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Al-Shaikh Sulaiman AA. Newborn hearing screening in Eastern Saudi Arabia: A tertiary hospital experience. Saudi Med J 2024; 45:952-958. [PMID: 39218468 PMCID: PMC11376704 DOI: 10.15537/smj.2024.45.9.20240365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2024] [Accepted: 08/13/2024] [Indexed: 09/04/2024] Open
Abstract
OBJECTIVES To analyze the performance of a leading institution in implementing newborn hearing screening and address two key areas: the knowledge gap in screening practice and the prevalence of permanent sensorineural hearing loss in Saudi Arabia. METHODS We analyzed the prevalence of hearing impairment in all live births at King Fahad Hospital of the University, Al Khobar, Saudi Arabia, from September 2018 to June 2022. Automated auditory brainstem response was used for both initial screening and rescreening. Newborns who failed the rescreening underwent a diagnostic evaluation. We assessed the coverage of initial screening, the rate of lost follow-up, referrals for rescreening and diagnostic evaluation, and the prevalence of hearing impairment. RESULTS A total of 5,986 newborns were born. Of these, 96.5% were screened. The passing rate for the initial screening and rescreening was 71.8%. However, 27.5% of newborns were lost to follow-up. Only 0.7% required referral for a diagnostic evaluation. The overall prevalence of hearing impairment was 2.6 per 1,000 newborns. CONCLUSION Early identification of hearing loss through newborn screening improves the lives of affected individuals. Our program currently meets the World Health Organization's 1-3-6 benchmark goals. However, the underestimation of permanent hearing loss due to the 30% lost-to-follow-up rate is a limitation. Emphasizing the importance of the screening program is crucial to raising awareness and improving the accuracy of prevalence rates.
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Affiliation(s)
- Amal A Al-Shaikh Sulaiman
- From the Otorhinolaryngology Department, Faculty of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia
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Zhuri D, Guler HS, Yalcintepe S, Demir S, Atli E, Atli EI, Gurkan H. Investigation of Targeted Genes and Identification of Novel Variants with Next Generation Sequencing Method in Hearing Loss. J Int Adv Otol 2024; 20:312-324. [PMID: 39161163 PMCID: PMC11363168 DOI: 10.5152/iao.2024.22919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Accepted: 03/10/2024] [Indexed: 08/21/2024] Open
Abstract
Hearing loss is a widespread condition throughout the world. It may affect patients from newborns to the elderly. There are too many reasons for hearing loss, including congenital hearing loss, virus infections, age-related situations, and traumatic situations, which may be related to the immune-mediated system. Fifty percent of hearing loss is related to genetic mutations and defects; genetic causes are highly heterogeneous, so the analysis of new variants are important for diagnosis. We aimed to describe the importance of detected gene variations by using targeted gene panels in the Next-Generation-Sequencing (NGS) platform. Eighty-one hearing loss targeted genes were investigated using Illumina NextSeq550 technology in 100 participants with hearing loss between 2017 and 2022 in our Genetic Diseases Evaluation Center. Targeted genes were performed on 100 patients with hearing loss diagnosis. The total number of detected variants was 77. Forty-seven cases have likely pathogenic/pathogenic variants. Thirty of them have uncertain clinical significance variants, and from the detected variants, 8 are novel. In this research, we highlighted that earlier detection of hearing loss using molecular genetic methods may help us understand the etiology and orient for a better prognosis. Results detected by using the NGS platform can assist and improve the diagnosis. In this study, the diagnostic rate with targeted genes was detected as 35.29%. It has an important role in clinical practice as the recommendation of cochlear implants. Clarifying the genotype and phenotype correlation helps us figure out the etiology of hearing loss and also the worth of genetic counseling in hereditary hearing loss.
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Affiliation(s)
- Drenushe Zhuri
- Department of Medical Genetics, Trakya University Faculty of Medicine, Edirne, Türkiye
| | - Hazal Sezginer Guler
- Department of Medical Genetics, Trakya University Faculty of Medicine, Edirne, Türkiye
| | - Sinem Yalcintepe
- Department of Medical Genetics, Trakya University Faculty of Medicine, Edirne, Türkiye
| | - Selma Demir
- Department of Medical Genetics, Trakya University Faculty of Medicine, Edirne, Türkiye
| | - Engin Atli
- Department of Medical Genetics, Trakya University Faculty of Medicine, Edirne, Türkiye
| | - Emine Ikbal Atli
- Department of Medical Genetics, Trakya University Faculty of Medicine, Edirne, Türkiye
| | - Hakan Gurkan
- Department of Medical Genetics, Trakya University Faculty of Medicine, Edirne, Türkiye
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Obeidat FS, Alothman N, Alkahtani R, Al-Najjar S, Obeidat M, Ali AY, Ahmad E, Alghwiri AA. Evaluation of newborn hearing screening program in Jordan. Front Pediatr 2024; 12:1420678. [PMID: 39055617 PMCID: PMC11269245 DOI: 10.3389/fped.2024.1420678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2024] [Accepted: 06/28/2024] [Indexed: 07/27/2024] Open
Abstract
Introduction The Newborn Hearing Screening (NHS) program was officially launched in Jordan in 2021. Since its inception, no studies have examined the effectiveness of the program. This study seeks to assess the effectiveness and outcomes of the NHS program in Jordan. Methods A retrospective cross-sectional study was conducted to investigate the program coverage rate, referral rate, loss to follow-up rate and the hearing status of newborns who successfully completed the necessary diagnostic assessment. Live births in all hospitals administered by the Ministry of Health (MoH) in Jordan from July 2021 to November 2023 were included. Results Out of 25,825 newborns delivered, 99.4% (25,682) were screened. A referral rate of 0.7% (189) was recorded. Approximately 61.9% of those referred (n = 117) had normal hearing, while 31.7% (60 infants) were diagnosed with hearing loss. The prevalence of congenital hearing loss was 0.14%, and the mean age for identifying hearing loss was 11 months. Discussion The current status of the NHS program in Jordan is promising. The program has achieved most benchmarks recommended by the Joint Committee on Infant Hearing (JCIH), demonstrating encouraging outcomes. There is a need to investigate and address the factors causing delays in the identification of hearing loss in Jordan.
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Affiliation(s)
- Faten S. Obeidat
- Department of Hearing and Speech Sciences, School of Rehabilitation Sciences, University of Jordan, Amman, Jordan
| | - Noura Alothman
- Department of Health Communication Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Rania Alkahtani
- Department of Health Communication Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Sameer Al-Najjar
- Department of Genetic & Congenital Disorders Prevention, Non-Communicable Diseases Directorate, Ministry of Health, Amman, Jordan
| | - Mohammad Obeidat
- Department of Hearing and Speech Sciences, School of Rehabilitation Sciences, University of Jordan, Amman, Jordan
| | - Asia Y. Ali
- Department of Audiology, Al-Bashir Hospital, Amman, Jordan
| | - Elham Ahmad
- Department of Information System and Program, Ministry of Health, Amman, Jordan
| | - Alia A. Alghwiri
- Department of Physiotherapy, School of Rehabilitation Sciences, University of Jordan, Amman, Jordan
- Department of Physical Therapy, School of Health and Rehabilitation Sciences, Pittsburgh, PA, United States
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4
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Ren AZ, Sung V. Factors that influence health service access in deaf and hard-of-hearing children: a narrative review. Int J Audiol 2024; 63:171-181. [PMID: 37335176 DOI: 10.1080/14992027.2023.2223357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 05/31/2023] [Accepted: 06/05/2023] [Indexed: 06/21/2023]
Abstract
OBJECTIVES Early diagnosis and intervention of deaf and hard-of-hearing (DHH) children leads to improved language and psychosocial outcomes. However, many child, parent and provider related factors can influence access to early intervention services, including hearing devices. This narrative review aims to explore factors that influence health service access in DHH children. DESIGN A systematic search was conducted to identify articles that explored factors that influenced health service access in DHH children in countries with Universal Newborn Hearing Screening, published between 2010 and 2022. STUDY SAMPLES Fifty-nine articles met the inclusion criteria for data extraction. This included 4 systematic reviews, 2 reviews, 39 quantitative and 5 mixed methods studies and 9 qualitative studies. RESULTS The identified factors were grouped into the following themes: (a) demographic factors, (b) family related factors, (c) child related factors, (d) factors specific to hearing devices, (e) service delivery, f) telehealth and (g) COVID-19. CONCLUSION This review provided a comprehensive summary of multiple factors that affect access to health services in DHH children. Psychosocial support, consistent clinical advice, allocation of resources to rural communities and use of telehealth are possible ways to address barriers and improve health service access.
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Affiliation(s)
- Angela Z Ren
- Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia
| | - Valerie Sung
- Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia
- Population Health, Murdoch Children's Research Institute, Parkville, Victoria, Australia
- Centre for Community Child Health, Royal Children's Hospital, Parkville, Victoria, Australia
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Gutierrez KL, Koyamatsu R, Lahiff M, Jutte DP, Chan DK. Disparities in Newborn Hearing Screening Outcomes in the United States From 2007 to 2017. Otolaryngol Head Neck Surg 2024; 170:535-543. [PMID: 37712299 DOI: 10.1002/ohn.517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 08/13/2023] [Accepted: 08/18/2023] [Indexed: 09/16/2023]
Abstract
OBJECTIVE Establishing timely language intervention for children who are deaf or hard of hearing is crucial for their cognitive and language development. Newborn hearing screening (NBHS) programs are now commonplace, but disparities in receipt of support may exist. This study seeks to investigate if states with more diverse populations, less educated mothers, fewer resources, and no legislative mandate of screening have lower rates of milestone completion. STUDY DESIGN This is a cross-sectional study. SETTING Data describing screening, identification, and intervention rates from individual state NBHS programs were aggregated by the Centers for Disease Control and Prevention from 2007 to 2017. METHODS Regression models were fitted to assess associations between these outcomes and state demographic and policy variables. Forest plots from meta-analyses were used to obtain nationwide pooled estimates of the relative risk (RR) of maternal predictors from individual state data. RESULTS State averages of maternal education level, age, and race/ethnicity were found to be significantly associated with various outcomes. The presence of program funding and legislative state mandate were associated with multiple improved outcomes. Meta-analyses identified increased RRs for most outcomes based on maternal education less than high school, age 19 and below, and non-White race/ethnicity. CONCLUSION There is evidence of disparities in access to and timing of screening, identification testing, and intervention by various demographic and policy factors at the state level. More research is needed to further explore these relationships and determine how to address existing disparities in order to provide more equitable care.
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Affiliation(s)
- Katie L Gutierrez
- UC Berkeley - UCSF Joint Medical Program, School of Public Health, University of California, Berkeley, California, USA
- Bridges Curriculum, School of Medicine, University of California, San Francisco, San Francisco, California, USA
| | - Ryan Koyamatsu
- Undergraduate Division, School of Public Health, University of California, Berkeley, California, USA
| | - Maureen Lahiff
- Undergraduate Division, School of Public Health, University of California, Berkeley, California, USA
- Graduate Division, School of Public Health, University of California, Berkeley, Berkeley, California, USA
| | - Douglas P Jutte
- UC Berkeley - UCSF Joint Medical Program, School of Public Health, University of California, Berkeley, California, USA
- Graduate Division, School of Public Health, University of California, Berkeley, Berkeley, California, USA
- Public Health Institute, Oakland, California, USA
| | - Dylan K Chan
- Department of Otolaryngology-Head and Neck Surgery, Public Health Institute, San Francisco, California, USA
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Leong S, Medina K, Peretz PJ, Olmeda-Jenkins MI, Oliver MA, Kuhlmey M, Bernstein SA, Ferrer F, Matiz LA, Lalwani AK. Community Health Worker Intervention for Newborns Not Passing Initial Universal Hearing Screening. Ann Otol Rhinol Laryngol 2024; 133:129-135. [PMID: 37583099 DOI: 10.1177/00034894231191314] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/17/2023]
Abstract
BACKGROUND Universal newborn hearing screening (UNHS) is effective in identifying newborns with possible hearing loss (HL). Outpatient follow-up for newborns referred after hospital-based screening remains a potential area of improvement. In this study, we evaluate the efficacy of a community health worker (CHW) intervention in promoting adherence to outpatient rescreening for newborns referred after initial UNHS. METHODS A mixed prospective-retrospective cohort study was performed to evaluate a CHW intervention at an academic medical center. Caregivers of referred newborns were contacted by CHWs prior to discharge and educated about HL and the importance of follow-up screening. The CHW outreach intervention was performed for 297 referred newborns between May 2020 and June 2021 and compared to a cohort of 238 newborns without the CHW intervention between March 2019 and June 2021. Statistical analyses were conducted using 2 × 2 Chi-square tests, two-tailed unpaired t-tests, multinomial logistic regression, and multiple linear regression. RESULTS In the intervention group, 236 of 297 newborns (79.5%) completed their outpatient follow-up rescreening; in the comparison group, 170 of 238 newborns (71.4%) completed their follow-up rescreening (P = .031, OR = 1.55 with regression P = .04). In the intervention group, the average time to follow-up was 13.4 days versus 12.5 days for the comparison group (P = .449, multiple R2 = .02 with P = .78). CONCLUSIONS CHW outreach intervention may increase adherence to outpatient follow-up rescreening for newborns referred after initial, hospital-based UNHS. Expansion of nursery teams to include CHWs may thus improve completion of recommended follow-up hearing screens.
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Affiliation(s)
- Stephen Leong
- Vagelos College of Physicians & Surgeons, Columbia University, New York, NY, USA
| | - Kristy Medina
- Division of Community and Population Health, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA
| | - Patricia J Peretz
- Division of Community and Population Health, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA
| | - Maria I Olmeda-Jenkins
- Early Hearing Detection & Intervention, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA
| | - Melissa A Oliver
- Department of Otolaryngology-Head & Neck Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA
| | - Megan Kuhlmey
- Department of Otolaryngology-Head & Neck Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA
| | - Stacey A Bernstein
- Department of Otolaryngology-Head & Neck Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA
| | - Fajah Ferrer
- Northern Manhattan Perinatal Partnership, New York, NY, USA
| | - Luz Adriana Matiz
- Division of Child and Adolescent Health, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian, New York, NY, USA
| | - Anil K Lalwani
- Vagelos College of Physicians & Surgeons, Columbia University, New York, NY, USA
- Department of Otolaryngology-Head & Neck Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA
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Kun L, Jiexiang H, Hua L, Junlin H, Yijun R, Lixian Z, Mingqiao C. Genetic screening of 15 hearing loss variants in 77,647 neonates with clinical follow-up. Mol Genet Genomic Med 2024; 12:e2324. [PMID: 38037722 PMCID: PMC10767602 DOI: 10.1002/mgg3.2324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 11/03/2023] [Accepted: 11/10/2023] [Indexed: 12/02/2023] Open
Abstract
BACKGROUND To analyze the genotype distribution and frequency of hearing loss genes in newborn population and evaluate the clinical value of genetic screening policy in China. METHODS Genetic screening for hearing loss was offered to 84,029 neonates between March 2019 and December 2021, of whom 77,647 newborns accepted the screening program with one-year follow-up. The genotyping of 15 hot spot variants in GJB2, GJB3, SLC26A4, and MT-RNR1 was performed on microarray platform. RESULTS A total of 3.05% (2369/77,647) newborns carried at least one genetic hearing loss-associated variant, indicated for early preventive management. The carrier frequency of GJB2 gene was the highest, at 1.48% (1147/77,647), followed by SLC26A4 gene at 1.07% (831/77,647), and GJB3 gene at 0.23% (181/77,647). GJB2 c.235delC variant and SLC26A4 IVS7-2A>G variant were the most common allelic variants with allele frequency of 0.6304% (979/155,294) and 0.3992% (620/155,294), respectively. 10 children are identified as homozygous or compound heterozygous for pathogenic variants (4 in GJB2, 6 in SLC26A4), and 7 of these infants had passed the hearing screening. Following up of the genetically screened newborns revealed that genetic screening detected more hearing-impaired infants than hearing screening alone. Genetic screening helped identify the infants who had passed the initial hearing screening, and reduced time for diagnosis and intervention of hearing aid. In addition, we identified 234 newborns (0.30%, 234/77,647) susceptible to preventable aminoglycoside antibiotic ototoxicity undetectable by hearing screening. CONCLUSION We performed the largest-scale neonatal carrier screening for hearing loss genes in Southeast China. Our results indicated that genetic screening is an important complementation to conventional hearing screening. Our practice and experience may facilitate the application and development of neonatal genetic screening policy in mainland China.
