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TEN-YEAR QUALITY ASSURANCE OF THE NATIONWIDE HEARING SCREENING PROGRAMME IN DUTCH NEONATAL INTENSIVE CARE UNITS.
MedLine Citation:
PMID:  21342253     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  To evaluate quality assurance of ten years newborn hearing screening (NHS) in Dutch Neonatal Intensive Care Units (NICU). Methods:  Results of the two-stage Automated Auditory Brainstem Response (AABR) screening and diagnostic examination in NICU graduates were centrally registered between October 1998 and December 2008. This registration facilitates screening, tracking and follow-up after abnormal screening results. Outcome measures are referral rates, prevalence rate of hearing loss and (trends of) coverage rates and timeliness of follow-up. Results:  32,102 infants have been screened. Referral rates were 9.2% at the first and 26.3% at the second stage. Hearing loss was diagnosed in 728 infants (2.2%). Coverage rates were 98.7% at the first, 92.1% at the second stage, 92.3% for the diagnostic examination and 97.9% for the complete programme. After correction for gestational age, 95.8% of the infants had their first AABR <1 month, 81.8% of the referred infants had their second AABR <6 weeks and 67.1% were diagnosed <3 months. There was a positive trend in referred infants that had their second AABR <6 weeks (p=0.004) as well as in infants diagnosed <3 months (p<0.001). Conclusion:  The NHS in Dutch NICUs is effective. Timely identification of hearing loss is improving over time.
Authors:
Paula van Dommelen; H L M Irma van Straaten; Paul H Verkerk;
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-22
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Acta Paediatrica © 2011 Foundation Acta Paediatrica.
Affiliation:
Department of Statistics, TNO Quality of Life, Leiden, The Netherlands Amalia Department of Paediatrics / Neonatology, Isala Clinics, Zwolle, The Netherlands Department of Youth, TNO Quality of Life, Leiden, The Netherlands Members of the Dutch NICU Neonatal Hearing Screening Working Group are listed in the Appendix.
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