The risk factor profile of children covered by the Polish universal neonatal hearing screening program and its impact on hearing loss incidence

2014 ◽  
Vol 78 (2) ◽  
pp. 209-213 ◽  
Author(s):  
Maciej J. Wróbel ◽  
Grażyna Greczka ◽  
Witold Szyfter
2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Safaa S. Imam ◽  
Rania A. El-Farrash ◽  
Hesham M. Taha ◽  
Helbees E. Bishoy

Aim. To compare targeted neonatal hearing screening (TNHS) and universal neonatal hearing screening (UNHS) since many developing countries, including Egypt, implement selective screening for high-risk neonates. Methods. 150 neonates were assessed; 50 full terms consecutively admitted to the well-baby nursery and 100 neonates consecutively admitted to neonatal intensive care unit (NICU), Ain Shams University. Patients were further subdivided into high-risk group which included 50 neonates with multiple risk factors for hearing loss and low risk group which included 50 neonates with only one risk factor. Transient evoked otoacoustic emissions (TEOAEs) were used for hearing screening. Auditory brain response (ABR) was performed 3 months later for failed TEOAEs. Results. The most frequent risk factor was consanguinity (46%). In the well-baby population, 16% failed TEOAEs. In the NICU, 30% of the low risk and 38% of the high risk groups failed TEOAEs. Regarding ABR, failed results were 12%, 10%, and 8% in the high-risk, low-risk, and healthy groups, respectively. Conclusion. The use of TNHS would have missed 8% of neonates from the well-baby group who actually had PCHL (permanent congenital hearing loss). The use of UNHS would identify all cases with PCHL, allowing for early intervention and follow-up.


2018 ◽  
Vol 72 (1) ◽  
pp. 1-4
Author(s):  
Monika Zych ◽  
Grażyna Greczka ◽  
Piotr Dąbrowski ◽  
Maciej Wróbel ◽  
Joanna Szyfter-Harris ◽  
...  

The Polish Universal Neonatal Hearing Screening Program (PUNHSP) has been carried out in Poland for 14 years. The main aim of this Program is to organize hearing screening tests and to gather the information about risk factors of hearing loss in almost all newborns in Poland. It consists of 496 centers at 3 referral levels. A total of 5 458 114 children had been registered in the Central Database (CDB) of PUNHSP by the 22nd of August 2017. Bilateral sensorineural hearing loss was the most frequently appearing hearing impairment in children. It was diagnosed in 260 cases in 2016. This report presents the most important results and conclusions concerning the running of the PUNHSP in 2016.


2014 ◽  
Vol 59 (1) ◽  
pp. 90-94 ◽  
Author(s):  
Magdalena Lachowska ◽  
Paulina Surowiec ◽  
Krzysztof Morawski ◽  
Katarzyna Pierchała ◽  
Kazimierz Niemczyk

2008 ◽  
Vol 72 (12) ◽  
pp. 1783-1787 ◽  
Author(s):  
Witold Szyfter ◽  
Maciej Wróbel ◽  
Marzanna Radziszewska-Konopka ◽  
Joanna Szyfter-Harris ◽  
Michał Karlik

2015 ◽  
Vol 69 (3) ◽  
pp. 1-5 ◽  
Author(s):  
Grażyna Greczka ◽  
Maciej Wróbel ◽  
Piotr Dąbrowski ◽  
Katarzyna Mikołajczak ◽  
Witold Szyfter

2019 ◽  
Vol 73 (3) ◽  
pp. 1-5
Author(s):  
Grażyna Greczka ◽  
Monika Zych ◽  
Piotr Dąbrowski ◽  
Anna Gasińska ◽  
Anna Król ◽  
...  

Introduction: Thanks to the Polish Universal Neonatal Hearing Screening Program (PUNHSP), All newborns in Poland undergo a free, screening hearing examination. Between 2006 and 2015, the average number of tested children per year was 373,477. According to the analysis of The Central Database(CDB), only 55.8% of the children attended the detailed hearing examinations at the second level of the Program. Aim: The aim of this study is to analyze the dates concerning the attendance of the children at the diagnostic level of PUNHSP in different regions of Poland. Materials and methods: To conduct an analysis of this fact and find out the reasons for the low attendance at the second level in 2015, a telephone survey questionnaire was developed for parents whose children had not registered for further consultation - 3,239 randomly selected parents. Results: The analysis revealed that the number of children examined at the second diagnostic level of the program is in fact much higher than the results of The Central Database show. The actual number is 83.6% as opposed to 55,8%. As a result of the telephone questionnaire, some inaccuracies in the input data to the CDB were detected. The main errors involved in the gathering of information for the CDB was the incorrect OAE test result and the lack of performed examination. Conclusion: In Poland, the worst results for the attendance to the diagnostic level (the results were a comparison of the questionnaire results compared to the CDB) was shown in Pomorskie, Lubelskie, Mazowieckie, and Podlaskie regions. In many cases, there was a large difference in reality to what the information in the CDB claimed. The improvement of clarity concerning the CDB application is important in order to minimize the possibility of malformation in the CDB.


Revista CEFAC ◽  
2021 ◽  
Vol 23 (4) ◽  
Author(s):  
Audrei Thayse Viegel de Avila ◽  
Adriane Ribeiro Teixeira ◽  
Luíza Silva Vernier ◽  
Adriana Laybauer Silveira

ABSTRACT Purpose: to assess the universal neonatal hearing screening program using quality indicators. Methods: the records of newborns who were submitted to the neonatal hearing screening in 2018 were analyzed, comparing the data with the first five quality indicators established by the national guideline for neonatal hearing screening attention: 1) rate of screening coverage (≥95%); 2) age at the screening in months (up to the first month of life); 3) rate of referrals for diagnosis (2% to 4%); 4) rate of attendance to diagnostic examination (≥90%); 5) age at confirmed diagnosis (up to the third month of life). The data were submitted to quantitative and descriptive statistical analysis. Results: the rate of coverage, age at screening, and the number of referrals for diagnosis met the indicators established by the national guideline. The rate of attendance to diagnostic examination fell short of the expected, and the age at confirmed diagnosis was verified in 70% of the cases. Conclusion: using the quality indicators furnished important data on the effectiveness of the neonatal hearing screening program and identified opportunities to improve the service, which can help identify hearing loss, early.


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