Newborn hearing screening(NHS) programs are essential to identify hearing loss early in life and to improve outcomes in children. In Saudi Arabia, the national NHS program has been operational since 2016;however, few ...Newborn hearing screening(NHS) programs are essential to identify hearing loss early in life and to improve outcomes in children. In Saudi Arabia, the national NHS program has been operational since 2016;however, few studies have evaluated its status, and none have covered all provinces across the country. This cross-sectional retrospective study provides an overview of the program's status across all provinces, focusing on screening coverage rates, referral/fail rates, and follow-up procedures. In 2021, 199,034 newborns were screened, with a coverage rate of 92.6% and an overall referral/fail rate of 1.87%. These performance measures provide a foundation for future progress and improvements. This study highlights the importance of ongoing efforts to enhance the program's effectiveness and sustainability.展开更多
Newborn hearing screening is an effective strategy for early identification of hearing loss in the newborn which result in early intervention and best outcome.However implementing universal screening strategy is a cha...Newborn hearing screening is an effective strategy for early identification of hearing loss in the newborn which result in early intervention and best outcome.However implementing universal screening strategy is a challenge in many resource constrained settings.There are various limitations towards successful implementation of hearing screening program in the developing countries.The cost effectiveness of the screening program also needs to be considered in a resource constrained settings.We attempt to provide a viewpoint that can be potentially helpful for the successful implementation of hearing screening in a resource constrained settings of the developing countries.展开更多
Objective: To determine the incidence of hearing impairment in a standardized population of neonates seeking care in a tertiary hospital in Northwest India. Universal hearing screening is implemented in many developed...Objective: To determine the incidence of hearing impairment in a standardized population of neonates seeking care in a tertiary hospital in Northwest India. Universal hearing screening is implemented in many developed countries. However, neither universal screening, nor high risk screening, exists in India. The incidence of hearing loss in India is found to be 1 to 6 per 1000 newborns screened [1-3]. Screening only the high risk neonates misses 50% of babies with hearing loss [4,5], hence a cost effective universal screening is the viable option to sustain such a program. In our study, the possible burden of hearing disability was evaluated in babies born at a tertiary care hospital in Northwest India. One thousand newborns were screened using Transient Evoked OtoAcoustic Emissions (TEOAE) and 28.6% of them had risk factors. Four out of One Thousand were detected with hearing loss. Brain Stem Evoked Response (BERA) was used to confirm and determine the extent and the type of deafness in the neonates who were screened positive.展开更多
To investigate the high-risk factors for newborn hearing loss and to provide information for preventing the development of hearing loss and delaying its progression, from May 2003 to June 2006, neonates who failed to ...To investigate the high-risk factors for newborn hearing loss and to provide information for preventing the development of hearing loss and delaying its progression, from May 2003 to June 2006, neonates who failed to pass the universal newborn hearing screening （UNHS） were referred to Jinan Newborn Hearing Screening and Rehabilitation Center from 7 newborn hearing screening centers in seven cities of Shandong province. One-to-one pair-matched case-control method was employed for statistical analysis of the basic features of definitely identified cases. High-risk factors relating to the bilateral hearing loss were evaluated by univariate and multivariate Logistic regression analysis. Our results revealed that 721 transferred newborns who didn＇t pass the heating screening received audiological and medical evaluation and 367 were confirmed to have hearing loss. Of them, 177 neonates with hearing loss who met the matching requirements were included in the study as subjects. Univariate analysis showed that high-risk factors related to hearing loss incuded age of father, education backgrounds of parents, parity, birth weight, gestational weeks, craniofacial deformity, history of receiving treatment in neonatal intensive care unit （NICU）, neonatal disease, family history of otopathy and family history of congenital hearing loss. Multivariate Logistic regression analysis revealed that 4 independent risk factors were related to bilateral hearing loss, including parity （OR=16.285, 95% CI 3.379--78,481）, neonatal disease （OR=34;968, 95% CI 2.720 449.534）, family history of congenital hearing loss （OR=69.488, 95% CI 4.417--1093.300） and birth weight （OR=0.241, 95% CI 0.090--0.648）. It is concluded that parity, neonatal disease and family history of heating loss are the promoting factors of bilateral hearing loss in neonates and appropriate intervention measures should be taken to deal with the risk factors.展开更多