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Affiliation(s)
- Lin Kun
- Prenatal Diagnosis Center, The Affiliated Hospital of Putian UniversityPutian UniversityPutianChina
- Newborn Screening CenterPutian Maternity and Child Health Care HospitalPutianChina
| | - Huang Jiexiang
- Prenatal Diagnosis Center, The Affiliated Hospital of Putian UniversityPutian UniversityPutianChina
| | - Lin Hua
- Prenatal Diagnosis Center, The Affiliated Hospital of Putian UniversityPutian UniversityPutianChina
| | - Han Junlin
- Department of PediatricsPutian Maternity and Child Health Care HospitalPutianChina
| | - Ruan Yijun
- Department of PediatricsPutian Maternity and Child Health Care HospitalPutianChina
| | - Zhang Lixian
- Newborn Screening CenterPutian Maternity and Child Health Care HospitalPutianChina
| | - Chen Mingqiao
- Prenatal Diagnosis Center, The Affiliated Hospital of Putian UniversityPutian UniversityPutianChina
- Newborn Screening CenterPutian Maternity and Child Health Care HospitalPutianChina
- Department of PediatricsPutian Maternity and Child Health Care HospitalPutianChina
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Trottenberg G, Funnell WRJ, Motallebzadeh H. Newborn Hearing Screening in Québec, Canada. Am J Audiol 2023:1-7. [PMID: 37988681 DOI: 10.1044/2023_aja-23-00041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2023] Open
Abstract
PURPOSE This study discusses the history and current state of the newborn hearing screening program in Québec and aims to assess general challenges associated with establishing universal newborn hearing screening (UNHS) programs. METHOD We reviewed the statistics of the occurrence and long-term effects of congenital hearing loss and the immediate and long-term benefits of UNHS and its limitations. The resources for this study included financial reports related to establishing UNHS in different health care systems; Canadian provincial, territorial, and federal regulations and publications; local and nationwide media; and interviews health care staff and program managers. RESULTS Because of its benefits and its cost-effectiveness, UNHS programs have been implemented in many health care systems around the world. Despite Canada's success in offering a wide array of health care services to its citizens, certain provinces trail behind others in developing UNHS programs. Although there have been recent improvements in the screening rate of the province of Québec, nearly half of all Québec newborns continue to not be screened for hearing loss. The reasons for the current low screening rate include delays in implementation, information-technology complications, operating costs, and lack of public awareness. CONCLUSIONS For UNHS to be implemented in a timely fashion, those involved in the process should first understand what challenges may arise. Québec's experience with this process may provide useful lessons for other health care systems.
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Affiliation(s)
- Gabriel Trottenberg
- Faculty of Medicine and Health Sciences, McGill University, Montréal, QC, Canada
| | - W Robert J Funnell
- Department of BioMedical Engineering, McGill University, Montréal, QC, Canada
- Department of Otolaryngology-Head & Neck Surgery, McGill University, Montréal, QC, Canada
- Department of Pediatric Surgery, McGill University, Montréal, QC, Canada
| | - Hamid Motallebzadeh
- Department of BioMedical Engineering, McGill University, Montréal, QC, Canada
- Department of Communication Sciences & Disorders, California State University, Sacramento
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Schwarz Y, Mauthner R, Kraus O, Gluk O, Globus O, Kariv L, Ovnat Tamir S. Newborn Hearing Screening: Early Ear Examination Improves the Pass Rate. J Int Adv Otol 2023; 19:402-406. [PMID: 37789627 PMCID: PMC10645159 DOI: 10.5152/iao.2023.22987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Accepted: 05/18/2023] [Indexed: 10/05/2023] Open
Abstract
BACKGROUND Temporary conductive hearing loss due to vernix accumulation in the external ear canal may lead to a false-positive result in newborn hearing screening tests. The aim of this study was to evaluate whether ear examination and intervention may reduce the false-positive rate prior to hospital discharge. METHODS A case series of 42 newborns who failed initial otoacoustic emissions screening were studied in our institution between May and December 2020. RESULTS During the study period, a total of 735 neonates (1470 ears) were screened by otoacoustic emissions in our hospital. Forty-two newborns who failed otoacoustic emissions were included in our study. They constituted 3.9% (n=58 ears) of the total number of ears screened. Forty-four ears (75.9%) passed and 14 ears (24.1%) failed otoacoustic emissions rescreening performed shortly following vernix cleaning. Twelve of the remaining 14 ears passed at 10-day rescreening. The remaining 2 ears presented true bilateral hearing loss. During the study period, the general false-positive rate decreased from 56/735 (7.61%) to 12/735(1.63%) (P < .00001). CONCLUSION Cleaning the vernix of infants who failed otoacoustic emissions prior to hospital discharge lowers the false-positive rate of universal neonatal hearing screening. We may assume that vernix cleaning will reduce significant healthcare workload, costs of unnecessary investigations, as well as parental anxiety.
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Affiliation(s)
- Yehuda Schwarz
- Department of Otolaryngology Head and Neck Surgery, Assuta Ashdod Samson University Hospital, Ashdod, Israel
- Ben Gurion University of the Negev, Faculty of Health Sciences, Beer Sheba, Israel
| | - Roye Mauthner
- Department of Otolaryngology Head and Neck Surgery, Assuta Ashdod Samson University Hospital, Ashdod, Israel
- Ben Gurion University of the Negev, Faculty of Health Sciences, Beer Sheba, Israel
| | - Oded Kraus
- Department of Otolaryngology Head and Neck Surgery, Assuta Ashdod Samson University Hospital, Ashdod, Israel
- Ben Gurion University of the Negev, Faculty of Health Sciences, Beer Sheba, Israel
| | - Ofer Gluk
- Department of Otolaryngology Head and Neck Surgery, Assuta Ashdod Samson University Hospital, Ashdod, Israel
- Ben Gurion University of the Negev, Faculty of Health Sciences, Beer Sheba, Israel
| | - Omer Globus
- Ben Gurion University of the Negev, Faculty of Health Sciences, Beer Sheba, Israel
- Department of Neonatology, Assuta Ashdod Samson University Hospital, Ashdod, Israel
| | - Liron Kariv
- Hearing, Language and Speech Institute, Assuta Ashdod Samson University Hospital, Ashdod, Israel
| | - Sharon Ovnat Tamir
- Department of Otolaryngology Head and Neck Surgery, Assuta Ashdod Samson University Hospital, Ashdod, Israel
- Ben Gurion University of the Negev, Faculty of Health Sciences, Beer Sheba, Israel
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Fageeh YA, Alghoribi MH, Albishi MM, Alshanbari AA, Alqethami AA, Altowairqi TM, Alosaimi NK. Parent Awareness and Perceived Barriers Regarding Hearing Impairment among School Age Children in Taif Region of Saudi Arabia. JOURNAL OF PHARMACY AND BIOALLIED SCIENCES 2023; 15:S403-S408. [PMID: 37654376 PMCID: PMC10466535 DOI: 10.4103/jpbs.jpbs_527_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 12/06/2022] [Accepted: 12/16/2022] [Indexed: 09/02/2023] Open
Abstract
Background Hearing impairment (HI) is the most common global disabling condition. It is a considerable public health condition in childhood that is associated with long-term socio-emotional-academic, and communication difficulties. The current study explored the knowledge and awareness of HI among school-age children and its related factor in Taif, Saudi Arabia. Materials and Methods A cross-sectional study was done on 268 Saudi school-age children in the population of the Taif region of Saudi Arabia. A predesigned questionnaire was used to collect their demographic data, consanguinity, education level, and academic performance. Results About 45.9% of parents had good awareness related to hearing loss and its impact on children's life. Only 19% (n = 51) of parents reported that their children encountered language problems in communicating with others. When we assessed the relationship between this language problem and academic performance, it was found that children with language problems had below-average academic performance (P < 0.001). Conclusion The study showed that parents' awareness about children's hearing was not that satisfactory, and there was a considerable amount of difficulties faced by the children in their personal and social life due to these hearing problems. It is imperative to create awareness among the public regarding various modifiable risk factors of HI by conducting health awareness campaigns.
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Affiliation(s)
- Yahya A. Fageeh
- Department of Surgery, College of Medicine, Taif University, Saudi Arabia
| | - Manar H. Alghoribi
- Department of Internal Medicine, College of Medicine, Taif University, Saudi Arabia
| | - Maryam M. Albishi
- Department of Family Medicine, College of Medicine, Taif University, Saudi Arabia
| | - Atheer A. Alshanbari
- Department of Family Medicine, College of Medicine, Taif University, Saudi Arabia
| | - Amjad A. Alqethami
- Department of Family Medicine, College of Medicine, Taif University, Saudi Arabia
| | | | - Norah K. Alosaimi
- Department of Plastic Surgery, College of Medicine, Taif University, Saudi Arabia
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Tuohimaa K, Loukusa S, Löppönen H, Välimaa T, Kunnari S. Development of Social-Pragmatic Understanding in Children With Congenital Hearing Loss and Typical Hearing Between the Ages of 4 and 6 Years. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2023:1-18. [PMID: 37227801 DOI: 10.1044/2023_jslhr-22-00700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
PURPOSE This prospective longitudinal study aimed to explore (a) the development of social-pragmatic understanding of children with bilateral hearing aids (BiHAs), bilateral cochlear implants (BiCIs), and typical hearing (TH) between the ages of 4 and 6 years and (b) group differences between children with BiHAs, BiCIs, and TH. METHOD The Pragma test was used for a comprehensive assessment of social-pragmatic understanding of a total of 86 children: 19 children with BiHAs, 22 children with BiCIs, and 45 children with TH. The Pragma test requires answering socially and contextually demanding questions and explaining the right answers. The explanation tasks are targeted at studying the participant's own awareness of the inferencing process. The children in this study were assessed yearly at the ages of 4, 5, and 6 years. RESULTS The participants with BiHAs, BiCIs, and TH showed significant development in their social-pragmatic understanding between the ages of 4 and 6 years, but most children with hearing loss (HL) still did not meet age expectations at the age of 6 years. Children with BiHAs and BiCIs both showed large-scale inferential difficulties, including utilizing theory of mind, utilizing verbal and visual information, and understanding conversational norms and emotions in context. CONCLUSIONS Children with BiHAs and BiCIs are at risk of delays in social-pragmatic understanding despite early detection of HL, early amplification, and cochlear implantation. Therefore, the social-pragmatic abilities of children with HL should be assessed regularly, and the children with HL should have early access to social-pragmatic interventions where utilizing contextual information is practiced comprehensively.
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Affiliation(s)
- Krista Tuohimaa
- Research Unit of Logopedics, University of Oulu, Finland
- Child Language Research Center, University of Oulu, Finland
| | - Soile Loukusa
- Research Unit of Logopedics, University of Oulu, Finland
- Child Language Research Center, University of Oulu, Finland
| | - Heikki Löppönen
- Department of Otorhinolaryngology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio
- Department of Otorhinolaryngology-Head and Neck Surgery, Kuopio University Hospital, Finland
| | - Taina Välimaa
- Research Unit of Logopedics, University of Oulu, Finland
- Child Language Research Center, University of Oulu, Finland
| | - Sari Kunnari
- Research Unit of Logopedics, University of Oulu, Finland
- Child Language Research Center, University of Oulu, Finland
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Sahoo KC, Athe R, Bhattacharya D, Dwivedi R, Sahoo RK, Aimol LW, Jain S, Rajsekhar K, Pati S. Use of Portable Automated Auditory Brainstem Responses in Universal Neonatal Hearing Screening: A Mixed-Method Study in Odisha, India. Indian J Pediatr 2023; 90:298-300. [PMID: 36598633 DOI: 10.1007/s12098-022-04435-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 10/13/2022] [Accepted: 11/03/2022] [Indexed: 01/05/2023]
Abstract
Hearing loss in children affects cognitive development, so early detection is crucial. It is because of the lack of portable technology that the majority of hearing problems go undetected. The authors conducted a mixed-method study in India to examine the concurrent validity and operational feasibility of portable automated brainstem response (P-AABR) and otoacoustic emissions (OAE) in universal neonatal hearing screening. They screened 198 children's ears using ABR and OAE devices. Additionally, 60 observations were recorded during the 'portable automated ABR' screening process. The hearing screening could be performed with P-AABR by any health care staff with basic skill-based training. However, the interpretation of the graphical wave required an audiologist. If the baby was quiet, the test could be performed in 20 min, including electrode implantation, impediment setting, earphone installation, and swipe counts. The P-AABR device can be used in the universal health coverage of hearing screening among infants in outreach areas due to its portability and minimal infrastructural requirements.
