Keypoints to a Successful Newborn Hearing Screening. Thirty Years of Experience and Innovations

Mapping Intimacies ◽

10.20944/preprints202109.0103.v1 ◽

2021 ◽

Author(s):

Jose Miguel Sequi Canet ◽

Juan Brines Solanes

Keyword(s):

Early Diagnosis ◽

Early Treatment ◽

Cochlear Implantation ◽

Neonatal Screening ◽

Hearing Screening ◽

Newborn Hearing Screening ◽

Congenital Deafness ◽

Essential Requirement ◽

Auditory Rehabilitation ◽

Newborn Hearing

Congenital deafness is a major pediatric problem, affecting about 1.5-3 per 1000 newborns. The early treatment through cochlear implantation and auditory rehabilitation has been a historic milestone. Early diagnosis of congenital deafness is an essential requirement to obtain the best results, which is achieved through neonatal screening, a diagnostic practice that we began systematically at the Hospital Clínico in Valencia (Spain) 30 years ago.

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Evaluation of the effectiveness of newborn hearing screening program in Zahedan: A cross-sectional study

10.53350/pjmhs211562067 ◽

2021 ◽

Vol 15 (6) ◽

pp. 2067-2071

Author(s):

Gholam-Ali Dashti Khavidaki ◽

Reza Gharibi

Keyword(s):

Hearing Loss ◽

Early Diagnosis ◽

Screening Program ◽

Hearing Screening ◽

Newborn Hearing Screening ◽

Cross Sectional ◽

Screening Programs ◽

Second Stage ◽

Maternity Hospitals ◽

Newborn Hearing

Introduction: Hearing loss is one of the most common congenital disorders. The prevalence of this disorder in different communities has been reported between 3.5 to 9 percent, which can have adverse effects on language learning, communication, and education of children. Also, early diagnosis of this disorder in newborns is not possible without the use of hearing screening. Therefore, the aim of this study was to evaluate the effectiveness of newborn hearing screening programs in Zahedan. Method: In this cross-sectional observational study, all babies born in the maternity hospitals of Zahedan city (maternity hospitals of Nabi Akram, Imam Ali, and Social Security hospitals) in 2020, were examined. In order to conduct the study, TEOAE was initially performed for all neonates. Then, based on the results obtained in the ODA test and in case of unsatisfactory response, cases were referred for re-evaluation. Infants who were rejected again in the second stage were immediately subjected to the AABR test and if they failed in this test, they were also subjected to a diagnostic ABR test. Results: Based on our results, 7700 infants were first evaluated with the OAE test. Of these, 580 (8%) had no OAE response. Out of 580 infants rejected in the first stage, 76 infants were also rejected in the second stage; Among them, 8 infants were re-diagnosed with hearing impairments. Finally, out of 3 infants who were diagnosed with hearing loss, 1 (33%) had conductive hearing loss and 2 (67%) had sensorineural hearing loss. Conclusion: Based on the findings of the present study, the implementation of a comprehensive neonatal hearing screening program is necessary for the timely and early diagnosis and treatment of hearing loss. Also, screening can improve the health of children and their personal, social, and educational development in the future. Keywords: Hearing screening, hearing loss, newborns, OAE, AABR

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Surdez Congénita ou Precocemente Adquirida: Do Rastreio ao Seguimento, um Retrato de Portugal

Acta Médica Portuguesa ◽

10.20344/amp.11880 ◽

2019 ◽

Vol 32 (12) ◽

pp. 767

Author(s):

Catarina Oliveira ◽

Marta Machado ◽

Raquel Zenha ◽

Luísa Azevedo ◽

Luísa Monteiro ◽

...

Keyword(s):

Risk Factors ◽

National Health Service ◽

Health Service ◽

Hearing Screening ◽

Newborn Hearing Screening ◽

Congenital Deafness ◽

Universal Newborn Hearing Screening ◽

Maternity Hospitals ◽

Newborn Hearing

Introduction: Congenital deafness or early acquired deafness affects 1 to 3 out of 1000 newborns without risk factors and 20 to 40 out of 1000 newborns with risk factors. The universal newborn hearing screening enables its early identification. Children with congenital deafness/early acquired deafness have a higher prevalence of other conditions, especially ophthalmologic and neurodevelopmental ones, and at least 30% to 40% have at least one associated comorbidity.Material and Methods: We carried out a cross-sectional, multicenter study in which 83% (n = 30) of the hospitals/maternity hospitals of the National Health Service participated.Results: All surveyed hospitals/maternity hospitals routinely performed universal newborn hearing screening to all newborns before discharge; 63% referred children with risk factors for hearing loss to Otorhinolaryngology. All children with congenital deafness/early acquired deafness are referred to: Pediatrics in 23% hospitals/maternity hospitals. In 23 hospitals/maternity hospitals, all children with congenital deafness/early acquired deafness are referred to: Speech Therapy in 44% hospitals/ maternity hospitals; Ophthalmology in 17% hospitals/maternity hospitals; National System of Early Intervention in Childhood in 30% hospitals/maternity hospitals; 22% of hospitals/maternity hospitals refer all children with congenital deafness/early acquired deafness, with no identified cause, to Clinical Genetics clinics. The number of diagnoses of deafness in the years 2014 and 2015 was 2.5 and 1.5 per 1000 newborns, respectively, in 15 hospitals/maternity hospitals.Discussion: Awareness of universal newborn hearing screening seems to be widely spread in the National Health Service. The number of children with SC / SPA, as well as the percentage of different types of deafness diagnosed, were identical to those found in other studies and shows its importance. The assessment / follow-up of these children by specialties other than the otolaryngology was heterogeneous in different health entities and revealed that not all children with risk factors for deafness follow up advised by existing standards.Conclusion: Results show that Portugal made an important path in the screening and follow-up of children with SC / SPA. It is important, with the ultimate aim of continually improving the care of these children, to reflect on the involvement of specialties other than otolaryngology, such as the National Early Childhood Intervention System in the follow-up of these children.

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Keypoints to Successful Newborn Hearing Screening. Thirty Years of Experience and Innovations

Healthcare ◽

10.3390/healthcare9111436 ◽

2021 ◽

Vol 9 (11) ◽

pp. 1436

Author(s):

Jose Miguel Sequi-Canet ◽

Juan Brines-Solanes

Keyword(s):

Developed Countries ◽

Hearing Screening ◽

Time Interval ◽

Short Time Interval ◽

Congenital Deafness ◽

Auditory Rehabilitation ◽

Neonatal Hearing Screening ◽

Start Up ◽

Newborn Hearing ◽

Short Time

Congenital deafness is a major pediatric problem, affecting about 1.5–3 per 1000 newborns. The early treatment through cochlear implantation and auditory rehabilitation has been a historic milestone. Early diagnosis of congenital deafness is an essential requirement to obtain the best results, which is achieved through neonatal screening, a diagnostic practice that we began systematically at the Hospital Clínico in Valencia (Spain) 30 years ago. Neonatal hearing screening is successful in most developed countries. Its implementation has been slow due to the multiple difficulties that its universal application entails since it involves several health professionals and must be carried out, in a short time interval after birth. In addition, it must have a good performance that prevents the overload of other services and that requires experience and continuous adjustments in search of proper protocols. The aim of this review is to shed some light on some key points of neonatal hearing screening, highlighting our experience in the solutions to common problems. We will discuss about techniques, protocols and neonatal or nutritional factors that can influence the screening results. To a summary of our work, an update on the subject is provided with the intention of sharing experiences and facilitating the start-up of the new units.

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