as Human Immunodeficiency Virus, demonstrated the NICU promise as platform for TNHS in South Africa. TNHS programmes may serve as starting point to direct universal neonatal hearing screening programmes in South Africa.
Ear And Hearing Care
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Author : World Health Organization
language : en
Publisher:
Release Date : 2017-09-27
Ear And Hearing Care written by World Health Organization and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-09-27 with Deafness categories.
"Many causes of hearing loss can be prevented or mitigated. In addition, people who develop hearing loss can benefit from appropriate and timely interventions. The profile and causes of hearing loss vary greatly across and within regions, as does the availability of infrastructure and resources to address it. Hence, it is essential that each country develop its own strategic plan to deal with hearing loss and its causes. A national ear and hearing care strategy should seek to reduce the prevalence, incidence and impact of hearing loss in the community, through public health approaches that are integrated with the country's health system and service delivery. The development of a holistic and integrated strategic plan is the first step towards 'provision of effective and sustainable ear and hearing care services.' This manual provides guidance on developing and implementing such a strategy. The manual can be used in combination with the Ear and Hearing Care Situation Analysis Tool, which provides a detailed framework for an initial situation analysis. The planning process for a national ear and hearing care starategy comprises the following phases."--Page [6]
Societal Benefit Of Early Hearing Detection And Intervention
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Author : Christine S. Evans
language : en
Publisher:
Release Date : 2017
Societal Benefit Of Early Hearing Detection And Intervention written by Christine S. Evans and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with Cochlear implants categories.
Cost analyses afford a way to demonstrate the efficacy and utility of a health intervention by establishing the conditions in which the benefits of treatment outweigh the monetary costs. To date, few have used cost analyses to demonstrate the long-term societal benefits of treatments for individuals with communication disorders. This paper seeks to fill this gap by developing an analytic model to measure the societal costs and benefits associated with early hearing detection and intervention (EHDI). We used decision tree analysis to develop a life-cycle cost analysis of three newborn hearing screening protocols (one-tier screening, two-tier screening with inpatient rescreening, and two-tier screening with outpatient rescreening) from a societal perspective. The outcome of the analysis was net benefit per infant screened in the form of employment productivity over the lifespan. The lifetime expected benefit from EHDI exceeded lifetime expected cost for all hearing screening protocols with input values held at average estimates. However, the one-tier hearing screening protocol yielded the highest net benefit per infant screened ($1,371.41), followed by two-tier inpatient hearing screening ($719.89) and two-tier outpatient screening ($306.31). While changes in loss to follow-up, language outcomes, and equipment accuracy each changed the long-term net benefit of EHDI, no single variable independently affected the balance between costs and societal benefit. Rather, sensitivity analyses revealed that the interdependent relationship among equipment accuracy, intervention outcomes, and loss to follow-up drove the costs and the benefits of EHDI. Program administrators, third-party payers, and policy-makers should consider all three of these variables a high priority when selecting protocols and strategies for quality improvement. Maximizing societal benefit requires a balance between treatment outcomes that yield employment productivity, highly accurate equipment, and low loss to follow-up.
Foundations Of Pediatric Audiology
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Author : Fred H. Bess
language : en
Publisher: Plural Publishing
Release Date : 2006
Foundations Of Pediatric Audiology written by Fred H. Bess and has been published by Plural Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Medical categories.
This book is a compilation of readings representing the basis for the practice of pediatric audiology. It contains 47 selected articles, each considered critical to understanding the fundamental principles in the field. Divided into five sections, the book covers the development of audition in infants, background information for current practice, test techniques and technology, and hearing loss in special populations. The readings in the book provide a foundation of knowledge for anyone in the field of pediatric audiology.
Pediatric Amplification
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Author : Ryan W. McCreery
language : en
Publisher: Plural Publishing
Release Date : 2017-06-30
Pediatric Amplification written by Ryan W. McCreery and has been published by Plural Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-06-30 with Medical categories.
Pediatric Amplification: Enhancing Auditory Access is a comprehensive resource that focuses specifically on the process of fitting children with hearing aids, a population that is underrepresented in the scientific and clinical literature. The text is based on a theoretical framework that posits that well-fit, consistently worn hearing aids can optimize the auditory access of children with hearing loss. This theoretical framework serves as the basis for providing clinical care to children with hearing aids and their families. The content is organized around using best practices to provide aided audibility, promote consistent hearing aid use, and engage in high-quality linguistic input for children who wear hearing aids. The text is unique in its focus on the clinical management of amplification in the pediatric population using cutting-edge research based on the needs of children who are hard of hearing. It includes chapters dedicated to hearing assistance technology and case studies to illustrate the concepts presented. Pediatric Amplification is a professional resource for clinicians and audiologists who serve children who wear hearing aids and their families and can also be used in graduate courses for students in audiology, deaf education, and speech-language pathology.
Fast Facts Early Hearing Detection And Intervention
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Author : C. Yoshinaga-Itano
language : en
Publisher: Karger Medical and Scientific Publishers
Release Date : 2022-12-06
Fast Facts Early Hearing Detection And Intervention written by C. Yoshinaga-Itano and has been published by Karger Medical and Scientific Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-12-06 with Medical categories.
In 'Fast Facts: Early Hearing' Detection and Intervention an international team of contributors brings together the evidence that supports the effectiveness of universal newborn hearing screening (UNHS) and early hearing detection and intervention services (EHDI). As well as considering elements essential to successful UNHS/EHDI programs, including screening technologies, resources, data management and family-centered early intervention services, the team discusses the resources needed to deliver such programs as well as the performance of screening programs globally. The aim is to provide a comprehensive compendium of information to make the case for greater recognition of the importance of UNHS/EHDI and so improve the life chances of children who are diagnosed as deaf or hard of hearing. Table of Contents: • Newborn hearing screening and EHDI • Rationale for UNHS/EHDI programs • Prevalence of newborn hearing loss and performance of screening programs • Global status of newborn and infant hearing screening • Genetic and CMV testing • Medical evaluation and management of permanent childhood hearing loss • Middle ear effusion and other barriers to timely diagnosis • Data management systems for newborn hearing screening programs • Establishing UNHS/EHDI programs • Pediatric diagnostic audiology • Amplification device fitting • Family-centered early intervention • Unilateral hearing loss and auditory neuropathy spectrum disorder
Objective Assessment Of Hearing
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Author : James W. Hall
language : en
Publisher: Plural Publishing
Release Date : 2009-12-01
Objective Assessment Of Hearing written by James W. Hall and has been published by Plural Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-12-01 with Medical categories.