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Affiliation(s)
- Krushna Chandra Sahoo
- Health Technology Assessment in India (HTAIn), Regional Resource Hub, ICMR-Regional Medical Research Center, Bhubaneswar, Odisha, India.
| | - Ramesh Athe
- Health Technology Assessment in India (HTAIn), Regional Resource Hub, ICMR-Regional Medical Research Center, Bhubaneswar, Odisha, India
| | - Debdutta Bhattacharya
- Health Technology Assessment in India (HTAIn), Regional Resource Hub, ICMR-Regional Medical Research Center, Bhubaneswar, Odisha, India
| | - Rinshu Dwivedi
- Health Technology Assessment in India (HTAIn), Regional Resource Hub, ICMR-Regional Medical Research Center, Bhubaneswar, Odisha, India
| | - Rakesh Kumar Sahoo
- Health Technology Assessment in India (HTAIn), Regional Resource Hub, ICMR-Regional Medical Research Center, Bhubaneswar, Odisha, India
| | - Lanu Wanboy Aimol
- Ayjnishd (Divyangjan), Regional Center, Janla, Bhubaneswar, Odisha, India
| | - Shalu Jain
- Health Technology Assessment in India (HTAIn), Department of Health Research, Ministry of Health & Family Welfare, New Delhi, India
| | - Kavitha Rajsekhar
- Health Technology Assessment in India (HTAIn), Department of Health Research, Ministry of Health & Family Welfare, New Delhi, India
| | - Sanghamitra Pati
- Health Technology Assessment in India (HTAIn), Regional Resource Hub, ICMR-Regional Medical Research Center, Bhubaneswar, Odisha, India
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13
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Delgado CF, Simpson EA, Zeng G, Delgado RE, Miron O. Newborn Auditory Brainstem Responses in Children with Developmental Disabilities. J Autism Dev Disord 2023; 53:776-788. [PMID: 34181140 PMCID: PMC9549590 DOI: 10.1007/s10803-021-05126-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/01/2021] [Indexed: 12/30/2022]
Abstract
We integrated data from a newborn hearing screening database and a preschool disability database to examine the relationship between newborn click evoked auditory brainstem responses (ABRs) and developmental disabilities. This sample included children with developmental delay (n = 2992), speech impairment (SI, n = 905), language impairment (n = 566), autism spectrum disorder (ASD, n = 370), and comparison children (n = 128,181). We compared the phase of the ABR waveform, a measure of sound processing latency, across groups. Children with SI and children with ASD had greater newborn ABR phase values than both the comparison group and the developmental delay group. Newborns later diagnosed with SI or ASD have slower neurological responses to auditory stimuli, suggesting sensory differences at birth.
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Affiliation(s)
- Christine F Delgado
- Department of Psychology, University of Miami, PO Box 248185, Coral Gables, FL, 33124-0721, USA.
| | - Elizabeth A Simpson
- Department of Psychology, University of Miami, PO Box 248185, Coral Gables, FL, 33124-0721, USA
| | - Guangyu Zeng
- Department of Psychology, University of Miami, PO Box 248185, Coral Gables, FL, 33124-0721, USA
| | - Rafael E Delgado
- Biomedical Engineering, University of Miami, Coral Gables, FL, USA
- Intelligent Hearing Systems Corp., Miami, FL, USA
| | - Oren Miron
- Department of Health Systems Management, Ben-Gurion University of the Negev, Beer Sheva, Israel
- Department of Biomedical-Informatics, Harvard Medical School, Boston, MA, USA
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14
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The Frequency of Common Deafness-Associated Variants Among 3,555,336 Newborns in China and 141,456 Individuals Across Seven Populations Worldwide. Ear Hear 2023; 44:232-241. [PMID: 36149380 DOI: 10.1097/aud.0000000000001274] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
OBJECTIVES Genetic screening can benefit early detection and intervention for hearing loss. The frequency of common deafness-associated variants in general populations is highly important for genetic screening and genetic counseling tailored to different ethnic backgrounds. We aimed to analyze the frequency of common deafness-associated variants in a large population-based Chinese newborn cohort and to explore the population-specific features in diverse populations worldwide. DESIGN This population-based cohort study analyzed the frequency of common deafness-associated variants in 3,555,336 newborns in the Chinese Newborn Concurrent Hearing and Genetic Screening cohort. Participants were newborn infants born between January 2007 and September 2020. Limited genetic screening for 20 variants in 4 common deafness-associated genes and newborn hearing screening were offered concurrently to all newborns in the Chinese Newborn Concurrent Hearing and Genetic Screening cohort. Sequence information of 141,456 individuals was also analyzed from seven ethnic populations from the Genome Aggregation Database for 20 common deafness-related variants. Statistical analysis was performed using R. RESULTS A total of 3,555,326 Chinese neonates completed the Newborn Concurrent Hearing and Genetic Screening were included for analysis. We reported the distinct landscape of common deafness-associated variants in this large population-based cohort. We found that the carrier frequencies of GJB2 , SLC26A4 , GJB3 , and MT-RNR were 2.53%, 2.05%, 0.37%, and 0.25%, respectively. Furthermore, GJB2 c.235delC was the most common variant with an allele frequency of 0.99% in the Chinese newborn population. We also demonstrated nine East-Asia-enriched variants, one Ashkenazi Jewish-enriched variant, and one European/American-enriched variant for hearing loss. CONCLUSIONS We showed the distinct landscape of common deafness-associated variants in the Chinese newborn population and provided insights into population-specific features in diverse populations. These data can serve as a powerful resource for otolaryngologists and clinical geneticists to inform population-adjusted genetic screening programs for hearing loss.
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Chan J, Ali N, Najafi A, Meehan A, Mancl LR, Gallagher E, Bly R, Gollakota S. An off-the-shelf otoacoustic-emission probe for hearing screening via a smartphone. Nat Biomed Eng 2022; 6:1203-1213. [PMID: 36316369 PMCID: PMC9717525 DOI: 10.1038/s41551-022-00947-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 09/02/2022] [Indexed: 11/05/2022]
Abstract
Otoacoustic emissions (OAEs) provide information about the function of the outer hair cells of the cochlea. In high-income countries, infants undergo OAE tests as part of the screening protocols for hearing. However, the cost of the necessary equipment hinders early screening for hearing in low- and middle-income countries, which disproportionately bear the brunt of disabling hearing loss. Here we report the design and clinical testing of a low-cost probe for OAEs. The device, which has a material cost of approximately US$10, uses an off-the-shelf microphone and off-the-shelf earphones connected to a smartphone through a headphone jack. It sends two pure tones through each of the headphone's earbuds and algorithmically detects the distortion-product OAEs generated by the cochlea and recorded via the microphone. In a clinical study involving 201 paediatric ears across three healthcare sites, the device detected hearing loss with 100% sensitivity and 88.9% specificity, comparable to the performance of a commercial device. Low-cost devices for OAE testing may aid the early detection of hearing loss in resource-constrained settings.
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Affiliation(s)
- Justin Chan
- Paul G. Allen School of Computer Science and Engineering, University of Washington, Seattle, WA, USA.
| | - Nada Ali
- Department of Otolaryngology - Head and Neck Surgery, University of Washington, Seattle, WA, USA
| | - Ali Najafi
- Department of Electrical and Computer Engineering, University of Washington, Seattle, WA, USA
| | - Anna Meehan
- Seattle Children's Hospital and Research Institute, Seattle, WA, USA
| | - Lisa R Mancl
- Department of Speech and Hearing Sciences, University of Washington, Seattle, WA, USA
| | - Emily Gallagher
- Seattle Children's Hospital and Research Institute, Seattle, WA, USA
| | - Randall Bly
- Department of Otolaryngology - Head and Neck Surgery, University of Washington, Seattle, WA, USA.
- Seattle Children's Hospital and Research Institute, Seattle, WA, USA.
| | - Shyamnath Gollakota
- Paul G. Allen School of Computer Science and Engineering, University of Washington, Seattle, WA, USA.
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16
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Tuohimaa K, Loukusa S, Löppönen H, Välimaa T, Kunnari S. Communication abilities in children with hearing loss - views of parents and daycare professionals. JOURNAL OF COMMUNICATION DISORDERS 2022; 99:106256. [PMID: 36029613 DOI: 10.1016/j.jcomdis.2022.106256] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 08/12/2022] [Accepted: 08/18/2022] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Today, children with hearing loss (HL) are diagnosed and fitted with hearing devices at an early age. However, HL may still influence their communicative development. Thus, we need up-to-date research on how children perform in their everyday environments, such as at home or daycare. This study provides an overview of the communication abilities of early-diagnosed children with HL reported by parents and daycare professionals. The first aim of the study is to compare the results of children with bilateral hearing aids (BiHAs) or bilateral cochlear implants (BiCIs) with those of children with normal hearing (NH) and with each other. The second aim of the study is to compare the views of the two respondents, parents and the daycare professionals. In addition, the effects of gender and nonverbal intelligence quotient (IQ) on the responses are explored. METHODS The participants, aged 4;0-6;9, were 25 children with BiHAs, 29 children with BiCIs, and 64 children with NH. The Finnish version of the Children's Communication Checklist-2 (CCC-2) was used to assess the communication skills of the participants. RESULTS Group and nonverbal IQ had a significant effect on the General Communication Composite (GCC) score. Both groups of children with HL had poorer GCC scores than the children with NH, apart from the respondent. The BiHA-group had significantly lower scores than the NH-group on Speech, Syntax, Semantics, and Coherence subscales. The BiCI-group had significantly lower scores than the NH-group across all subscales of the CCC-2. The parents rated the participants significantly higher than the daycare professionals in Speech and Social Relations. In contrast, the daycare professionals rated the participants higher than the parents in Coherence, Inappropriate Initiation, Stereotyped Language, and Use of Context. Furthermore, gender influenced Coherence, Nonverbal Communication, Social Relations, and Interests, for which the girls performed better than the boys. The nonverbal IQ had an effect on Syntax, Semantics, and Use of Context, for which higher nonverbal IQ was associated with better performance. CONCLUSIONS On average the children with HL had poorer communication skills than the children with NH. Pragmatic difficulties were more common in the BiCI-group than in the BiHA-group. The respondents were not completely unanimous, which may be because of the different demands of different environments.
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Affiliation(s)
- Krista Tuohimaa
- Research Unit of Logopedics, University of Oulu, Finland; Child Language Research Center, University of Oulu, Finland.
| | - Soile Loukusa
- Research Unit of Logopedics, University of Oulu, Finland; Child Language Research Center, University of Oulu, Finland
| | - Heikki Löppönen
- Institute of Clinical Medicine, Department of Otorhinolaryngology, University of Eastern Finland, Finland; Department of Otorhinolaryngology - Head and Neck Surgery, Kuopio University Hospital, Finland
| | - Taina Välimaa
- Research Unit of Logopedics, University of Oulu, Finland; Child Language Research Center, University of Oulu, Finland
| | - Sari Kunnari
- Research Unit of Logopedics, University of Oulu, Finland; Child Language Research Center, University of Oulu, Finland
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Bayat A, Abdollahi FZ, Saki N, Khiavi FF, Mohammadian S, Bardsiri MM, Hoseinabadi R. Parent’s Satisfaction of Universal Newborn Hearing Screening Program in Iran. Indian J Otolaryngol Head Neck Surg 2022; 74:517-522. [PMID: 36032845 PMCID: PMC9411376 DOI: 10.1007/s12070-020-02355-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Accepted: 12/23/2020] [Indexed: 11/30/2022] Open
Abstract
Measuring parent satisfaction is an important factor in pediatric health care service programs because parents play a major role in their child's life. The parental decisions are a basis for the success or failure of the child's treatment in many cases. The purpose of this study was to determine levels of parents' satisfaction following the implementation of universal newborn hearing screening (UNHS) program in Iran. In this study, the Persain version of the parent satisfaction questionnaire with neonatal hearing screening program (PSQ-NHSP) was used to measure parents' satisfaction on information of newborn hearing screening program, personnel in charge of the hearing testing, hearing screening activities, and overall satisfaction. Newborns were screened using transient evoked otoacoustic emissions and automatic auditory brainstem response tests within the first 48 h of life for each ear. Of the 312 questionnaires distributed, 217 parents (67%) responded. The mean scores of the "overall satisfaction" items ranged from 4.07 to 4.29, demonstrating high levels of parent satisfaction with this aspect of the program. More than 86% of parents were overally satisfied with the hearing screening program. In open-ended items, 84% of parents comments showed their satisfaction. The findings of the present study revealed that parents were generally satisfied with the UNHS program. The PSQ-NHSP questionnaire is easily employed and effective method for assessing parental satisfaction with newborn hearing screening programs.
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Gorina-Careta N, Ribas-Prats T, Arenillas-Alcón S, Puertollano M, Gómez-Roig MD, Escera C. Neonatal Frequency-Following Responses: A Methodological Framework for Clinical Applications. Semin Hear 2022; 43:162-176. [PMID: 36313048 PMCID: PMC9605802 DOI: 10.1055/s-0042-1756162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
The frequency-following response (FFR) to periodic complex sounds is a noninvasive scalp-recorded auditory evoked potential that reflects synchronous phase-locked neural activity to the spectrotemporal components of the acoustic signal along the ascending auditory hierarchy. The FFR has gained recent interest in the fields of audiology and auditory cognitive neuroscience, as it has great potential to answer both basic and applied questions about processes involved in sound encoding, language development, and communication. Specifically, it has become a promising tool in neonates, as its study may allow both early identification of future language disorders and the opportunity to leverage brain plasticity during the first 2 years of life, as well as enable early interventions to prevent and/or ameliorate sound and language encoding disorders. Throughout the present review, we summarize the state of the art of the neonatal FFR and, based on our own extensive experience, present methodological approaches to record it in a clinical environment. Overall, the present review is the first one that comprehensively focuses on the neonatal FFRs applications, thus supporting the feasibility to record the FFR during the first days of life and the predictive potential of the neonatal FFR on detecting short- and long-term language abilities and disruptions.
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Affiliation(s)
- Natàlia Gorina-Careta
- Brainlab - Cognitive Neuroscience Research Group, Department of Clinical Psychology and Psychobiology, University of Barcelona, Catalonia, Spain
- Institute of Neurosciences, University of Barcelona, Catalonia, Spain
- Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, Catalonia, Spain
- BCNatal - Barcelona Center for Maternal Fetal and Neonatal Medicine (Hospital Sant Joan de Déu and Hospital Clínic), University of Barcelona, Barcelona, Catalonia, Spain.
| | - Teresa Ribas-Prats
- Brainlab - Cognitive Neuroscience Research Group, Department of Clinical Psychology and Psychobiology, University of Barcelona, Catalonia, Spain
- Institute of Neurosciences, University of Barcelona, Catalonia, Spain
- Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, Catalonia, Spain
| | - Sonia Arenillas-Alcón
- Brainlab - Cognitive Neuroscience Research Group, Department of Clinical Psychology and Psychobiology, University of Barcelona, Catalonia, Spain
- Institute of Neurosciences, University of Barcelona, Catalonia, Spain
- Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, Catalonia, Spain
| | - Marta Puertollano
- Brainlab - Cognitive Neuroscience Research Group, Department of Clinical Psychology and Psychobiology, University of Barcelona, Catalonia, Spain
- Institute of Neurosciences, University of Barcelona, Catalonia, Spain
- Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, Catalonia, Spain
| | - M Dolores Gómez-Roig
- Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, Catalonia, Spain
- BCNatal - Barcelona Center for Maternal Fetal and Neonatal Medicine (Hospital Sant Joan de Déu and Hospital Clínic), University of Barcelona, Barcelona, Catalonia, Spain.
| | - Carles Escera
- Brainlab - Cognitive Neuroscience Research Group, Department of Clinical Psychology and Psychobiology, University of Barcelona, Catalonia, Spain
- Institute of Neurosciences, University of Barcelona, Catalonia, Spain
- Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, Catalonia, Spain
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Choffor-Nchinda E, Fokouo Fogha JV, Ngo Nyeki AR, Dalil AB, Meva’a Biouélé RC, Me-Meke GP. Approach and solutions to congenital hearing impairment in Cameroon: perspective of hearing professionals. Trop Med Health 2022; 50:36. [PMID: 35637511 PMCID: PMC9150302 DOI: 10.1186/s41182-022-00430-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 05/24/2022] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVES To bring out the diagnostic attitude of hearing professionals in Cameroon towards congenital hearing impairment (CHI), assess availability of tests, neonatal screening, and create a national map of availability of treatment opportunities. METHODS We conducted a cross-sectional online-based survey from June to December 2021, concerning ear-nose-throat (ENT) specialists, hearing care professionals, speech therapists and ENT nurses. A Google Forms online questionnaire was used to collect data, filled by eligible professionals involved in hearing care in Cameroon. RESULTS A total of 93 professionals working in 31 different health facilities participated. A cumulative percentage of 79.9% of ENTs were found in just two out of 10 regions. Specialists sought by ENTs for assessment of patients with CHI included neurologists/neuro-pediatricians (96.8%), pediatricians (47.6%), other ENTs (34.9%), and psychologists (3.2%). Investigations requested included auditory-evoked brainstem response (ABR; 87.3%), otoacoustic emissions recording (OAE; 71.4%), and tympanometry (66.7%). There were eight OAE and nine ABR machines in the country. Twenty-five (88.6%) out of 31 facilities with otolaryngologists did not carry out systematic neonatal screening. Reasons included unavailability of equipment (21; 84%), and administrative delays (14; 56%). Sixteen (51.6%) facilities had ENTs with additional training in otologic surgery and 11 (35.5%) were equipped to perform ear surgery. Three centers (9.7%) specialized in hearing aid provision and maintenance services. Three hospitals (9.7%) had performed cochlear implantation. CONCLUSION Our results show scarcity and overt unevenness in distribution of specialists, equipment and solutions to CHI in Cameroon. A serious negative health care consequence of this shortage is the unavailability of universal newborn hearing screening and implementation programs.
