| New York State universal newborn hearing screening demonstration project: inpatient outcome measures. | |
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MedLine Citation:
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PMID: 10777017 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the feasibility of universal newborn hearing screening by examining inpatient outcome measures from 8 hospitals located in geographically diverse areas of New York State over a 3-yr period. DESIGN: Funding was provided by the New York State Department of Health to implement predischarge hearing screening programs in the neonatal intensive care units (NICUs) and well-baby nurseries (WBNs) of eight hospitals. Various screening protocols including transient evoked otoacoustic emissions alone or in combination with conventional auditory brain stem response or screening auditory brain stem response were implemented by each site. Measured outcomes included rate of misses, refusals, and fails. Results were analyzed as a function of year of operation, nursery type, and geographic location. RESULTS: Six out of eight hospitals successfully implemented universal hearing screening during the first year, and the remaining 2 hospitals implemented programs during the second year of the project. Over a period of 3 yr, 69,761 newborns were screened at the eight hospitals representing 96.9% of all live births. The overall fail rate (4.04%) combined with the miss rate (2.61%) resulted in 6.63% of infants referred for outpatient follow-up. Mean data indicated that inpatient outcome measures improved with year of operation, with most individual hospitals also showing improvements. Both fail and miss rates were higher in the NICU than in the WBN and for hospitals located in New York City than in other regions of the state. CONCLUSIONS: Inpatient outcome measures of a universal newborn hearing screening project, which involved multiple centers across geographically diverse regions of New York State, were acceptable in terms of successfully screening a high percentage of live births and attaining low refer rates for outpatient screening. This study adds to the growing body of literature supporting the feasibility of screening all newborns before hospital discharge. |
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Authors:
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L Spivak; L Dalzell; A Berg; M Bradley; A Cacace; D Campbell; J DeCristofaro; J Gravel; E Greenberg; S Gross; M Orlando; J Pinheiro; J Regan; F Stevens; B Prieve |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Ear and hearing Volume: 21 ISSN: 0196-0202 ISO Abbreviation: Ear Hear Publication Date: 2000 Apr |
Date Detail:
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Created Date: 2000-07-13 Completed Date: 2000-07-13 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8005585 Medline TA: Ear Hear Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 92-103 Citation Subset: IM |
Affiliation:
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North Shore-Long Island Jewish Health System, New Hyde Park, New York 11042,USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acoustic Stimulation
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methods Cochlea / physiopathology Evoked Potentials, Auditory, Brain Stem / physiology Feasibility Studies Follow-Up Studies Hearing Disorders / diagnosis, epidemiology*, physiopathology Hospitals Humans Infant, Newborn Neonatal Screening* New York / epidemiology Otoacoustic Emissions, Spontaneous / physiology |
| Comments/Corrections | |
Comment In:
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Ear Hear. 2000 Dec;21(6):640-4
[PMID:
11132789
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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