It is estimated that most of the deaf children have some residual hearing. If these deaf children can be identified early, fit with hearing aids early,andtrained to speak early,they may be able to join the mainstream ...It is estimated that most of the deaf children have some residual hearing. If these deaf children can be identified early, fit with hearing aids early,andtrained to speak early,they may be able to join the mainstream of hearing society.There are about 1. 16 million deaf children in China,and the number is increasingby 20 to 40 thousand each year. Some objective screening methods,such as auditorybrainstem response and otoacoustic emissions, can be more expensive than usingtrained people to perform behavioral screening. A portable “Behavioral infantScreening Audiometer”was designed by the authors. This audiometer can deliver different frequency and itensity sounds to the infants. The operator judges whether theinfant’s hearing is normal by his or her behavioral response,typically a head turn.Infants from three city communities in Beijing were screened in the communityclinics. The only criterion used for screening was that the inrants be between the ageof 26 and 36 weeks old. A total of 520 inrants were screened,and 43(8．3%) of themfailed. It took an average of 3 minutes to test an infant. Follow-up otoscope,auditory brainstem response audiometry and impedance audiometry in the First ClinicalCollege of Beijing Medical University on these 43 infants showed that 6 (1．15 % ) ofthem had a hearing loss and 37 of them had normal hearing. Follow-up on abovementioned tests were also performed on 50 infants from a control group that hadPassed the initial screening. None of them had hearing loss. The sensitivity of thisbehavioral screening was 100% and the speciticity of it was 92．8%. These resultssuggest that behavioral hearing screening is suitable for infants.展开更多
Objective: To compare and analyze the pass rate and screening strategy of hearing rescreening for newborns with high risk factors.Methods: Retrospective chart review of high-risk newborns who failed their initial newb...Objective: To compare and analyze the pass rate and screening strategy of hearing rescreening for newborns with high risk factors.Methods: Retrospective chart review of high-risk newborns who failed their initial newborn hearing screen and subsequently underwent secondary hearing tests from June 2011 to June 2018 in Guangzhou Women and Children’’s Medical Center were performed.Results: Eight hundred and sixty-eight newborns with high risk factors were included in the study. The 57-70 days (83.5%) and 71-84 days (83.4%) group had the highest pass rate compared with 42-56 days (75.8%) and < 42 days (68.3%) group. As for different screening strategies, the pass rate of OAE(otoacoustic emissions), AABR (auto auditory brainstem response) and OAE + AABR was the highest in 57-70 days group and 71-84 days group, respectively. The OAE + AABR had the lowest pass rate compared to the other two modalities. When the pass rate was compared as different risk factors, the 57-70 days and 71-84 days group also had the highest pass rate compared with 42-56 days and < 42 days group and the pass rate had no significant differences among various risk factors group.Conclusion: Our results showed that all the pass rate of OAE, AABR and OAE+ AABR was the highest in 57-70 days group and 71-84 days group with significant difference, suggesting that the delayed screening time (>57 days) may increase the re-screening pass rate and reduce anxiety of parents, which is of great significance for clinical work.展开更多
Hearing loss is the most common neurosensory deficit.It results froma variety of heritable and acquired causes and is linked to multiple deleterious effects on a child’s development that can be ameliorated by prompt ...Hearing loss is the most common neurosensory deficit.It results froma variety of heritable and acquired causes and is linked to multiple deleterious effects on a child’s development that can be ameliorated by prompt identification and individualized therapies.Diagnosing hearing loss in newborns is challenging,especially in mild or progressive cases,and its management requires a multidisciplinary team of healthcare providers comprising audiologists,pediatricians,otolaryngologists,and genetic counselors.While physiologic newborn hearing screening has resulted in earlier diagnosis of hearing loss than ever before,a growing body of knowledge supports the concurrent implementation of genetic and cytomegalovirus testing to offset the limitations inherent to a singular screening modality.In this review,we discuss the contemporary role of screening for hearing loss in newborns as well as future directions in its diagnosis and treatment.展开更多
目的:探讨品管圈在提高新生儿监护病房(neonatal intensive care unit,NICU)新生儿首次听力筛查通过率中的应用效果。方法:成立品管圈(quality control circle,QCC)小组,确立QCC活动主题,采用自行设计的查检表对2022年5月至8月期间河南...目的:探讨品管圈在提高新生儿监护病房(neonatal intensive care unit,NICU)新生儿首次听力筛查通过率中的应用效果。方法:成立品管圈(quality control circle,QCC)小组,确立QCC活动主题,采用自行设计的查检表对2022年5月至8月期间河南省人民医院NICU进行肠内喂养的103例新生儿的首次听力筛查通过率现状进行调查分析,结合鱼骨图、柏拉图进行要因分析,制定相应的整改措施并组织实施,并对实施QCC后2022年9月至11月期间80例新生儿的首次听力筛查通过率现状进行调查分析,比较QCC实施前后NICU新生儿首次听力筛查通过率,并进行效果评价。结果:实施QCC后,NICU新生儿首次听力筛查通过率由改善前的66.99%提高到87.50%,差异有统计学意义(P<0.01);目标达成率为111.77%,进步率为30.62%;QCC实施后,圈员解决问题的能力、沟通协调能力、责任心、自信心、团队凝聚力、积极性、QCC手法运用、和谐度均有一定程度提升。结论:实施QCC活动可提高NICU新生儿首次听力筛查通过率,提升护理人员业务水平,为NICU患儿护理质量提供保证。展开更多
文摘Newborn hearing screening(NHS) programs are essential to identify hearing loss early in life and to improve outcomes in children. In Saudi Arabia, the national NHS program has been operational since 2016;however, few studies have evaluated its status, and none have covered all provinces across the country. This cross-sectional retrospective study provides an overview of the program's status across all provinces, focusing on screening coverage rates, referral/fail rates, and follow-up procedures. In 2021, 199,034 newborns were screened, with a coverage rate of 92.6% and an overall referral/fail rate of 1.87%. These performance measures provide a foundation for future progress and improvements. This study highlights the importance of ongoing efforts to enhance the program's effectiveness and sustainability.