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Affiliation(s)
- Emmanuel Choffor-Nchinda
- Department of Surgery and Specialties, Faculty of Health Sciences, University of Buea, PO Box 63, Buea, Cameroon
- COCHLEES Research Group, Yaoundé, Cameroon
| | | | - Adèle-Rose Ngo Nyeki
- COCHLEES Research Group, Yaoundé, Cameroon
- Department of Ophthalmology, Otolaryngology and Stomatology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, PO Box 1364, Yaoundé, Cameroon
| | - Asmaou Bouba Dalil
- COCHLEES Research Group, Yaoundé, Cameroon
- Department of Ophthalmology, Otolaryngology and Stomatology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, PO Box 1364, Yaoundé, Cameroon
| | - Roger Christian Meva’a Biouélé
- COCHLEES Research Group, Yaoundé, Cameroon
- Department of Ophthalmology, Otolaryngology and Stomatology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, PO Box 1364, Yaoundé, Cameroon
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Daub O, Bagatto MP, Oram Cardy J. What do Speech-Language Pathologists want to know when assessing early vocal development in children who are deaf/hard-of-hearing? JOURNAL OF COMMUNICATION DISORDERS 2022; 97:106216. [PMID: 35526294 DOI: 10.1016/j.jcomdis.2022.106216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Revised: 03/25/2022] [Accepted: 04/14/2022] [Indexed: 06/14/2023]
Abstract
PURPOSE Delays in vocal development are an early predictor of ongoing language difficulty for children who are deaf/hard-of-hearing (CDHH). Despite the importance of monitoring early vocal development in clinical practice, there are few suitable tools. This study aimed to identify the clinical decisions that speech-language pathologists (SLPs) most want to make when assessing vocal development and their current barriers to doing so. METHOD 58 SLPs who provide services to CDHH younger than 22 months completed a survey. The first section measured potential barriers to vocal development assessment. The second section asked SLPs to rate the importance of 15 clinical decisions they could make about vocal development. RESULTS SLPs believed assessing vocal development was important for other stakeholders, and reported they had the necessary skills and knowledge to assess vocal development. Barriers primarily related to a lack of commercially available tests. SLPs rated all 15 clinical decisions as somewhat or very important. Their top 5 decisions included a variety of assessment purposes that tests are not typically designed to support, including measuring change, differential diagnosis, and goal setting. CONCLUSIONS SLPs wish to make a number of clinical decisions when assessing vocal development in CDHH but lack access to appropriate tools to do so. Future work is needed to develop tools that are statistically equipped to fulfill these purposes. Understanding SLPs' assessment purposes will allow future tests to better map onto the clinical decisions that SLPs need to make to support CDHH and their families and facilitate implementation into clinical practice.
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Affiliation(s)
- Olivia Daub
- The University of Western Ontario, Ontario, Canada.
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Wen C, Zhao X, Li Y, Yu Y, Cheng X, Li X, Deng K, Yuan X, Huang L. A systematic review of newborn and childhood hearing screening around the world: comparison and quality assessment of guidelines. BMC Pediatr 2022; 22:160. [PMID: 35351033 PMCID: PMC8962144 DOI: 10.1186/s12887-022-03234-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Accepted: 03/22/2022] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND This study aimed to assess the quality of global guidelines or consensus statements for newborn and childhood hearing screening, as well as to compare various guidelines between other countries and China. METHODS A PROSPERO registered systematic review (number CRD42021242198) was conducted. Multiple electronic databases and government websites including PubMed, EMBASE, Web of Science, CENTRAL, Cochrane Library, and BMJ Best Practice were searched from inception until May 2021. The latest national and international guidelines, consensus statements, technical specifications, and recommendations regarding newborn or childhood hearing screening that were published in Chinese or English medical journals or elsewhere with the full version available online. The following information was extracted independently by two reviewers for comparative analysis: titles, authors, publication year, country, the source organization, and main key recommendations using systems for assigning the level of evidence and strength of recommendations. The quality of the guidelines was assessed by three independent reviewers using the Appraisal of Guidelines for Research and Evaluation, 2nd edition. Intraclass correlation coefficients (ICCs) were calculated to assess among-reviewer agreement. RESULTS We assessed 15 newborn and 6 childhood hearing screening guidelines, respectively. Most newborn guidelines recommend the 1-3-6 guidelines and pre-discharge screening; however, the specific screening times differ. 93.33% of newborn hearing guidelines recommend "primary screening-re-screening-diagnosis-intervention" for well-babies while 73.33% of the guidelines recommend "initial screening-diagnosis-intervention" for newborns in neonatal intensive care unit (NICU); 33.33% of the newborn hearing guidelines recommended initial screening coverage of > 95% while 46.66% did not mention it. Further, 26.66% of the newborn hearing guidelines recommended a referral rate to diagnosis within 4% while 60% did not mention it. Regarding childhood hearing screening guidelines, the screening populations differed across guidelines (age range: 0-9 years); most guidelines recommend pediatric hearing screening for all preschoolers. Only 50% of the guidelines specify screening and re-screening techniques, including pure-tone hearing screening, OAE, tympanometry, and others. The "Clarity of Presentation" domain achieved the highest mean score, and the lowest was "Editorial Independence" both in newborn and childhood guidelines. Overall score of newborn hearing screening guidelines ranged from 3 (2018 Europe) to 7 (2019 America), with an average score of 5.33. Average score of childhood hearing screening guidelines was 4.78, with the score ranging from 4 (2017 England, 2012 Europe, 2016 WHO) to 6.67 (2011 America). ICC analysis revealed excellent agreement across 21 guidelines (> 0.75). CONCLUSIONS These findings indicated newborn hearing screening guidelines had superior quality over childhood ones. Comparative analysis suggested that recommendations of the Chinese newborn and pediatric hearing screening protocols are consistent with the mainstream international opinion. Moreover, this analysis demonstrated that "Editorial Independence" and "Stakeholder Involvement" have the greatest opportunities for improvement. These results may help to advance the quality of hearing screening guidelines in clinical practice and guide evidence-based updates.
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Affiliation(s)
- Cheng Wen
- Key Laboratory of Otolaryngology, Head and Neck Surgery, Ministry of Education, Beijing Institute of Otolaryngology, Beijing Tongren Hospital, Capital Medical University, No. 17 Hougou Lane, Chongnei Street, Beijing, 100005, China
| | - Xuelei Zhao
- Key Laboratory of Otolaryngology, Head and Neck Surgery, Ministry of Education, Beijing Institute of Otolaryngology, Beijing Tongren Hospital, Capital Medical University, No. 17 Hougou Lane, Chongnei Street, Beijing, 100005, China
| | - Yue Li
- Key Laboratory of Otolaryngology, Head and Neck Surgery, Ministry of Education, Beijing Institute of Otolaryngology, Beijing Tongren Hospital, Capital Medical University, No. 17 Hougou Lane, Chongnei Street, Beijing, 100005, China
| | - Yiding Yu
- Key Laboratory of Otolaryngology, Head and Neck Surgery, Ministry of Education, Beijing Institute of Otolaryngology, Beijing Tongren Hospital, Capital Medical University, No. 17 Hougou Lane, Chongnei Street, Beijing, 100005, China
| | - Xiaohua Cheng
- Key Laboratory of Otolaryngology, Head and Neck Surgery, Ministry of Education, Beijing Institute of Otolaryngology, Beijing Tongren Hospital, Capital Medical University, No. 17 Hougou Lane, Chongnei Street, Beijing, 100005, China
| | - Xiaohong Li
- National Center for Birth Defect Monitoring of China, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China
| | - Kui Deng
- National Center for Birth Defect Monitoring of China, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China
| | - Xuelian Yuan
- National Center for Birth Defect Monitoring of China, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China
| | - Lihui Huang
- Key Laboratory of Otolaryngology, Head and Neck Surgery, Ministry of Education, Beijing Institute of Otolaryngology, Beijing Tongren Hospital, Capital Medical University, No. 17 Hougou Lane, Chongnei Street, Beijing, 100005, China.
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22
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Huang X, Wu D, Zhu L, Wang W, Yang R, Yang J, He Q, Zhu B, You Y, Xiao R, Zhao Z. Application of a next-generation sequencing (NGS) panel in newborn screening efficiently identifies inborn disorders of neonates. Orphanet J Rare Dis 2022; 17:66. [PMID: 35193651 PMCID: PMC8862216 DOI: 10.1186/s13023-022-02231-x] [Citation(s) in RCA: 22] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 02/06/2022] [Indexed: 11/10/2022] Open
Abstract
Background Newborn screening (NBS) has been implemented for neonatal inborn disorders using various technology platforms, but false-positive and false-negative results are still common. In addition, target diseases of NBS are limited by suitable biomarkers. Here we sought to assess the feasibility of further improving the screening using next-generation sequencing technology. Methods We designed a newborn genetic sequencing (NBGS) panel based on multiplex PCR and next generation sequencing to analyze 134 genes of 74 inborn disorders, that were validated in 287 samples with previously known mutations. A retrospective cohort of 4986 newborns was analyzed and compared with the biochemical results to evaluate the performance of this panel. Results The accuracy of the panel was 99.65% with all samples, and 154 mutations from 287 samples were 100% detected. In 4986 newborns, a total of 113 newborns were detected with biallelic or hemizygous mutations, of which 36 newborns were positive for the same disorder by both NBGS and conventional NBS (C-NBS) and 77 individuals were NBGS positive/C-NBS negative. Importantly, 4 of the 77 newborns were diagnosed currently including 1 newborn with methylmalonic acidemia, 1 newborn with primary systemic carnitine deficiency and 2 newborns with Wilson’s disease. A total of 1326 newborns were found to be carriers with an overall carrier rate of 26.6%. Conclusion Analysis based on next generation sequencing could effectively identify neonates affected with more congenital disorders. Combined with C-NBS, this approach may improve the early and accurate identification of neonates with inborn disorders. Our study lays the foundation for prospective studies and for implementing NGS-based analysis in NBS. Supplementary Information The online version contains supplementary material available at 10.1186/s13023-022-02231-x.
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Affiliation(s)
- Xinwen Huang
- Department of Genetics and Metabolism, Children's Hospital of Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, People's Republic of China
| | - Dingwen Wu
- Department of Genetics and Metabolism, Children's Hospital of Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, People's Republic of China.,Zhejiang Neonatal Screening Center, Department of Genetics and Metabolism, Children's Hospital of Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China
| | - Lin Zhu
- Hangzhou Biosan Clinical Laboratory Co. Ltd, 859 Shixiang West Road, Hangzhou, Zhejiang Province, People's Republic of China
| | - Wenjun Wang
- Hangzhou Biosan Clinical Laboratory Co. Ltd, 859 Shixiang West Road, Hangzhou, Zhejiang Province, People's Republic of China
| | - Rulai Yang
- Department of Genetics and Metabolism, Children's Hospital of Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, People's Republic of China
| | - Jianbin Yang
- Department of Genetics and Metabolism, Children's Hospital of Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, People's Republic of China
| | - Qunyan He
- Zhejiang Biosan Biochemical Technologies Co. Ltd, 859 Shixiang West Rd, Hangzhou, 310007, Zhejiang Province, People's Republic of China
| | - Bingquan Zhu
- Department of Genetics and Metabolism, Children's Hospital of Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, People's Republic of China.,Department of Child Healthcare, Children's Hospital of Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, People's Republic of China
| | - Ying You
- Zhejiang Biosan Biochemical Technologies Co. Ltd, 859 Shixiang West Rd, Hangzhou, 310007, Zhejiang Province, People's Republic of China
| | - Rui Xiao
- Zhejiang Biosan Biochemical Technologies Co. Ltd, 859 Shixiang West Rd, Hangzhou, 310007, Zhejiang Province, People's Republic of China.
| | - Zhengyan Zhao
- Department of Genetics and Metabolism, Children's Hospital of Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, People's Republic of China. .,Department of PediatricsChildren's Hospital of Zhejiang University School of Medicine, National Clinical Research Center for Child Health, 3333 Binsheng Rd, Hangzhou, 310052, Zhejiang Province, People's Republic of China.
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23
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Bachmann FL, MacDonald EN, Hjortkjær J. Neural Measures of Pitch Processing in EEG Responses to Running Speech. Front Neurosci 2022; 15:738408. [PMID: 35002597 PMCID: PMC8729880 DOI: 10.3389/fnins.2021.738408] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Accepted: 11/01/2021] [Indexed: 11/13/2022] Open
Abstract
Linearized encoding models are increasingly employed to model cortical responses to running speech. Recent extensions to subcortical responses suggest clinical perspectives, potentially complementing auditory brainstem responses (ABRs) or frequency-following responses (FFRs) that are current clinical standards. However, while it is well-known that the auditory brainstem responds both to transient amplitude variations and the stimulus periodicity that gives rise to pitch, these features co-vary in running speech. Here, we discuss challenges in disentangling the features that drive the subcortical response to running speech. Cortical and subcortical electroencephalographic (EEG) responses to running speech from 19 normal-hearing listeners (12 female) were analyzed. Using forward regression models, we confirm that responses to the rectified broadband speech signal yield temporal response functions consistent with wave V of the ABR, as shown in previous work. Peak latency and amplitude of the speech-evoked brainstem response were correlated with standard click-evoked ABRs recorded at the vertex electrode (Cz). Similar responses could be obtained using the fundamental frequency (F0) of the speech signal as model predictor. However, simulations indicated that dissociating responses to temporal fine structure at the F0 from broadband amplitude variations is not possible given the high co-variance of the features and the poor signal-to-noise ratio (SNR) of subcortical EEG responses. In cortex, both simulations and data replicated previous findings indicating that envelope tracking on frontal electrodes can be dissociated from responses to slow variations in F0 (relative pitch). Yet, no association between subcortical F0-tracking and cortical responses to relative pitch could be detected. These results indicate that while subcortical speech responses are comparable to click-evoked ABRs, dissociating pitch-related processing in the auditory brainstem may be challenging with natural speech stimuli.
