Universal Newborn Hearing Screening Systematic Review To Update The 2001 U S Preventive Services Task Force Recommendation
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Universal Newborn Hearing Screening Systematic Review To Update The 2001 U S Preventive Services Task Force Recommendation
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Author : U. S. Department of Health and Human Services
language : en
Publisher: Createspace Independent Pub
Release Date : 2013-06-18
Universal Newborn Hearing Screening Systematic Review To Update The 2001 U S Preventive Services Task Force Recommendation written by U. S. Department of Health and Human Services and has been published by Createspace Independent Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-06-18 with Medical categories.
This systematic evidence review updates a prior review for the U.S. Preventive Services Task Force (USPSTF) on universal newborn hearing screening (UNHS) to detect moderate to severe permanent, bilateral congenital hearing loss (PCHL). In 2001, based on results of a prior systematic evidence review, the USPSTF concluded that the evidence was insufficient to recommend for or against routine screening of newborns for PCHL during the postpartum hospitalization (I Recommendation). The USPSTF provided additional specific conclusions about the evidence. They determined that methods of screening using otoacoustic emissions (OAEs) and auditory brainstem response (ABR) are highly accurate for identifying PCHL in newborns, and UNHS leads to earlier identification and treatment of infants with PCHL. They found that evidence was inconclusive regarding whether earlier treatment resulting from newborn screening leads to clinically important improvement in speech and language skills at age 3 years and beyond because existing studies had design limitations. The USPSTF considered that earlier identification and intervention may improve the quality of life during the first year of life, and prevent regret by the family over delayed diagnosis of PCHL, but limited data addressing these benefits existed. They were not able to determine whether potential benefits outweighed the potential harms of false-positive tests. This update focuses on critical evidence gaps that were unresolved at the time of the 2001 recommendation, and utilizes the format and methods of the prior systematic evidence review. The Joint Committee on Infant Hearing (JNIH), comprised of representatives from audiology, otolaryngology, pediatrics, education, and state speech and hearing programs, provides position statements and establishes practice standards for early identification, intervention, and follow-up care for infants and young children with hearing loss. According to the JCIH, hearing screening should identify infants at risk for specifically defined hearing loss that interferes with development. The targeted hearing loss for UNHS programs is permanent sensory or conductive hearing loss averaging 30 to 40 decibels (dB) or more in the frequency region important for speech recognition (approximately 500 through 4000 Hertz [Hz]). The focus of UNHS is on congenital as opposed to acquired or progressive hearing loss that may not be detected in the newborn period. The term “hearing impairment” is commonly used outside the U.S. instead of “hearing loss.” This systematic review updates the evidence from the prior 2001 USPSTF review for the following key questions: 1. Among infants identified by UNHS who would not be identified by targeted screening, does initiating treatment prior to age 6 months improve language and communication outcomes? 2. Compared with targeted screening, does UNHS increase the chance that treatment will be initiated by age 6 months for average risk infants? For high risk infants? 3. What are the adverse effects of UNHS and early treatment?
Universal Newborn Hearing Screening
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Author : Heidi D. Nelson
language : en
Publisher:
Release Date : 2008
Universal Newborn Hearing Screening written by Heidi D. Nelson and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with categories.
OBJECTIVE: This review is an update for the U.S. Preventive Services Task Force (USPSTF) on universal newborn hearing screening (UNHS) to detect moderate to severe permanent, bilateral congenital hearing loss. The review focuses on 3 key questions regarding the effectiveness of universal screening and early interventions in improving language and other outcomes in childhood, the effectiveness of universal screening in identifying infants with hearing loss and leading them to early interventions, and adverse effects of screening and early interventions. METHODOLOGY: Literature searches of MEDLINE and Cochrane databases (2000-November 2007) were conducted to systematically identify articles addressing the 3 key questions published since the prior recommendation in 2001. Additional articles were obtained from reference lists of related reviews, studies, editorials, reports, websites, and by consulting experts. Articles were subjected to inclusion and exclusion criteria, data from included studies were abstracted, and studies were rated for quality with pre-determined criteria. Results were summarized descriptively in tables. An outcomes table estimating the number needed to screen was determined using estimates from the most relevant studies. RESULTS: A good-quality retrospective study of children with hearing loss indicates that those who had early versus late confirmation and those who had undergone UNHS versus none had better receptive language at age 8 years, but not better expressive language or speech. A good-quality nonrandomized trial of a large birth cohort indicates that infants identified with hearing loss through UNHS have earlier referral, diagnosis, and treatment than those not screened. These findings are corroborated by multiple descriptive studies of ages of referral, diagnosis, and treatment. Universal newborn hearing screening programs have low false-positive and referral rates and are generally well accepted and tolerated by parents of newborns. Studies indicate that usual parental reactions to an initial non-pass on a hearing screen include worry, questioning, and distress. These negative emotions resolve for most parents when a diagnostic test is provided with a normal result. Little information exists about the adverse effects of early interventions, although cochlear implants are associated with higher risks for bacterial meningitis in young children. CONCLUSIONS: Children with hearing loss who had UNHS have better language outcomes at school age than those not screened. Infants identified with hearing loss through universal screening have significantly earlier referral, diagnosis, and treatment than those identified in other ways.
