An Automated Hearing Screening Technique for Newborns

1980 ◽  
Vol 45 (4) ◽  
pp. 495-503 ◽  
Author(s):  
William H. McFarland ◽  
F. Blair Simmons ◽  
Frederica R. Jones

A newborn hearing screening technique (the Crib-o-gram) originally proposed by Simmons and Russ (1974) is described. The number of babies tested has now grown to over 12,000. This report presents follow-up data on the Crib-o-gram hearing screening program at Stanford University Medical Center. Improvements in test procedure and scoring have resulted in a current detection rate of 93%.

1974 ◽  
Vol 39 (1) ◽  
pp. 89-92 ◽  
Author(s):  
Irving Shapiro

This report describes the problems encountered in maintaining a newborn hearing screening program in a county hospital. The failure of parents to bring infants in for follow-up and the problems of keeping trained volunteer testers resulted in termination of the program.


2020 ◽  
pp. 096914132097306
Author(s):  
Yun Ai Wong ◽  
Rafidah Mazlan ◽  
Noor Alaudin Abdul Wahab ◽  
Roslan Ja’afar ◽  
Nurul Huda Bani ◽  
...  

Objective To evaluate and discuss the outcomes of the universal newborn hearing screening program conducted at four public hospitals in Malaysia. Method A retrospective analysis of the universal newborn hearing screening database from each hospital was performed. The database consisted of 28,432 and 30,340 screening results of babies born in 2015 and 2016, respectively. Quality indicators (coverage rate, referral rate, return for follow-up rate, and ages at screening and diagnosis) were calculated. Results Overall coverage rate across the four hospitals was 75% in 2015 and 87.4% in 2016. Over the two years, the referral rates for the first screening ranged from 2.7% to 33.93% with only one hospital achieving the recommended benchmark of <4% in both years. The return for follow-up rates for each participating hospital was generally below the recommended benchmark of ≥95%. The mean age at screening was 3.9 ± 1.2 days and 3.3 ± 0.4 days, respectively. The mean age at diagnosis for 70 infants diagnosed with permanent hearing loss was 4.7 ± 0.7 months in 2015 and 3.6 ± 0.9 months in 2016. Conclusions Quality measures for the universal newborn hearing screening program in four public hospitals in Malaysia were lower than the required standards. Nevertheless, some quality indicators showed statistically significant improvements over the two years. Next steps involve identifying and implementing the best practice strategies to improve the outcome measures and thus the quality of the program.


PEDIATRICS ◽  
2003 ◽  
Vol 111 (Supplement_1) ◽  
pp. 1202-1206 ◽  
Author(s):  
Cheryl B. Prince ◽  
Lloyd Miyashiro ◽  
Yusnita Weirather ◽  
Patricia Heu

Objective. Universal Newborn Hearing Screening began in 2 Honolulu hospitals in 1992, and by 1999, all 14 civilian birthing facilities in Hawaii were providing screening. Examination of 1998 Hawaii data indicated that approximately 13% of infants who did not pass initial hearing screening in the hospital did not return for the indicated follow-up. The purpose of this study was to determine the epidemiologic profile of infants who were born in 1999 and did not return for follow-up. Methods. A population-based, cohort study of the hearing screening completion rates among the 13 civilian birthing facilities in Hawaii that provided data to the Department of Health was conducted. Analysis included a bivariate analysis of the demographic characteristics of infants who completed the screening/follow-up process compared with those who did not and logistic regression modeling to ascertain the demographic profile of infants at high risk for being lost to follow-up. Results. Of 12 456 infants, hearing screening data could be linked to the birth certificate file, and a final disposition regarding completion of the screening/follow-up process was determined for 10 328 (83%). Less than 2% (n = 176) of the linked infants failed to complete the screening/follow-up procedures. Low birth weight and white infants and infants born to women who had not completed high school were approximately twice as likely not to complete the screening as were their normal birth weight or nonwhite counterparts. Conclusions. Failure to complete the hearing screening follow-up may be related to cultural differences that have been previously reported in other maternal and child health studies of the diverse populations in Hawaii. The results of this study will allow the Hawaii Newborn Hearing Screening Program to target its efforts and limited resources toward infants who are at higher risk of not completing the screening and who may need special attention to encourage their mothers to complete the screening process, and to move quickly with rescreening infants whose initial tests are positive so that infants are not lost to follow-up.


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