Author: Liza Michelle Creel
Publisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
Hearing loss affects approximately 1-3 live births per 1,000. Infants admitted to the NICU are at greater risk of hearing loss than infants in the newborn nursery. Family history, as well as very low birth weight and exposure to certain therapies such as assisted ventilation, are also risk factors associated with hearing loss. Many states mandate newborn screening for hearing loss after birth due to evidence that early diagnosis and intervention improve communication skills and school performance, but following these infants over time can be challenging. This retrospective study describes temporal trends in primary screening outcomes including screening rates, loss to follow-up, and screen sensitivity and specificity. It also evaluated the likelihood of newborn hearing screening, loss to follow-up, false-positive and false-negative results, as well as hearing loss diagnosis among at-risk infants. Time-to-diagnosis for infants with and without screening was also assessed. The study utilizes a database of births and follow-up encounters for infants born in a large Texas integrated health system between 1996 and 2007. Most newborn hearing screening program outcomes have improved since implementation in 1996. Outcomes differ by group, with black infants having higher probabilities of being lost to follow-up and receiving a false-positive result, but a lower probability of hearing loss than the overall study population. Infants diagnosed with persistent pulmonary hypertension had a higher probability of a false-negative result. Infants with craniofacial anomalies and neonatal infections have 5-7 times higher probability of hearing loss than those without the diagnoses. The overall incidence of hearing loss among the study population was 5%. Survival estimates demonstrate that infants identified through screening have a higher probability of early diagnosis. Infants with false-negative screens have the same probability of early diagnosis as infants with no screen. The study findings can inform both policy and practice. Newborn hearing screening leads to earlier diagnosis of infants with hearing loss, but improving targeted follow-up of high risk NICU infants may lead to earlier diagnosis of infants with delayed onset of hearing loss. Community-based providers can monitor high risk NICU infants after discharge for potential hearing loss.The electronic version of this dissertation is accessible from http://hdl.handle.net/1969.1/155380
Hospital-Based Implementation of Newborn Hearing Screening in a Cohort of Infants Admitted to the NICU
Author: Liza Michelle Creel
Publisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
Hearing loss affects approximately 1-3 live births per 1,000. Infants admitted to the NICU are at greater risk of hearing loss than infants in the newborn nursery. Family history, as well as very low birth weight and exposure to certain therapies such as assisted ventilation, are also risk factors associated with hearing loss. Many states mandate newborn screening for hearing loss after birth due to evidence that early diagnosis and intervention improve communication skills and school performance, but following these infants over time can be challenging. This retrospective study describes temporal trends in primary screening outcomes including screening rates, loss to follow-up, and screen sensitivity and specificity. It also evaluated the likelihood of newborn hearing screening, loss to follow-up, false-positive and false-negative results, as well as hearing loss diagnosis among at-risk infants. Time-to-diagnosis for infants with and without screening was also assessed. The study utilizes a database of births and follow-up encounters for infants born in a large Texas integrated health system between 1996 and 2007. Most newborn hearing screening program outcomes have improved since implementation in 1996. Outcomes differ by group, with black infants having higher probabilities of being lost to follow-up and receiving a false-positive result, but a lower probability of hearing loss than the overall study population. Infants diagnosed with persistent pulmonary hypertension had a higher probability of a false-negative result. Infants with craniofacial anomalies and neonatal infections have 5-7 times higher probability of hearing loss than those without the diagnoses. The overall incidence of hearing loss among the study population was 5%. Survival estimates demonstrate that infants identified through screening have a higher probability of early diagnosis. Infants with false-negative screens have the same probability of early diagnosis as infants with no screen. The study findings can inform both policy and practice. Newborn hearing screening leads to earlier diagnosis of infants with hearing loss, but improving targeted follow-up of high risk NICU infants may lead to earlier diagnosis of infants with delayed onset of hearing loss. Community-based providers can monitor high risk NICU infants after discharge for potential hearing loss.The electronic version of this dissertation is accessible from http://hdl.handle.net/1969.1/155380
Publisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