Hearing Screening Considerations For Implementation
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Author :
language : en
Publisher: World Health Organization
Release Date : 2021-09-03
Hearing Screening Considerations For Implementation written by and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-09-03 with Medical categories.
Who Recommendations On Maternal And Newborn Care For A Positive Postnatal Experience
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Author :
language : en
Publisher: World Health Organization
Release Date : 2022-03-29
Who Recommendations On Maternal And Newborn Care For A Positive Postnatal Experience written by and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-03-29 with Medical categories.
This guideline aims to improve the quality of essential, routine postnatal care for women and newborns with the ultimate goal of improving maternal and newborn health and well-being. It recognizes a "positive postnatal experience" as a significant end point for all women giving birth and their newborns, laying the platform for improved short- and long-term health and well-being. A positive postnatal experience is defined as one in which women, newborns, partners, parents, caregivers and families receive information, reassurance and support in a consistent manner from motivated health workers; where a resourced and flexible health system recognizes the needs of women and babies, and respects their cultural context. This is a consolidated guideline of new and existing recommendations on routine postnatal care for women and newborns receiving facility- or community-based postnatal care in any resource setting.
Morbidity And Mortality Weekly Report
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Author :
language : en
Publisher:
Release Date : 2010
Morbidity And Mortality Weekly Report written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with Diseases categories.
Comprehensive Neonatal Nursing Care
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Author : Carole Kenner, PhD, RN, FAAN, FNAP, ANEF
language : en
Publisher: Springer Publishing Company
Release Date : 2019-08-28
Comprehensive Neonatal Nursing Care written by Carole Kenner, PhD, RN, FAAN, FNAP, ANEF and has been published by Springer Publishing Company this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-08-28 with Medical categories.
Praise for the Fifth Edition: “This book provides a complete look at neonatal healthcare delivery...[It] includes discussions of contemporary topics of interest, such as informatics, genetics, global health, and family-centered care, which are vital to providers caring for neonates today. The case studies and evidence-based practice dialogues provide great opportunities for further reflection. The book is useful to a wide audience in nursing, including undergraduate and graduate nursing students, practicing neonatal and pediatric nurses, and advanced practice nurses who care for neonates." Score: 92, 4 Stars--Doody's Medical Reviews The sixth edition of this acclaimed neonatal nursing text is completely updated to encompass the most current research findings and strategies for providing cost-effective and evidence-based care. It continues to address neonatal care from a physiologic and pathophysiologic perspective, with a major emphasis on nursing management at the bedside and advanced practice level. It examines each neonatal body system and describes evidence-based interventions that assist in understanding the ‘why’ behind various clinical presentations. Integrative management is threaded throughout the text along with extensive research findings to support practice strategies and rationales for sound clinical decision-making. Case studies, evidence-based practice boxes, QSEN competencies, and online resources help to amplify and reinforce content. New to the Sixth Edition: New technologies including neonatal health care simulation Trauma-Informed Care Substantial revisions to the Neonatal Resuscitation Program Updates in Continuous Quality Improvement Emphasis on neuroprotective factors Emerging global trends Genomics and its relationship to precision health prevention of diseases Maternal-Fetal Units Neonatal Abstinence Syndrome and maternal drug use Leadership and cost management of the NICU Updates on neonatal care protocols and procedures, new treatments, and new trends in family-centered integrative developmental care New palliative care protocols Video clips regarding parental caregiving Parent perspectives on care Podcasts from experts in the field Highlighted callouts for Emergency Alert, Quality and Safety Issues, and Family Concerns Key Features: Complete physiologic and embryologic foundation of each neonatal body system The relevance of various diagnostic tests Integrates quality and safety as per QSEN competencies Case studies, evidence-based practice boxes, parent handouts, and online resources Authored by internationally reputed “mother” of neonatal nursing Parent Voices provide new perspective on neonatal care
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
Newborn Screening Systems
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Author : Carlie J. Driscoll
language : en
Publisher: Plural Publishing
Release Date : 2010-02-15
Newborn Screening Systems written by Carlie J. Driscoll and has been published by Plural Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-02-15 with Medical categories.