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Affiliation(s)
- Florine L Bachmann
- Hearing Systems Section, Department of Health Technology, Technical University of Denmark, Lyngby, Denmark
| | - Ewen N MacDonald
- Department of Systems Design Engineering, University of Waterloo, Waterloo, ON, Canada
| | - Jens Hjortkjær
- Hearing Systems Section, Department of Health Technology, Technical University of Denmark, Lyngby, Denmark.,Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital - Amager and Hvidovre, Copenhagen, Denmark
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24
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Gordon KA, Papsin BC, Papaioannou V, Cushing SL. The Importance of Access to Bilateral Hearing through Cochlear Implants in Children. Semin Hear 2021; 42:381-388. [PMID: 34912166 PMCID: PMC8660169 DOI: 10.1055/s-0041-1739371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Children with hearing loss require early access to sound in both ears to support their development. In this article, we describe barriers to providing bilateral hearing and developmental consequences of delays during early sensitive periods. Barriers include late identification of hearing loss in one or both ears and delayed access to intervention with hearing devices such as cochlear implants. Effects of delayed bilateral input on the auditory pathways and brain are discussed as well as behavioral effects on speech perception and other developmental outcomes including language and academics. Evidence for these effects has supported an evolution in cochlear implant candidacy in children that was started with unilateral implantation in children with profound deafness bilaterally to bilateral implantation to implantation of children with asymmetric hearing loss including children with single-side deafness. Opportunities to enhance the developmental benefits of bilateral hearing in children with hearing loss are also discussed including efforts to improve binaural/spatial hearing and consideration of concurrent vestibular deficits which are common in children with hearing loss.
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Affiliation(s)
- Karen A Gordon
- Archie's Cochlear Implant Laboratory, The Hospital for Sick Children, Toronto, Canada.,Department of Communication Disorders, The Hospital for Sick Children, Toronto, Canada.,Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Canada
| | - Blake C Papsin
- Archie's Cochlear Implant Laboratory, The Hospital for Sick Children, Toronto, Canada.,Department of Otolaryngology, The Hospital for Sick Children, Toronto, Canada.,Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Canada
| | - Vicky Papaioannou
- Department of Communication Disorders, The Hospital for Sick Children, Toronto, Canada.,Department of Otolaryngology, The Hospital for Sick Children, Toronto, Canada.,Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Canada
| | - Sharon L Cushing
- Archie's Cochlear Implant Laboratory, The Hospital for Sick Children, Toronto, Canada.,Department of Otolaryngology, The Hospital for Sick Children, Toronto, Canada.,Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Canada
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25
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Cruz Marino T, Tardif J, Leblanc J, Lavoie J, Morin P, Harvey M, Thomas MJ, Pratte A, Braverman N. First glance at the molecular etiology of hearing loss in French-Canadian families from Saguenay-Lac-Saint-Jean's founder population. Hum Genet 2021; 141:607-622. [PMID: 34387732 DOI: 10.1007/s00439-021-02332-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Accepted: 08/04/2021] [Indexed: 11/24/2022]
Abstract
The French-Canadian population of Saguenay-Lac-Saint-Jean is known for its homogenous genetic background. The hereditary causes of hearing loss were previously unexplored in this population. Individuals with hearing loss were referred from the otorhinolaryngology, pediatrics and family physicians' clinics to the medical genetics service at the Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-Saint-Jean between June 2015 and March 2021. A regional clinical evaluation strategy was developed. Samples from 63 individuals belonging to 41 families were sent independently to different molecular clinical laboratories and index cases were analyzed through comprehensive multigene panels, with a diagnostic rate of 54%. Sixteen hearing loss causal variants were identified in 12 genes, with eight of these variants not been previously reported in the literature. Recurrent variants were present in four genes, suggesting a possible founder effect, while GJB2 gene variants were scarce. A comprehensive multigene panel approach as part of the proposed clinical evaluation strategy offers a high diagnostic yield for this population.
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Affiliation(s)
- Tania Cruz Marino
- Department of Laboratory Medicine, CIUSSS Saguenay-Lac-St-Jean, Saguenay-Lac-Saint-Jean, Canada.
| | - Jessica Tardif
- Department of Laboratory Medicine, CIUSSS Saguenay-Lac-St-Jean, Saguenay-Lac-Saint-Jean, Canada
| | - Josianne Leblanc
- Department of Laboratory Medicine, CIUSSS Saguenay-Lac-St-Jean, Saguenay-Lac-Saint-Jean, Canada
| | - Janie Lavoie
- Department of Otolaryngology-Head and Neck Surgery, CIUSSS Saguenay-Lac-St-Jean, Saguenay-Lac-Saint-Jean, Canada
| | - Pascal Morin
- Department of Otolaryngology-Head and Neck Surgery, CIUSSS Saguenay-Lac-St-Jean, Saguenay-Lac-Saint-Jean, Canada
| | - Michel Harvey
- Department of Otolaryngology-Head and Neck Surgery, CIUSSS Saguenay-Lac-St-Jean, Saguenay-Lac-Saint-Jean, Canada
| | - Marie-Jacqueline Thomas
- Department of Laboratory Medicine, CIUSSS Saguenay-Lac-St-Jean, Saguenay-Lac-Saint-Jean, Canada
| | - Annabelle Pratte
- Department of Laboratory Medicine, CIUSSS Saguenay-Lac-St-Jean, Saguenay-Lac-Saint-Jean, Canada
| | - Nancy Braverman
- Division of Medical Genetics, Department of Pediatrics and Human Genetics, McGill University, Montreal, Canada
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26
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Blanař V, Škvrňáková J, Pellant A, Vodička J, Praisler J, Boháčová E, Dršata J, Šenkeřík M, Chrobok V. Effectiveness of Neonatal Hearing Screening System: A 12-Year Single Centre Study in the Czech Republic. J Pediatr Nurs 2021; 59:e32-e37. [PMID: 33551192 DOI: 10.1016/j.pedn.2021.01.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 01/20/2021] [Accepted: 01/20/2021] [Indexed: 11/18/2022]
Abstract
PURPOSE The study aims to evaluate the number of examined newborns and the results of screening for twelve years (2008-2019) and to assess the effectiveness of the established system of neonatal hearing screening. DESIGN AND METHODS The study was designed as a retrospective longitudinal data analysis. The data included all the children (19,043) born in the hospital and also children (74) transferred from other healthcare facilities. A total of 19,117 children were included in the research group. RESULTS In the first three years, a higher number of children did not pass the hearing screening, which was followed by a declining trend in the following years. After the first year of screening (2008), there was an improvement in diagnosis linked with a decrease in false-positive screening results (from 9.4% to 6.4%; p = 0.002). From 2008 to 2015, the ratio of children with positive screening to those with negative screening had a steady or declining trend. CONCLUSIONS The results showed a reduction in false-positive results after the first year of the screening program, probably due to improved care management and a gradual increase in the skills of the nurses performing the screening. PRACTICE IMPLICATIONS The cornerstones of neonatal hearing screening are a sufficient number of trained neonatology nurses, their mutual substitutability and the availability of a hearing screening device in the newborn ward every day. The results imply the importance of periodic evaluation of the obtained data, enabling early detection of possible deficiencies in the hearing screening system.
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Affiliation(s)
- Vít Blanař
- Faculty of Health Studies, University of Pardubice, Pardubice, Czech Republic; Department of Otorhinolaryngology and Head and Neck Surgery, Pardubice Hospital, Hospitals of the Pardubice Region, Czech Republic.
| | - Jana Škvrňáková
- Faculty of Health Studies, University of Pardubice, Pardubice, Czech Republic; Department of Otorhinolaryngology and Head and Neck Surgery, Pardubice Hospital, Hospitals of the Pardubice Region, Czech Republic.
| | - Arnošt Pellant
- Faculty of Health Studies, University of Pardubice, Pardubice, Czech Republic; Department of Otorhinolaryngology and Head and Neck Surgery, Pardubice Hospital, Hospitals of the Pardubice Region, Czech Republic.
| | - Jan Vodička
- Faculty of Health Studies, University of Pardubice, Pardubice, Czech Republic; Department of Otorhinolaryngology and Head and Neck Surgery, Pardubice Hospital, Hospitals of the Pardubice Region, Czech Republic.
| | - Jaroslav Praisler
- Department of Otorhinolaryngology and Head and Neck Surgery, Pardubice Hospital, Hospitals of the Pardubice Region, Czech Republic.
| | - Eva Boháčová
- Department of Otorhinolaryngology and Head and Neck Surgery, Pardubice Hospital, Hospitals of the Pardubice Region, Czech Republic.
| | - Jakub Dršata
- Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Kralove, Charles University, Faculty of Medicine in Hradec Kralove, Czech Republic.
| | - Marian Šenkeřík
- Department of Paediatrics, Pardubice Hospital, Hospitals of the Pardubice Region, Czech Republic.
| | - Viktor Chrobok
- Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Kralove, Charles University, Faculty of Medicine in Hradec Kralove, Czech Republic.
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27
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Kadirogullari P, Yalcin Bahat P, Karabuk E, Bagci Cakmak K, Seckin KD. Effect of analgesia with pethidine during labour on false positivity of newborn hearing screening test. J Matern Fetal Neonatal Med 2021; 35:6254-6259. [PMID: 33882796 DOI: 10.1080/14767058.2021.1910661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVES Newborn hearing screening may fail due to some perinatal and neonatal factors. False positivity of newborn hearing screening increases costs, familial concerns and anxiety. The objective of this study was to determine the effects of pethidine administered in the mother for labor analgesia on the false positivity rates of the newborn hearing screening test. METHODS This study was designed as a retrospective and cross-sectional study. A total of 75 pregnant women scheduled for vaginal delivery who received 50 mg intramuscular pethidine at the beginning of the active phase of the labor were included as the patient group and 68 pregnant women who did not receive pethidine as the control group. A total of 143 infants born with vaginal delivery were evaluated with otoacoustic emission (OAE) test before discharge. Perinatal and neonatal variables and test outcomes were recorded, and the correlation between false positivity rate and pethidine usage was evaluated. RESULTS Initially, system records of 148 healthy term newborns were screened. Four patients who failed in both OAE tests and were referred to the Automated Auditory Brainstem Response (AABR) test and one patient who failed in all tests (first OAE, control OAE and AABR) and was referred to an upper center for further investigations and treatment were excluded from the study. No statistically significant difference was found between the groups in terms of birth features. First stage OAE test was reported as 'passed' in 8 (10.7%) and 58 (85.3%) newborns in the study and control groups, respectively; while OAE was reported as 'referred' and 'passed' in the second test in 67 (89.3%) and 10 (14.7%) newborns in the study and control groups, respectively. There was a statistically significant difference between both groups in terms of false positivity ratio (p < 0.5). CONCLUSION Pethidine significantly decreases the duration of the active phase, providing a good analgesic effect for pain management during labor. Therefore, it seems that pethidine can be used as an acceptable agent during labor. However, it may have neonatal effects after the delivery, causing false positivity in newborn hearing screening tests. The results of this study support the opinion that the OAE test should be performed in postpartum later dates in order to increase OAE passing rates and minimize costs and parents' concerns.
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Affiliation(s)
- Pinar Kadirogullari
- Department of Obstetrics and Gynecology, Acıbadem University Atakent Hospital, Istanbul, Turkey
| | - Pinar Yalcin Bahat
- Department of Obstetrics and Gynecology, Kanuni Sultan Suleyman Research and Training Hospital, Istanbul Health Sciences University, Istanbul, Turkey
| | - Emine Karabuk
- Department of Obstetrics and Gynecology, Acıbadem University Atakent Hospital, Istanbul, Turkey
| | - Kubra Bagci Cakmak
- Department of Obstetrics and Gynecology, Kanuni Sultan Suleyman Research and Training Hospital, Istanbul Health Sciences University, Istanbul, Turkey
| | - Kerem Doga Seckin
- Department of Obstetrics and Gynecology, Kanuni Sultan Suleyman Research and Training Hospital, Istanbul Health Sciences University, Istanbul, Turkey
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28
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Al-Balas HI, Nuseir A, Zaitoun M, Al-Balas M, Khamees A, Al-Balas H. The effects of mode of delivery, maternal age, birth weight, gender and family history on screening hearing results: A cross sectional study. Ann Med Surg (Lond) 2021; 64:102236. [PMID: 33868678 PMCID: PMC8040126 DOI: 10.1016/j.amsu.2021.102236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Revised: 03/12/2021] [Accepted: 03/18/2021] [Indexed: 11/24/2022] Open
Abstract
Introduction Congenital hearing impairment is one of the principal issues that make distress to families especially those with a family history of hearing problems. Early detection of hearing impairment can make a difference regarding cognitive, attention, learning, speech, and social and emotional development of babies. Otoacoustic test emission is a very common screening test that can be used to pick up early cases and relieve family stress. We tried to evaluate the factors that may disrupt our results regarding the OAE test. Methods A cross-sectional study included infants who were admitted to the nursery unit alone. Infants who were admitted to the NICU unit, infants with craniofacial anomalies, infants with vernix in the external auditory canal, and Infants with Stigmata associated with a syndrome known to include a sensorineural hearing loss were excluded from the study. Both transient evoked otoacoustic emissions (TEOAE) with distortion product otoacoustic emissions (DPOAE) Screening tests were performed by the same professional audiologist experienced in neonatal screening. Results A total of 1413 newborns (733 males and 680 females) were included in the study. Among them, 1368 babies (96.8%) passed the first OAE in both ears, while 45 babies (3.2%) didn't pass the first OAE in one or both ears.Significant correlations between the female gender and family history of congenital hearing loss with failure of the first OAE test results. Moreover, vaginal delivery (VD) infants had a 1.5-fold higher failure rates of first OAE test screening results in comparison to caesarian delivery (CD) infants. Conclusion Our study demonstrated higher failure rates of the first OAE in female infants, vaginal delivery infants, and infants with a family history of hearing impairment. It is recommended to postpone the first phase of hearing screening for those infants until the first scheduled vaccine appointment to achieve higher compliance attendance, and decrease family stress associated with false-negative results of the test. Hearing impairment is a stressful condition that disturbs family quality of life. Early detection of hearing impairment can make a difference in child development. Otoacoustic test emission is a screening test with considerable reliability. Early Otoacoustic test can have false negative results in specific condition. Postpone the first phase of hearing screening decrease the family stress.
