| Universal newborn hearing screening: systematic review to update the 2001 US Preventive Services Task Force Recommendation. | |
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MedLine Citation:
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PMID: 18595973 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: This review is an update for the US Preventive Services Task Force on universal newborn hearing screening to detect moderate-to-severe permanent, bilateral congenital hearing loss. We focus on 3 key questions: (1) Among infants identified by universal screening who would not be identified by targeted screening, does initiating treatment before 6 months of age improve language and communication outcomes? (2) Compared with targeted screening, does universal screening increase the chance that treatment will be initiated by 6 months of age for infants at average risk or for those at high risk? (3) What are the adverse effects of screening and early treatment? METHODS: Medline and Cochrane databases were searched to identify articles published since the 2002 recommendation. Data from studies that met inclusion criteria were abstracted, and studies were rated for quality with predetermined criteria. RESULTS: A good-quality retrospective study of children with hearing loss indicates that those who had early versus late confirmation and those who had undergone universal newborn screening versus none had better receptive language at 8 years of age but not better expressive language or speech. A good-quality nonrandomized trial of a large birth cohort indicates that infants identified with hearing loss through universal newborn screening have earlier referral, diagnosis, and treatment than those not screened. These findings are corroborated by multiple descriptive studies of ages of referral, diagnosis, and treatment. Usual parental reactions to an initial nonpass on a hearing screen include worry, questioning, and distress that resolve for most parents. Cochlear implants have been associated with higher risks for bacterial meningitis in young children. CONCLUSIONS: Children with hearing loss who had universal newborn hearing screening have better language outcomes at school age than those not screened. Infants identified with hearing loss through universal screening have significantly earlier referral, diagnosis, and treatment than those identified in other ways. |
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Authors:
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Heidi D Nelson; Christina Bougatsos; Peggy Nygren; |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Pediatrics Volume: 122 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2008 Jul |
Date Detail:
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Created Date: 2008-07-03 Completed Date: 2008-07-31 Revised Date: 2008-09-05 |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: e266-76 Citation Subset: AIM; IM |
Affiliation:
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Department of Medical Informatics and Clinical Epidemiology, Oregon Evidence-based Practice Center, Portland, Oregon 97239-3098, USA. nelsonh@ohsu.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Child Hearing Loss, Bilateral / diagnosis*, therapy Humans Infant, Newborn Language Development Disorders / prevention & control Language Disorders / prevention & control Neonatal Screening* / methods, standards Prognosis Risk Assessment Speech Disorders / prevention & control Treatment Outcome |
| Comments/Corrections | |
Erratum In:
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Pediatrics. 2008 Sep;122(3):689 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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