Pediatric Sensorineural Hearing Loss Clinical Diagnosis And Management
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Author : Samantha Anne
language : en
Publisher: Plural Publishing
Release Date : 2017-09-15
Pediatric Sensorineural Hearing Loss Clinical Diagnosis And Management written by Samantha Anne and has been published by Plural Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-09-15 with Medical categories.
Pediatric Sensorineural Hearing Loss: Clinical Diagnosis and Management is a quick reference manual for pediatricians, residents, audiologists, and others who work with pediatric patients. This text distills the breadth of knowledge on this topic into one that is manageable and easily comprehensible. Pediatric hearing loss is an incredibly complex topic replete with controversies, evolving research findings, and subtle differences in management and diagnosis with different types of hearing loss. Currently, there is no such manual for pediatric hearing loss and the literature that is available can be overwhelming and difficult to read as a quick reference. This text provides practical content for daily clinical use alongside CT and MRI images, audiograms, and algorithms. The chapters distill this complex topic into distinct subsets such as unilateral hearing loss, congenital hearing loss, and sudden sensorineural hearing loss. Pediatric Sensorineural Hearing Loss addresses clinical questions that arise in daily practice by pediatricians and otolaryngologists and can be used by residents for preparation for in-service training exams or as a teaching tool.
Newborn Hearing Screening
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Author : Mark Helfand
language : en
Publisher:
Release Date : 2001
Newborn Hearing Screening written by Mark Helfand and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with categories.
CONTEXT: Each year approximately 5000 infants are born in the United States with moderate to profound, bilateral sensorineural hearing loss (SNHL). Universal newborn hearing screening (UNHS) has been proposed as a means to speed diagnosis and treatment, and thereby improve language outcomes in these children. OBJECTIVE: To identify strengths, weaknesses, and gaps in the evidence supporting UNHS and to compare the additional benefits and harms of UNHS with those of selective screening of high-risk newborns. DATA SOURCES: A keyword search of MEDLINE, CINAHL, and PsycINFO databases for relevant papers published from 1994 to August 2001, using terms for hearing disorders, infant or newborn, screening, and relevant treatments. We contacted experts and reviewed reference lists to identify additional articles, including those published before 1994. STUDY SELECTION: We included controlled and observational studies of (1) the accuracy, yield, or harms of screening using otoacoustic emissions (OAEs), auditory brainstem response (ABR), or both in the general newborn population or (2) the effects of screening or of early identification and treatment on language outcomes. Nineteen articles, including 1 controlled trial, met these inclusion criteria. DATA EXTRACTION: Data on population, test performance, outcomes, and methodological quality were extracted using prespecified criteria developed by the US Preventive Services Task Force. We queried authors when information needed to assess study quality was missing. DATA SYNTHESIS: Good quality studies show from 2041 to 2794 low-risk, and 86 to 208 high-risk, newborns were screened to find 1 case of moderate to profound SNHL. The best estimate of positive predictive value is 6.7%. Six percent to 15% of infants who fail the screening tests are subsequently diagnosed with bilateral SNHL. In a trial of UNHS versus clinical screening at 8 months of age, UNHS increased the proportion of infants with moderate to severe hearing loss diagnosed by 10 months of age (57% vs 14%), but did not reduce the rate of diagnosis after 18 months of age. No good-quality controlled study has compared UNHS to selective screening of high-risk newborns. In fair- to poor-quality cohort studies, intervention before 6 months of age was associated with improved language and communication skills by 2 to 5 years of age. These studies had unclear criteria for selecting subjects, and none compared an inception cohort of low-risk newborns identified by screening to those identified in usual care, making it impossible to exclude selection bias as an explanation for the results. In a mathematical model based on the literature review, we estimated that extending screening to low-risk infants would detect 1 additional case before 10 months for every 1441 low-risk infants screened, and result in treatment before 10 months of 1 additional case for every 2401 low-risk infants screened. With UNHS, 254 newborns would be referred for audiological evaluation because of false-positive second-stage screening test results, versus 48 for selective screening. CONCLUSIONS: Modern screening tests for hearing impairment can improve identification of newborns with SNHL, but the efficacy of UNHS to improve long-term language outcomes remains uncertain.