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Affiliation(s)
| | - Amjad Nuseir
- Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Jordan
| | - Maha Zaitoun
- Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Jordan
| | - Mahmoud Al-Balas
- Department of General and Special Surgery, Faculty of Medicine, Hashemite University, Zarqa, Jordan
| | | | - Hamzeh Al-Balas
- Department of General and Special Surgery, Faculty of Medicine, Hashemite University, Zarqa, Jordan
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29
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Mackey AR, Bussé AML, Hoeve HLJ, Goedegebure A, Carr G, Simonsz HJ, Uhlén IM. Assessment of hearing screening programmes across 47 countries or regions II: coverage, referral, follow-up and detection rates from newborn hearing screening. Int J Audiol 2021; 60:831-840. [PMID: 33686919 DOI: 10.1080/14992027.2021.1886351] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVES To assess the performance of newborn hearing screening (NHS) programmes, through selected quality measures and their relationship to protocol design. DESIGN NHS coverage, referral, follow-up and detection rates were aggregated. Referral rates were compared to age at screening step 1, number of steps, and test method: OAE or aABR. STUDY SAMPLE A questionnaire on existing hearing screening was completed by experts from countries in Europe, plus Russia, Malawi, Rwanda, India and China. RESULTS Out of 47 countries or regions, NHS coverage rates were reported from 26, referral rates from 23, follow up from 12 and detection rates from 13. Median coverage rate for step 1 was 96%. Referral rate from step 1 was 6-22% where screening may be performed <24 h from birth, 2-15% for >24 h, and 4% for >72 h. Referral rates to diagnostic assessment averaged 2.1% after one to two steps using OAE only, 1.7% after two steps including aABR, and 0.8% after three to four steps including aABR. Median detection rate for bilateral permanent hearing impairment ≥40dB was 1 per 1000 infants. CONCLUSION Referral rates were related to age, test method and number of screening steps. Quality measures were not available for many NHS programmes.
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Affiliation(s)
| | - Andrea M L Bussé
- Department of Otorhinolaryngology and Head and Neck Surgery and Department of Ophthalmology, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Hans L J Hoeve
- Department of Otorhinolaryngology and Head and Neck Surgery and Department of Ophthalmology, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - André Goedegebure
- Department of Otorhinolaryngology and Head and Neck Surgery and Department of Ophthalmology, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Gwen Carr
- Early Hearing Detection, Intervention and Family Centered Practice, London, UK
| | - Huibert J Simonsz
- Department of Otorhinolaryngology and Head and Neck Surgery and Department of Ophthalmology, Erasmus University Medical Center, Rotterdam, The Netherlands
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30
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Chorath K, Garza L, Tarriela A, Luu N, Rajasekaran K, Moreira A. Clinical practice guidelines on newborn hearing screening: A systematic quality appraisal using the AGREE II instrument. Int J Pediatr Otorhinolaryngol 2021; 141:110504. [PMID: 33229031 DOI: 10.1016/j.ijporl.2020.110504] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 11/12/2020] [Accepted: 11/13/2020] [Indexed: 12/21/2022]
Abstract
INTRODUCTION Several guidelines and consensus statements have been produced and disseminated for the detection and management of newborn hearing loss. However, to date, the quality and methodologic rigor of these screening and management protocols have not been appraised. OBJECTIVE To identify and evaluate existing guidelines and consensus statements for the detection and management of neonatal hearing loss. METHODS A comprehensive search of EMBASE, MEDLINE/PubMed, SCOPUS and grey literature sources was conducted until August 2020. The quality of these guidelines was assessed by four independent reviewers using the Appraisal of Guidelines for Research and Evaluation, 2nd edition (AGREE II). Domain scores were considered satisfactory quality if they scored >60%, and intraclass correlation coefficients (ICC) were calculated to assess agreement among the appraisers. RESULTS Twelve guidelines were assessed for critical evaluation. Only two guidelines were classified as 'high quality', and the remaining were 'average' or 'low quality'. The 'Scope and Purpose' domain achieved the highest mean score (91.3% ± 5.8%), and lowest was 'Rigor of Development' (35.8% ± 19.1%). ICC analysis showed good to very good agreement across all domains (0.63-0.95). CONCLUSION These findings highlight the variability in methodologic quality of guidelines and consensus statement for the detection and management of neonatal hearing loss. These results may help to improve the reporting of future guidelines and guide the selection and use of these guidelines in clinical practice.
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Affiliation(s)
- Kevin Chorath
- Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, PA, USA.
| | - Luis Garza
- Department of Pediatrics, University of Texas Health-San Antonio, San Antonio, TX, USA
| | - Aina Tarriela
- Department of Pediatrics, University of Texas Health-San Antonio, San Antonio, TX, USA
| | - Neil Luu
- Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, PA, USA
| | - Karthik Rajasekaran
- Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, PA, USA
| | - Alvaro Moreira
- Department of Pediatrics, University of Texas Health-San Antonio, San Antonio, TX, USA
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31
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Michniewicz B, Wroblewska-Seniuk K, Amara JA, Al-Saad SR, Szyfter W, Karbowski LM, Gadzinowski J, Szymankiewicz M, Szpecht D. Hearing Impairment in Infants with Hypoxic Ischemic Encephalopathy Treated with Hypothermia. Ther Hypothermia Temp Manag 2021; 12:8-15. [PMID: 33512300 DOI: 10.1089/ther.2020.0043] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Therapeutic hypothermia acts as the standard of care for infants with moderate to severe hypoxic ischemic encephalopathy (HIE). A proportion of neonates who undergo hypothermia due to HIE have shown to develop various degrees of hearing impairment. Analyzing and identifying infants at high risk of developing hearing difficulties is fundamental for early intervention of such auditory complications. The aim was to assess clinical factors in the development of hearing impairment following therapeutic hypothermia in HIE infants. A retrospective analysis was performed on infants hospitalized in our neonatology department in Poznan University of Medical Sciences, Poland. All infants experienced moderate to severe HIE, and were treated with therapeutic hypothermia. Risk factors for hearing impairment were identified in all infants included in the study. Clinical data during hospital stay and follow-up hearing status were analyzed. A total of 87 HIE infants were included in the study. Seventy-six infants (40 male and 36 female) had otoacoustic emission (OAE) examination following birth, of which 14 (18.4%) demonstrated abnormal (positive) results. Infants with abnormal OAE results had significantly lower blood pH (6.86 ± 0.16, p = 0.001) and base excess (BE) (-22.46 ± 2.59, p = 0.006). Of the 49 infants who returned for follow-up assessment, 4 (8.2%) were diagnosed with sensorineural bilateral hearing impairment (1 infant, mild [<40 dB], 2 moderate [41-70 dB], and 1 profound [>90 dB]). The biochemical analysis following birth revealed significantly lower umbilical BE levels (-23.90 ± 4.99, p = 0.041) and higher lactate levels (160.67 ± 4.93, p = 0.019) in the infants with eventual sensorineural hearing deficit. Infants with moderate or severe HIE are at risk of delayed onset hearing loss. Diligent efforts to monitor auditory status are required, even if early screening results for hearing are insignificant. Exploring biochemical parameters, such as lactate, BE, and blood pH, can prove beneficial in identifying HIE infants at risk of developing a hearing impairment.
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Affiliation(s)
- Barbara Michniewicz
- Chair and Department of Neonatology, Poznan University of Medical Sciences, Poznań, Poland
| | | | - Jasmine A Amara
- Students' Research Group at the Department of Neonatology, and Poznan University of Medical Sciences, Poznań, Poland
| | - Salwan R Al-Saad
- Students' Research Group at the Department of Neonatology, and Poznan University of Medical Sciences, Poznań, Poland
| | - Witold Szyfter
- Department of Otolaryngology and Oncological Laryngology, Poznan University of Medical Sciences, Poznań, Poland
| | - Lukasz M Karbowski
- Students' Research Group at the Department of Neonatology, and Poznan University of Medical Sciences, Poznań, Poland
| | - Janusz Gadzinowski
- Chair and Department of Neonatology, Poznan University of Medical Sciences, Poznań, Poland
| | - Marta Szymankiewicz
- Chair and Department of Neonatology, Poznan University of Medical Sciences, Poznań, Poland
| | - Dawid Szpecht
- Chair and Department of Neonatology, Poznan University of Medical Sciences, Poznań, Poland
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Zhou JH, Yu K, Ding H, Zhu ZH, Han LH, Zhang T. A Clinical Study on Gestational Diabetes Mellitus and the Hearing of Newborns. Diabetes Metab Syndr Obes 2021; 14:2879-2882. [PMID: 34234485 PMCID: PMC8254026 DOI: 10.2147/dmso.s290647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Accepted: 05/31/2021] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE This study aimed to explore the impact of gestational diabetes mellitus (GDM) on the results of newborn hearing screening. METHODS A total of 666 pregnant women who gave birth in the Obstetric Department of Sunshine Ronghe Hospital from August 2017 to May 2018 were randomly selected, and 69 of these pregnant women had GDM and were assigned into group 1 (excluding other diseases). The average age of these patients was 31.07 years. A further 597 pregnant women had no GDM and were assigned into group 2 (excluding other diseases). The average age of these patients was 30.02 years. The results of newborn hearing screening results in group 1 and group 2 were compared. RESULTS Comparisons of abnormal hearing screening between 2 groups are significant different (P < 0.05). In the GDM group, the results of hearing screening of newborns delivered by vaginal delivery and cesarean delivery were compared, yielding a P-value of > 0.05, and the difference was not statistically significant. In the non-GDM group, the results of hearing screening of newborns delivered by vaginal delivery and cesarean delivery were compared, yielding a P-value of >0.05, and the difference was not statistically significant. CONCLUSION GDM increases the incidence of abnormal hearing in newborns.
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Affiliation(s)
- Jun-Hong Zhou
- Department of Obstetrics, Sunshine Union Hospital, Weifang, 261000, Shandong, People’s Republic of China
| | - Kang Yu
- The Reproductive Medicine Center of Weifang People’s Hospital, Weifang, 261000, Shandong, People’s Republic of China
| | - Hui Ding
- Department of Obstetrics, Sunshine Union Hospital, Weifang, 261000, Shandong, People’s Republic of China
| | - Zhao-Hua Zhu
- Department of Obstetrics, Traditional Chinese Medicine Hospital of Weifang, Weifang, 261000, Shandong, People’s Republic of China
| | - Li-Hua Han
- Department of Obstetrics, Sunshine Union Hospital, Weifang, 261000, Shandong, People’s Republic of China
| | - Ting Zhang
- Department of Obstetrics, Sunshine Union Hospital, Weifang, 261000, Shandong, People’s Republic of China
- Correspondence: Ting Zhang; Hui Ding Department of Obstetrics, Sunshine Union Hospital, No. 9000 of Yingqian Street, Kuiwen District, Weifang, 261000, Shangdong, People’s Republic of ChinaTel +86 15169502878 Email ;
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Kaplama ME, Yukkaldiran A, Ak S. Newborn hearing screening results: Comparison of Syrian and Turkish newborns; factors influencing the difference. Int J Pediatr Otorhinolaryngol 2020; 138:110390. [PMID: 33152981 DOI: 10.1016/j.ijporl.2020.110390] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Accepted: 09/15/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVES This study aimed to compare the hearing screening results of Syrian and Turkish newborns and reveal the risk factors faced by Syrian refugees. METHODS The neonatal hearing screening results of newborns born in, or admitted to, the Sanliurfa Research and Education Hospital, Sanliurfa/Turkey, between January 01, 2018, and December 31, 2018, were analyzed. Newborns with congenital anomalies and syndromes were excluded from the study. Also, the neonatal hearing screening results and risk factors of newborns diagnosed with hearing loss were analyzed. RESULTS A total of 6034 Syrian and 37,219 Turkish newborns were included in the study. Hearing loss was found in 84 (0.2%) of 37,219 Turkish newborns and 26 (0.4%) of 6034 Syrian newborns. In this study, the risk factors such as consanguineous marriages, familial hearing loss, hospitalization in intensive care, prematurity, low birth weight (less than 1500 g), hyperbilirubinemia, use of ototoxic drugs, history of congenital infection, blood incompatibility, and trauma at birth were found in newborns with hearing loss. The risk factors were present in 41.7% of Turkish newborns and 65.4% of Syrian newborns with hearing loss. CONCLUSIONS The high hearing loss rates found in Syrian newborns showed how accurate it was to include the Syrian migrants born in Turkey into the neonatal hearing screening program and the newborns with hearing loss into appropriate rehabilitation programs. Further studies should focus on the risk factors faced by Syrian migrants so that the number of Syrian newborns with hearing loss can be reduced.
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Affiliation(s)
- Mehmet Erkan Kaplama
- University of Health Sciences, M. Akif Inan Research Hospital, Department of Otorhinolaryngology, Sanliurfa, Turkey.
| | - Ahmet Yukkaldiran
- Sanliurfa Education and Research Hospital, Department of Otorhinolaryngology, Sanliurfa, Turkey.
| | - Semih Ak
- University of Health Sciences, M. Akif Inan Research Hospital, Department of Otorhinolaryngology, Sanliurfa, Turkey.
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Thorpe RK, Smith RJH. Future directions for screening and treatment in congenital hearing loss. PRECISION CLINICAL MEDICINE 2020; 3:175-186. [PMID: 33209510 PMCID: PMC7653508 DOI: 10.1093/pcmedi/pbaa025] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 07/06/2020] [Accepted: 07/12/2020] [Indexed: 02/06/2023] Open
Abstract
Hearing loss is the most common neurosensory deficit. It results from a 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.
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Affiliation(s)
- Ryan K Thorpe
- Molecular Otolaryngology and Renal Research Laboratories, Carver College of Medicine, University of Iowa, 375 Newton Rd, Iowa City, IA 52242, USA
- Department of Otolaryngology – Head and Neck Surgery, University of Iowa, 200 Hawkins Dr, Iowa City, IA 52242, USA
| | - Richard J H Smith
- Molecular Otolaryngology and Renal Research Laboratories, Carver College of Medicine, University of Iowa, 375 Newton Rd, Iowa City, IA 52242, USA
- Department of Otolaryngology – Head and Neck Surgery, University of Iowa, 200 Hawkins Dr, Iowa City, IA 52242, USA
- The Interdisciplinary Graduate Program in Genetics, University of Iowa, 375 Newton Rd, Iowa City, IA 52242, USA
- Iowa Institute of Human Genetics, University of Iowa, 375 Newton Rd, Iowa City, IA 52242, USA
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Qirjazi B, Toçi E, Tushe E, Burazeri G, Roshi E. Mothers' perceptions of universal newborn hearing screening in transitional Albania. PLoS One 2020; 15:e0237815. [PMID: 32822384 PMCID: PMC7444524 DOI: 10.1371/journal.pone.0237815] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Accepted: 08/03/2020] [Indexed: 11/25/2022] Open
Abstract
The universal newborn hearing screening (UNHS) component of the multi-center EUSCREEN project is being piloted in Albania since January 1st 2018. The aim of this study was to explore mothers’ perceptions about various elements of UNHS in Albania. A cross-sectional study was carried out in the three sites of UNHS in Albania, namely in Tirana, Kukës and Pogradec during May-June 2019. During this period 512 consecutively approached mothers giving birth to included maternity hospitals were interviewed face-to-face about different aspects of UNHS. Basic socio-demographic and socioeconomic information was also collected. Mean age of participating mothers was 28.6 years ± 5.5 years. The overwhelming majority (93%) of mothers knew what their baby was being tested for, 33% were aware that hearing screening was offered in maternity hospital, 94% were very satisfied/satisfied with UNHS and about 62% were very stressed/stressed waiting for screening results, with significant sociodemographic and socioeconomic differences. The main information source about UNHS was screening staff in the maternity hospitals where mothers gave birth, reported in 67% of cases. All mothers (100%) agreed on the importance of early detection of newborn hearing problems, all mothers were willing to be informed early if their newborn baby had a hearing problem and all mothers were willing to contribute financially for testing the hearing of their newborn baby. These findings should guide information and education campaigns about UNHS in Albania. The public willingness to financially support neonatal hearing testing should be considered as an opportunity to achieve universal newborn hearing screening in the country.