文摘Newborn hearing screening is an effective strategy for early identification of hearing loss in the newborn which result in early intervention and best outcome.However implementing universal screening strategy is a challenge in many resource constrained settings.There are various limitations towards successful implementation of hearing screening program in the developing countries.The cost effectiveness of the screening program also needs to be considered in a resource constrained settings.We attempt to provide a viewpoint that can be potentially helpful for the successful implementation of hearing screening in a resource constrained settings of the developing countries.
文摘Objective: To determine the incidence of hearing impairment in a standardized population of neonates seeking care in a tertiary hospital in Northwest India. Universal hearing screening is implemented in many developed countries. However, neither universal screening, nor high risk screening, exists in India. The incidence of hearing loss in India is found to be 1 to 6 per 1000 newborns screened [1-3]. Screening only the high risk neonates misses 50% of babies with hearing loss [4,5], hence a cost effective universal screening is the viable option to sustain such a program. In our study, the possible burden of hearing disability was evaluated in babies born at a tertiary care hospital in Northwest India. One thousand newborns were screened using Transient Evoked OtoAcoustic Emissions (TEOAE) and 28.6% of them had risk factors. Four out of One Thousand were detected with hearing loss. Brain Stem Evoked Response (BERA) was used to confirm and determine the extent and the type of deafness in the neonates who were screened positive.
基金This project is supported by a grant from the National Natural Sciences Foundation (No. 30100207)a grant from the Top Ten Scientific Research Programs of Shandong Province (No. 2004GG3202003)
文摘To investigate the high-risk factors for newborn hearing loss and to provide information for preventing the development of hearing loss and delaying its progression, from May 2003 to June 2006, neonates who failed to pass the universal newborn hearing screening （UNHS） were referred to Jinan Newborn Hearing Screening and Rehabilitation Center from 7 newborn hearing screening centers in seven cities of Shandong province. One-to-one pair-matched case-control method was employed for statistical analysis of the basic features of definitely identified cases. High-risk factors relating to the bilateral hearing loss were evaluated by univariate and multivariate Logistic regression analysis. Our results revealed that 721 transferred newborns who didn＇t pass the heating screening received audiological and medical evaluation and 367 were confirmed to have hearing loss. Of them, 177 neonates with hearing loss who met the matching requirements were included in the study as subjects. Univariate analysis showed that high-risk factors related to hearing loss incuded age of father, education backgrounds of parents, parity, birth weight, gestational weeks, craniofacial deformity, history of receiving treatment in neonatal intensive care unit （NICU）, neonatal disease, family history of otopathy and family history of congenital hearing loss. Multivariate Logistic regression analysis revealed that 4 independent risk factors were related to bilateral hearing loss, including parity （OR=16.285, 95% CI 3.379--78,481）, neonatal disease （OR=34;968, 95% CI 2.720 449.534）, family history of congenital hearing loss （OR=69.488, 95% CI 4.417--1093.300） and birth weight （OR=0.241, 95% CI 0.090--0.648）. It is concluded that parity, neonatal disease and family history of heating loss are the promoting factors of bilateral hearing loss in neonates and appropriate intervention measures should be taken to deal with the risk factors.