Hearing loss affects approximately 1-3 live births per 1,000. Infants admitted to the NICU are at greater risk of hearing loss than infants in the newborn nursery. Family history, as well as very low birth weight and exposure to certain therapies such as assisted ventilation, are also risk factors associated with hearing loss. Many states mandate newborn screening for hearing loss after birth due to evidence that early diagnosis and intervention improve communication skills and school performance, but following these infants over time can be challenging. This retrospective study describes temporal trends in primary screening outcomes including screening rates, loss to follow-up, and screen sensitivity and specificity. It also evaluated the likelihood of newborn hearing screening, loss to follow-up, false-positive and false-negative results, as well as hearing loss diagnosis among at-risk infants. Time-to-diagnosis for infants with and without screening was also assessed. The study utilizes a database of births and follow-up encounters for infants born in a large Texas integrated health system between 1996 and 2007. Most newborn hearing screening program outcomes have improved since implementation in 1996. Outcomes differ by group, with black infants having higher probabilities of being lost to follow-up and receiving a false-positive result, but a lower probability of hearing loss than the overall study population. Infants diagnosed with persistent pulmonary hypertension had a higher probability of a false-negative result. Infants with craniofacial anomalies and neonatal infections have 5-7 times higher probability of hearing loss than those without the diagnoses. The overall incidence of hearing loss among the study population was 5%. Survival estimates demonstrate that infants identified through screening have a higher probability of early diagnosis. Infants with false-negative screens have the same probability of early diagnosis as infants with no screen. The study findings can inform both policy and practice. Newborn hearing screening leads to earlier diagnosis of infants with hearing loss, but improving targeted follow-up of high risk NICU infants may lead to earlier diagnosis of infants with delayed onset of hearing loss. Community-based providers can monitor high risk NICU infants after discharge for potential hearing loss.The electronic version of this dissertation is accessible from http://hdl.handle.net/1969.1/155380
Early Identification of Hearing Loss
Author: Karl White
Publisher:
ISBN:
Category : Audiology
Languages : en
Pages : 44
Book Description
Publisher:
ISBN:
Category : Audiology
Languages : en
Pages : 44
Book Description
Universal Newborn Hearing Screening
Author: Lynn G. Spivak
Publisher: Thieme
ISBN: 9780865776999
Category : Hearing disorders in infants
Languages : en
Pages : 296
Book Description
Following the NIH recommendations of 1993, most U.S. hospitals now carry out Universal Newborn Hearing Screening. This new book-the first complete guide to this expanding field-provides detailed information on staff training, data collection, quality control measures and other UNHS issues. Practical and up-to-date, the book is a must for all specialists concerned with the development and management of newborn screening programs. The only book to combine specific management tips with the first-hand experience of seasoned UNHS professionals, this book should be in the collection of all audiologists, physicians, nurses and hospital administrators.
Publisher: Thieme
ISBN: 9780865776999
Category : Hearing disorders in infants
Languages : en
Pages : 296
Book Description
Following the NIH recommendations of 1993, most U.S. hospitals now carry out Universal Newborn Hearing Screening. This new book-the first complete guide to this expanding field-provides detailed information on staff training, data collection, quality control measures and other UNHS issues. Practical and up-to-date, the book is a must for all specialists concerned with the development and management of newborn screening programs. The only book to combine specific management tips with the first-hand experience of seasoned UNHS professionals, this book should be in the collection of all audiologists, physicians, nurses and hospital administrators.
The Relationship Between Hospital Construction and High-Risk Infant Auditory Function at NICU Discharge: A Retrospective Descriptive Cohort Study
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
Publisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
Ad Hoc Newborn Hearing Screening Workgroup Final Report of Findings and Recommendations for Early Detection of Hearing Impairment in Iowa Newborns, Infants, and Toddlers
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 48
Book Description
Publisher:
ISBN:
Category :
Languages : en
Pages : 48
Book Description
Hearing screening: considerations for implementation
Author:
Publisher: World Health Organization
ISBN: 9240032762
Category : Medical
Languages : en
Pages : 64
Book Description
Publisher: World Health Organization
ISBN: 9240032762
Category : Medical
Languages : en
Pages : 64
Book Description
Neonatal Hearing Screening
Author: Elca T. Swigart
Publisher: Pro-Ed
ISBN:
Category : Medical
Languages : en
Pages : 296
Book Description
Publisher: Pro-Ed
ISBN:
Category : Medical
Languages : en
Pages : 296
Book Description
Consensus Development Conference on Early Identification of Hearing Impairment in Infants and Young Children
Author:
Publisher:
ISBN:
Category : Children
Languages : en
Pages : 146
Book Description
Publisher:
ISBN:
Category : Children
Languages : en
Pages : 146
Book Description
Newborn Screening Systems
Author: Carlie J. Driscoll
Publisher: Plural Publishing
ISBN: 1597567647
Category : Medical
Languages : en
Pages : 249
Book Description
Publisher: Plural Publishing
ISBN: 1597567647
Category : Medical
Languages : en
Pages : 249
Book Description
Population Infant Hearing Screening to Intervention
Author: Elizabeth Fitzpatrick
Publisher:
ISBN:
Category : University of Ottawa theses
Languages : en
Pages : 548
Book Description
Publisher:
ISBN:
Category : University of Ottawa theses
Languages : en
Pages : 548
Book Description