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Affiliation(s)
- Birkena Qirjazi
- Faculty of Medicine, University of Medicine, Tirana, Tirana, Albania
- Institute of Public Health, Tirana, Albania
| | - Ervin Toçi
- Faculty of Medicine, University of Medicine, Tirana, Tirana, Albania
- Institute of Public Health, Tirana, Albania
- * E-mail:
| | - Eduard Tushe
- University Maternity Hospital “Koço Gliozheni”, Tirana, Albania
| | - Genc Burazeri
- Faculty of Medicine, University of Medicine, Tirana, Tirana, Albania
| | - Enver Roshi
- Faculty of Medicine, University of Medicine, Tirana, Tirana, Albania
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Khurana P, Cushing SL, Chakraborty PK, Dunn JK, Papaioannou VA, Moodie RG, Papsin BC, Wong PD. Early hearing detection and intervention in Canada. Paediatr Child Health 2020; 26:141-144. [PMID: 33936331 DOI: 10.1093/pch/pxaa064] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2019] [Accepted: 04/19/2020] [Indexed: 11/13/2022] Open
Affiliation(s)
- Puneeta Khurana
- Division of Paediatric Medicine, Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, Ontario
| | - Sharon L Cushing
- Department of Otolaryngology, Head and Neck Surgery, Hospital for Sick Children Faculty of Medicine, University of Toronto, Toronto, Ontario
| | - Pranesh K Chakraborty
- Division of Metabolics, Department of Paediatrics, University of Ottawa, Ottawa, Ontario
| | - Jessica K Dunn
- Division of Infectious Diseases, Department of Paediatrics, University of Ottawa, Ottawa, Ontario
| | - Vicky A Papaioannou
- Department of Otolaryngology, Head and Neck Surgery, Hospital for Sick Children Faculty of Medicine, University of Toronto, Toronto, Ontario
| | - Rosemary G Moodie
- Division of Neonatology, Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, Ontario
| | - Blake C Papsin
- Department of Otolaryngology, Head and Neck Surgery, Hospital for Sick Children Faculty of Medicine, University of Toronto, Toronto, Ontario
| | - Peter D Wong
- Division of Paediatric Medicine, Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, Ontario.,Division of Clinical Public Health, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario
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Sohal K, Moshy J, Owibingire S, Shuaibu I. Hearing loss in children: A review of literature. JOURNAL OF MEDICAL SCIENCES 2020. [DOI: 10.4103/jmedsci.jmedsci_166_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Wang Q, Xiang J, Sun J, Yang Y, Guan J, Wang D, Song C, Guo L, Wang H, Chen Y, Leng J, Wang X, Zhang J, Han B, Zou J, Yan C, Zhao L, Luo H, Han Y, Yuan W, Zhang H, Wang W, Wang J, Yang H, Xu X, Yin Y, Morton CC, Zhao L, Zhu S, Shen J, Peng Z. Nationwide population genetic screening improves outcomes of newborn screening for hearing loss in China. Genet Med 2019; 21:2231-2238. [PMID: 30890784 DOI: 10.1038/s41436-019-0481-6] [Citation(s) in RCA: 38] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Accepted: 02/27/2019] [Indexed: 11/08/2022] Open
Abstract
PURPOSE The benefits of concurrent newborn hearing and genetic screening have not been statistically proven due to limited sample sizes and outcome data. To fill this gap, we analyzed outcomes of newborns with genetic screening results. METHODS Newborns in China were screened for 20 hearing-loss-related genetic variants from 2012 to 2017. Genetic results were categorized as positive, at-risk, inconclusive, or negative. Hearing screening results, risk factors, and up-to-date hearing status were followed up via phone interviews. RESULTS Following up 12,778 of 1.2 million genetically screened newborns revealed a higher rate of hearing loss by three months of age among referrals from the initial hearing screening (60% vs. 5.0%, P < 0.001) and a lower rate of lost-to-follow-up/documentation (5% vs. 22%, P < 0.001) in the positive group than in the inconclusive group. Importantly, genetic screening detected 13% more hearing-impaired infants than hearing screening alone and identified 2,638 (0.23% of total) newborns predisposed to preventable ototoxicity undetectable by hearing screening. CONCLUSION Incorporating genetic screening improves the effectiveness of newborn hearing screening programs by elucidating etiologies, discerning high-risk subgroups for vigilant management, identifying additional children who may benefit from early intervention, and informing at-risk newborns and their maternal relatives of increased susceptibility to ototoxicity.
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Affiliation(s)
- Qiuju Wang
- Department of Otolaryngology-Head and Neck Surgery, Chinese PLA Institute of Otolaryngology, Chinese PLA General Hospital, Beijing, China
| | | | - Jun Sun
- Tianjin Medical Laboratory, BGI-Tianjin, BGI-Shenzhen, Tianjin, China
- Binhai Genomics Institute, BGI-Tianjin, BGI-Shenzhen, Tianjin, China
| | - Yun Yang
- BGI Genomics, BGI-Shenzhen, Shenzhen, China
| | - Jing Guan
- Department of Otolaryngology-Head and Neck Surgery, Chinese PLA Institute of Otolaryngology, Chinese PLA General Hospital, Beijing, China
| | - Dayong Wang
- Department of Otolaryngology-Head and Neck Surgery, Chinese PLA Institute of Otolaryngology, Chinese PLA General Hospital, Beijing, China
| | - Cui Song
- Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
- Children's Hospital of Chongqing Medical University, Chongqing, China
| | - Ling Guo
- Jining Maternal and Child Health Care Service Center, Jining, China
| | - Hongyang Wang
- Department of Otolaryngology-Head and Neck Surgery, Chinese PLA Institute of Otolaryngology, Chinese PLA General Hospital, Beijing, China
| | - Yaqiu Chen
- Tianjin Women and Children's Health Centre, Tianjing, China
| | - Junhong Leng
- Tianjin Women and Children's Health Centre, Tianjing, China
| | - Xiaman Wang
- BGI Clinical Laboratory, BGI-Shenzhen, Shenzhen, China
| | - Junqing Zhang
- Tianjin Medical Laboratory, BGI-Tianjin, BGI-Shenzhen, Tianjin, China
| | - Bing Han
- Department of Otolaryngology-Head and Neck Surgery, Chinese PLA Institute of Otolaryngology, Chinese PLA General Hospital, Beijing, China
| | - Jing Zou
- MGI, BGI-Shenzhen, Shenzhen, China
| | | | - Lidong Zhao
- Department of Otolaryngology-Head and Neck Surgery, Chinese PLA Institute of Otolaryngology, Chinese PLA General Hospital, Beijing, China
| | - Hongyu Luo
- BGI Genomics, BGI-Shenzhen, Shenzhen, China
| | - Yuan Han
- Wuhan BGI Clinical Laboratory, BGI-Shenzhen, Wuhan, China
| | - Wen Yuan
- Wuhan BGI Clinical Laboratory, BGI-Shenzhen, Wuhan, China
| | - Hongyun Zhang
- BGI Clinical Laboratory, BGI-Shenzhen, Shenzhen, China
| | - Wei Wang
- BGI-Beijing, BGI-Shenzhen, Beijing, China
| | - Jian Wang
- BGI-Shenzhen, Shenzhen, China
- James D. Watson Institute of Genome Sciences, Hangzhou, China
| | - Huanming Yang
- BGI-Shenzhen, Shenzhen, China
- James D. Watson Institute of Genome Sciences, Hangzhou, China
| | - Xun Xu
- BGI-Shenzhen, Shenzhen, China
- China National GeneBank, BGI-Shenzhen, Shenzhen, China
| | - Ye Yin
- BGI Genomics, BGI-Shenzhen, Shenzhen, China
| | - Cynthia C Morton
- Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
- Manchester Center for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, UK
- Broad Institute of Harvard and MIT, Cambridge, MA, USA
| | - Lijian Zhao
- BGI Clinical Laboratory, BGI-Shenzhen, Shenzhen, China.
| | - Shida Zhu
- BGI-Shenzhen, Shenzhen, China.
- China National GeneBank, BGI-Shenzhen, Shenzhen, China.
- Shenzhen Engineering Laboratory for Innovative Molecular Diagnostics, Shenzhen, China.
| | - Jun Shen
- Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
| | - Zhiyu Peng
- BGI Genomics, BGI-Shenzhen, Shenzhen, China.
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Kanji A, Khoza-Shangase K. Risk factors for hearing impairment in neonates in South Africa: scoping the context for newborn hearing screening planning. J Matern Fetal Neonatal Med 2019; 34:2107-2116. [PMID: 31434520 DOI: 10.1080/14767058.2019.1658732] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
PURPOSE The current study aimed to describe the medical case history factors in a group of neonates admitted to high care and Kangaroo Mother Care wards at two hospitals in Gauteng, South Africa and to explore the relationship between specific case history factors and audiological outcomes. METHODS This study was part of a bigger study titled "Early detection of hearing loss: exploring risk-based hearing screening within a developing country context" where all case history data were recorded from participant medical files at the time of an initial hearing screening, through the use of a case history form that was developed for this study. Results were analyzed using descriptive statistics. The relationship between case history factors and audiological outcomes was analyzed using Fisher's exact test. RESULTS Findings revealed that, of all the case history data, preterm birth (95.7%), exposure to ototoxic medication (87.7%), neonatal jaundice (NNJ) (80.6%), and birthweight below 1500 g (66.7%) were the most frequently occurring case history factors in this South African sample. No statistically significant association was found between these frequently occurring case history factors and the repeat hearing screening outcomes in this sample. CONCLUSIONS Risk factors for hearing impairment cannot be viewed in isolation but should be considered in relation to their interaction with multiple other risk factors. Contextually understanding the profile of high risk has implications for medical intervention, as well as for the field of Audiology where planning for early identification and intervention services for hearing impairment is vital. Such contextually relevant evidence allows for a snap shot of how this population presents, what their needs and requirements are, and their possible future requirements; hence, raising important planning implications for the department of health and for targeted newborn hearing screening as well as early childhood intervention within the South African context.
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Affiliation(s)
- Amisha Kanji
- Department of Speech Pathology and Audiology, University of the Witwatersrand, Johannesburg, South Africa
| | - Katijah Khoza-Shangase
- Department of Speech Pathology and Audiology, University of the Witwatersrand, Johannesburg, South Africa
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Lee JM, Lee HJ, Jung J, Moon IS, Kim SH, Kim J, Choi JY. Lessons From an Analysis of Newborn Hearing Screening Data for Children With Cochlear Implants. Otol Neurotol 2019; 40:e909-e917. [PMID: 31436632 DOI: 10.1097/mao.0000000000002339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES The aims of the study are to identify the limitations of the current newborn hearing screening (NHS) programs and provide recommendations for better protocols. STUDY DESIGN Retrospective analysis. SETTING Tertiary referral center. PATIENTS The study participants were 185 children who received cochlear implants (CIs) at ≤5 years of age. INTERVENTIONS Therapeutic and rehabilitative. MAIN OUTCOME MEASURES The results of NHS, screening tools used, age, and hearing thresholds at which hearing loss was confirmed, causes of the hearing loss, age of CI insertion, aided pure-tone audiogram findings, and language development level were analyzed. RESULTS NHS data was available for 109 children, and 24 patients (22.0%) had passed NHS for both ears. Hearing loss was confirmed considerably later in children who had passed NHS than in children who were referred for further evaluation (p < 0.01). The most common cause for hearing loss in the NHS-pass group was SLC26A4 mutations (41.7%). Patients in the NHS-pass group received CIs considerably later than those in the NHS-referred group (p < 0.01). Among patients with SLC26A4 mutations, the language development level was significantly lower in the NHS-pass group than in the NHS-referred group (p < 0.01). CONCLUSIONS Careful counseling regarding NHS results is necessary for parents to understand that the absence of hearing loss at birth does not mean that the child will not develop hearing loss later in life. Genetic testing for SLC26A4 mutations may be necessary in regions with a high incidence of these mutations, such as East Asia.
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Affiliation(s)
- Jeon Mi Lee
- Department of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang
| | - Hyun Jin Lee
- Department of Otorhinolaryngology, Incheon St. Mary's Hospital, The Catholic University of Korea
| | - Jinsei Jung
- Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea
| | - In Seok Moon
- Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea
| | - Sung Huhn Kim
- Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea
| | - Jin Kim
- Department of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang
| | - Jae Young Choi
- Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea
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Barr M, Dally K, Duncan J. Service accessibility for children with hearing loss in rural areas of the United States and Canada. Int J Pediatr Otorhinolaryngol 2019; 123:15-21. [PMID: 31054536 DOI: 10.1016/j.ijporl.2019.04.028] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/11/2019] [Revised: 04/18/2019] [Accepted: 04/19/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVES Children in rural areas have difficulty accessing the same services as their urban peers, which is a particular challenge in large countries such as the U.S. and Canada. Despite known problems providing services in rural areas, there is limited research investigating services for children with hearing loss living in rural areas. This scoping review examines the accessibility of services for children with hearing loss in rural U.S. and Canada. METHODS The search strategy included four databases and gray literature from 2008-2018. Eight government documents and 16 articles met the inclusion criteria and the main findings in the literature were themed. RESULTS Children with hearing loss, experienced difficulties accessing specialized services which influenced the timing of diagnosis of hearing loss, receiving hearing technology and accessing ongoing support. Families in rural areas also had access to less information about hearing loss than urban families. Managing funding and health insurance was also a challenge for families in rural areas. CONCLUSION The limited research in this area indicates that children with hearing loss in rural areas can experience barriers when accessing the same services as their urban peers. Limited service provision can negatively influence outcomes for children with hearing loss. Alternate service delivery such as teleintervention and visiting specialists can improve service provision in rural areas. Comprehensive research of the experience of children with hearing loss across states, provinces and territories would guide improvements to services for children with hearing loss in rural areas of the U.S. and Canada.
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Affiliation(s)
- Megan Barr
- The University of Newcastle, Special and Inclusive Education, University Drive, Callaghan, NSW, 2308, Australia.
| | - Kerry Dally
- The University of Newcastle, Special and Inclusive Education, University Drive, Callaghan, NSW, 2308, Australia.
| | - Jill Duncan
- The University of Newcastle, Special and Inclusive Education, University Drive, Callaghan, NSW, 2308, Australia.