文摘It is estimated that most of the deaf children have some residual hearing. If these deaf children can be identified early, fit with hearing aids early,andtrained to speak early,they may be able to join the mainstream of hearing society.There are about 1. 16 million deaf children in China,and the number is increasingby 20 to 40 thousand each year. Some objective screening methods,such as auditorybrainstem response and otoacoustic emissions, can be more expensive than usingtrained people to perform behavioral screening. A portable “Behavioral infantScreening Audiometer”was designed by the authors. This audiometer can deliver different frequency and itensity sounds to the infants. The operator judges whether theinfant’s hearing is normal by his or her behavioral response,typically a head turn.Infants from three city communities in Beijing were screened in the communityclinics. The only criterion used for screening was that the inrants be between the ageof 26 and 36 weeks old. A total of 520 inrants were screened,and 43(8．3%) of themfailed. It took an average of 3 minutes to test an infant. Follow-up otoscope,auditory brainstem response audiometry and impedance audiometry in the First ClinicalCollege of Beijing Medical University on these 43 infants showed that 6 (1．15 % ) ofthem had a hearing loss and 37 of them had normal hearing. Follow-up on abovementioned tests were also performed on 50 infants from a control group that hadPassed the initial screening. None of them had hearing loss. The sensitivity of thisbehavioral screening was 100% and the speciticity of it was 92．8%. These resultssuggest that behavioral hearing screening is suitable for infants.
基金This study was supported by grants from Key Clinical Speciality of Guangzhou Women and Children’s Medical Center.
文摘Objective: To compare and analyze the pass rate and screening strategy of hearing rescreening for newborns with high risk factors.Methods: Retrospective chart review of high-risk newborns who failed their initial newborn hearing screen and subsequently underwent secondary hearing tests from June 2011 to June 2018 in Guangzhou Women and Children’’s Medical Center were performed.Results: Eight hundred and sixty-eight newborns with high risk factors were included in the study. The 57-70 days (83.5%) and 71-84 days (83.4%) group had the highest pass rate compared with 42-56 days (75.8%) and < 42 days (68.3%) group. As for different screening strategies, the pass rate of OAE(otoacoustic emissions), AABR (auto auditory brainstem response) and OAE + AABR was the highest in 57-70 days group and 71-84 days group, respectively. The OAE + AABR had the lowest pass rate compared to the other two modalities. When the pass rate was compared as different risk factors, the 57-70 days and 71-84 days group also had the highest pass rate compared with 42-56 days and < 42 days group and the pass rate had no significant differences among various risk factors group.Conclusion: Our results showed that all the pass rate of OAE, AABR and OAE+ AABR was the highest in 57-70 days group and 71-84 days group with significant difference, suggesting that the delayed screening time (>57 days) may increase the re-screening pass rate and reduce anxiety of parents, which is of great significance for clinical work.
基金This project was supported by NIH-NIDCD(Grants No.R01 DC002842,DC012049,and DC017955)(RJHS)NIH-NIDCD(Grant No.5T32DC000040)(RKT).
文摘Hearing loss is the most common neurosensory deficit.It results froma variety of heritable and acquired causes and is linked to multiple deleterious effects on a child’s development that can be ameliorated by prompt identification and individualized therapies.Diagnosing hearing loss in newborns is challenging,especially in mild or progressive cases,and its management requires a multidisciplinary team of healthcare providers comprising audiologists,pediatricians,otolaryngologists,and genetic counselors.While physiologic newborn hearing screening has resulted in earlier diagnosis of hearing loss than ever before,a growing body of knowledge supports the concurrent implementation of genetic and cytomegalovirus testing to offset the limitations inherent to a singular screening modality.In this review,we discuss the contemporary role of screening for hearing loss in newborns as well as future directions in its diagnosis and treatment.
文摘目的:探讨品管圈在提高新生儿监护病房(neonatal intensive care unit,NICU)新生儿首次听力筛查通过率中的应用效果。方法:成立品管圈(quality control circle,QCC)小组,确立QCC活动主题,采用自行设计的查检表对2022年5月至8月期间河南省人民医院NICU进行肠内喂养的103例新生儿的首次听力筛查通过率现状进行调查分析,结合鱼骨图、柏拉图进行要因分析,制定相应的整改措施并组织实施,并对实施QCC后2022年9月至11月期间80例新生儿的首次听力筛查通过率现状进行调查分析,比较QCC实施前后NICU新生儿首次听力筛查通过率,并进行效果评价。结果:实施QCC后,NICU新生儿首次听力筛查通过率由改善前的66.99%提高到87.50%,差异有统计学意义(P<0.01);目标达成率为111.77%,进步率为30.62%;QCC实施后,圈员解决问题的能力、沟通协调能力、责任心、自信心、团队凝聚力、积极性、QCC手法运用、和谐度均有一定程度提升。结论:实施QCC活动可提高NICU新生儿首次听力筛查通过率,提升护理人员业务水平,为NICU患儿护理质量提供保证。