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Olarte M, Bermúdez Rey MC, Beltran AP, Guerrero D, Suárez-Obando F, López G, García M, Ospina JC, Fonseca C, Bertolotto AM, Aldana N, Gelvez N, Tamayo ML. Detection of hearing loss in newborns: Definition of a screening strategy in Bogotá, Colombia. Int J Pediatr Otorhinolaryngol 2019; 122:76-81. [PMID: 30978473 DOI: 10.1016/j.ijporl.2019.03.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Revised: 03/13/2019] [Accepted: 03/14/2019] [Indexed: 10/27/2022]
Abstract
OBJECTIVE To describe the results from the hearing screening protocol adopted in a Hospital in Colombia emphasizing the importance of performing screening on an outpatient basis, when the newborn is more than 24 h old. METHODS A prospective study at Hospital Universitario San Ignacio in Bogota, Colombia was carried out, from May 1st, 2016 to Nov 30th, 2017, the study sample included 2.088 newborns examined using transient otoacoustic emissions. RESULTS We obtained written consent from the parents of 1.523 newborns and 24 individuals (1.6%) failed the first stage of the screening, nine cases unilateral and 15 bilateral. A total of nine neonates (0,6%) failed the second screening test, six cases unilateral and three bilateral. Four (0,3%) did not return to the second test. Our false altered screening rate was 0.7%. CONCLUSIONS In a developing country with limited human and economic resources, in which newborn early discharge is the norm, a newborn hearing screening program linked to infants' check-ups, that uses otoacoustic emissions after 48 h of life, seems a feasible option compare to the standard US protocol aiming to conduct hearing screening prior to discharge.
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Affiliation(s)
- Margarita Olarte
- Instituto de Genética Humana, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Carrera 7 # 40-62, Colombia
| | - María Carolina Bermúdez Rey
- Unidad de Otorrinolaringología, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Carrera 7 # 40-62, Colombia
| | - Angela P Beltran
- Instituto de Genética Humana, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Carrera 7 # 40-62, Colombia
| | - Diana Guerrero
- Unidad de Otorrinolaringología, Hospital Universitario San Ignacio, Bogotá, Carrera 7 # 40-62, Colombia
| | - Fernando Suárez-Obando
- Instituto de Genética Humana, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Carrera 7 # 40-62, Colombia; Servicio de Genética, Hospital Universitario San Ignacio, Bogotá, Carrera 7 # 40-62, Colombia
| | - Greizy López
- Instituto de Genética Humana, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Carrera 7 # 40-62, Colombia
| | - Mary García
- Instituto de Genética Humana, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Carrera 7 # 40-62, Colombia
| | - Juan C Ospina
- Unidad de Otorrinolaringología, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Carrera 7 # 40-62, Colombia; Unidad de Otorrinolaringología, Hospital Universitario San Ignacio, Bogotá, Carrera 7 # 40-62, Colombia
| | - Carol Fonseca
- Unidad de Otorrinolaringología, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Carrera 7 # 40-62, Colombia
| | - Ana M Bertolotto
- Servicio de Pediatría, Hospital Universitario San Ignacio, Bogotá, Carrera 7 # 40-62, Colombia; Departamento de Pediatría, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Carrera 7 # 40-62, Colombia
| | - Nubia Aldana
- Instituto de Genética Humana, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Carrera 7 # 40-62, Colombia
| | - Nancy Gelvez
- Instituto de Genética Humana, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Carrera 7 # 40-62, Colombia.
| | - Martha L Tamayo
- Instituto de Genética Humana, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Carrera 7 # 40-62, Colombia
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Hatton JL, Rowlandson J, Beers A, Small S. Telehealth-enabled auditory brainstem response testing for infants living in rural communities: the British Columbia Early Hearing Program experience. Int J Audiol 2019; 58:381-392. [DOI: 10.1080/14992027.2019.1584681] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Jennifer L. Hatton
- British Columbia Early Hearing Program, Vancouver, BC, Canada
- School of Audiology and Speech Sciences, The University of British Columbia, Vancouver, BC, Canada
| | | | - Alison Beers
- British Columbia Early Hearing Program, Vancouver, BC, Canada
| | - Susan Small
- School of Audiology and Speech Sciences, The University of British Columbia, Vancouver, BC, Canada
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Herrmann BW, Hathaway CR, Fadell M. Hearing Loss in Pediatric Septo-Optic Dysplasia. Ann Otol Rhinol Laryngol 2019; 128:485-489. [PMID: 30781969 DOI: 10.1177/0003489419832629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To identify and characterize hearing loss (HL) in children with septo-optic dysplasia (SOD). METHODS Otologic and audiometric data for patients less than 18 years of age identified as having SOD who were seen in the Children's Healthcare of Atlanta-Scottish Rite Hospital clinic between 2013 and 2017 were collected and reviewed through a HIPAA-compliant medical record search. Relevant literature was also reviewed with the assistance of Medline. RESULTS Sixty-four patients with SOD were identified, and 7 of those patients (10.9%) were diagnosed with hearing loss. Type of hearing loss was sensorineural (SNHL) in 5 patients (63%), mixed (MHL) in 1(14%), and conductive (CHL) in 1(14%). Bilateral loss presented in 60% (3/5) of SNHL patients, while the rest demonstrated unilateral loss. Unilateral findings included cochlear nerve deficiency (1) and atresia/microtia (1). Tympanostomy tubes were required in 57% (4/7) of SOD children with hearing loss. Amplification was successfully implemented in 86% (6/7). CONCLUSIONS Hearing loss was found in nearly 11% of SOD children, and SNHL was identified as (63%) the predominant form of loss. To our knowledge, this is the first retrospective review of hearing loss in a pediatric SOD cohort and the first to report of cochlear nerve deficiency and atresia/microtia in this population. Based on these findings, early identification of hearing loss with imaging when appropriate and treatment of otitis in this population is recommended.
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Affiliation(s)
| | - Campbell R Hathaway
- 2 School of Medicine Greenville Campus, University of South Carolina, Greenville, South Carolina, USA
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Dieleman E, Percy-Smith L, Caye-Thomasen P. Language outcome in children with congenital hearing impairment: The influence of etiology. Int J Pediatr Otorhinolaryngol 2019; 117:37-44. [PMID: 30579085 DOI: 10.1016/j.ijporl.2018.11.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2018] [Revised: 11/01/2018] [Accepted: 11/01/2018] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To investigate the possible association between the etiology of hearing impairment (HI) and language outcome in children with congenital HI after an early medical-technical intervention and three years of AVT. METHODS A retrospective, two-center study was conducted of 53 patients who were divided in four categories of etiology (degeneratio labyrinthi acustici (DLA) congenita hereditaria, DLA congenita non specificata, DLA congenita postinfectiosa and auditory neuropathy). Language outcome was assessed by examining receptive vocabulary (Peabody Picture Vocabulary Test, PPVT-4), receptive language (Reynell test) and productive language (the Danish 'Viborgmaterialet'). All tests were conducted 1, 2 and 3 years after the children received their hearing device. Test scores were calculated from the child's chronological age. Analysis of possible associations was performed using Fisher's exact test and McNemar's test was conducted to examine possible differences between each year of testing for every speech-language test. Subsequently, univariate analyses were performed to search for other possible covariates associated with language outcome. RESULTS No significant associations were found between the etiology of the HI and the language outcome of children with HI after 1 year of AVT (PPVT, p = 0,234; Reynell, p = 0,845; Viborgmaterialet, p = 0,667), neither after 2 years of AVT (PPVT, p = 0,228; Reynell, p = 0,172; Viborgmaterialet, p = 0,659) nor after 3 years of AVT (PPVT, p = 0,102; Reynell, p = 0,512 Viborgmaterialet, p = 0,580). Some significant associations were found between language outcome and the type of hearing device and between language outcome and additional disabilities, however no strong evidence was found. CONCLUSION Most children with congenital HI developed a comparable level of speech and language regardless of the etiology of their HI. This study highlights the interest of further research using objective assessments techniques in a larger and more homogeneous population. If the findings from this study will be confirmed in future studies, this will have a clinical and societal impact regarding the diagnostics of HI.
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Affiliation(s)
- Eveline Dieleman
- Department of Otorhinolaryngology, Head and Neck Surgery, and Audiology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark.
| | - Lone Percy-Smith
- Patientforening Decibel, Rygårdsallé 43, 2900, Hellerup, Denmark
| | - Per Caye-Thomasen
- Department of Otorhinolaryngology, Head and Neck Surgery, and Audiology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark
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Parental anxiety towards 'refer' results in newborn hearing screening (NHS) in south India: A hospital based study. Int J Pediatr Otorhinolaryngol 2019; 116:25-29. [PMID: 30554702 DOI: 10.1016/j.ijporl.2018.10.021] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 10/01/2018] [Accepted: 10/11/2018] [Indexed: 11/21/2022]
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Galhotra A, Sahu P. Challenges and Solutions in Implementing Hearing Screening Program in India. Indian J Community Med 2019; 44:299-302. [PMID: 31802788 PMCID: PMC6881890 DOI: 10.4103/ijcm.ijcm_73_19] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Hearing is the key to learning spoken language, performing academically, and engaging socially for children. Degree of hearing loss quantifies the hearing ability from mild to profound, based on the audiometric findings for an individual across certain frequencies or pitches. Early identification and appropriate intervention is the prime need. A probable strategy is to ensure that every newborn is screened for possible hearing loss at the birth in the hospital. In India, hearing screening facility is mostly available to newborns brought into tertiary hospitals. Some of the key issues in the implementation of the program identified are lack of human resources, inadequate infrastructure, equipment-related shortcomings, and low priority for hearing impairment (HI) prevention. The Government of India initiated efforts toward prevention and control of HI, i.e., National Program for Prevention and Control of deafness and Rashtriya Bal Swasthya Karyakram which are significant milestones in the implementation of systematic nationwide hearing screening programs.
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Affiliation(s)
| | - Preeti Sahu
- Department of ENT and HNS, AIIMS, Raipur, Chhattisgarh, India
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Lemyre B, Jefferies AL, O'Flaherty P. Facilitating discharge from hospital of the healthy term infant. Paediatr Child Health 2018; 23:515-531. [PMID: 30894791 DOI: 10.1093/pch/pxy127] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
This statement provides guidance for health care providers to ensure the safe discharge of healthy term infants who are born in hospital and who are ≥37 weeks' gestational age. Hospital care for mothers and infants should be family-centred, with healthy mothers and infants remaining together and going home at the same time. The specific length of stay for newborn infants depends on the health of their mother, infant health and stability, the mother's ability to care for her infant, support at home, and access to follow-up care. Many mother-infant dyads are ready to go home 24 h after birth. Parent or guardian education and assessment of discharge readiness are important components of discharge planning. Each infant must have an appropriate discharge plan, including identification of the infant's primary health care provider and assessment by a health care provider 24 h to 72 h after discharge.
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Affiliation(s)
- Brigitte Lemyre
- Canadian Paediatric Society, Fetus and Newborn Committee, Ottawa, Ontario
| | - Ann L Jefferies
- Canadian Paediatric Society, Fetus and Newborn Committee, Ottawa, Ontario
| | - Pat O'Flaherty
- Canadian Paediatric Society, Fetus and Newborn Committee, Ottawa, Ontario
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Turchetta R, Conti G, Marsella P, Orlando MP, Picciotti PM, Frezza S, Russo FY, Scorpecci A, Cammeresi MG, Giannantonio S, Greco A, Ralli M. Universal newborn hearing screening in the Lazio region, Italy. Ital J Pediatr 2018; 44:104. [PMID: 30143030 PMCID: PMC6108150 DOI: 10.1186/s13052-018-0534-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Accepted: 08/06/2018] [Indexed: 11/10/2022] Open
Abstract
Background The introduction of Universal Newborn Hearing Screening (UNHS) programs has drastically contributed to the early diagnosis of hearing loss in children, allowing prompt intervention with significant results on speech and language development in affected children. UNHS in the Lazio region has been initially deliberated in 2012; however, the program has been performed on a universal basis only from 2015. The aim of this retrospective study is to present and discuss the preliminary results of the UNHS program in the Lazio region for the year 2016, highlighting the strengths and weaknesses of the program. Methods Data from screening facilities in the Lazio region for year 2016 were retrospectively analyzed. Data for Level I centers were supplied by the Lazio regional offices; data for Level II and III centers were provided by units that participated to the study. Results During 2016, a total of 44,805 babies were born in the Lazio region. First stage screening was performed on 41,821 children in 37 different birth centers, with a coverage rate of 93.3%. Of these, 38.977 (93.2%) obtained a “pass” response; children with a “refer” result in at least one ear were 2844 (6.8%). Data from Level II facilities are incomplete due to missing reporting, one of the key issues in Lazio UNHS. Third stage evaluation was performed on 365 children in the three level III centers of the region, allowing identification of 70 children with unilateral (40%) or bilateral (60%) hearing loss, with a prevalence of 1.6/1000. Conclusions The analysis of 2016 UNHS in the Lazio region allowed identification of several strengths and weaknesses of the initial phase of the program. The strengths include a correct spread and monitoring of UNHS among Level I facilities, with an adequate coverage rate, and the proper execution of audiological monitoring and diagnosis among Level III facilities. Weakness, instead, mainly consisted in lack of an efficient and automated central process for collecting, monitoring and reporting of data and information.
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Affiliation(s)
- Rosaria Turchetta
- Department of Sense Organs, Sapienza University of Rome, Rome, Italy
| | - Guido Conti
- Department of Head and Neck Surgery, Institute of Otorhinolaryngology, Catholic University of Sacred Heart, Rome, Italy
| | - Pasquale Marsella
- Department of Surgery, Audiology and Otosurgery Unit, Bambino Gesù Pediatric Hospital, Rome, Italy
| | | | - Pasqualina Maria Picciotti
- Department of Head and Neck Surgery, Institute of Otorhinolaryngology, Catholic University of Sacred Heart, Rome, Italy
| | - Simonetta Frezza
- Department of Pediatrics, Division of Neonatology, Catholic University of Sacred Heart, Rome, Italy
| | | | - Alessandro Scorpecci
- Department of Surgery, Audiology and Otosurgery Unit, Bambino Gesù Pediatric Hospital, Rome, Italy
| | | | - Sara Giannantonio
- Department of Surgery, Audiology and Otosurgery Unit, Bambino Gesù Pediatric Hospital, Rome, Italy
| | - Antonio Greco
- Department of Sense Organs, Sapienza University of Rome, Rome, Italy
| | - Massimo Ralli
- Department of Sense Organs, Sapienza University of Rome, Rome, Italy.
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Cianfrone F, Mammarella F, Ralli M, Evetovic V, Pianura CM, Bellocchi G. Universal newborn hearing screening using A-TEOAE and A-ABR: The experience of a large public hospital. J Neonatal Perinatal Med 2018; 11:87-92. [PMID: 29689750 DOI: 10.3233/npm-181744] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
BACKGROUND Universal newborn hearing screening (UNHS) aims to identify hearing loss in the early postnatal period; prompt detection of bilateral or unilateral hearing loss is mandatory for timely intervention. METHODS This retrospective study reports the results of the first two years of a UNHS program on 4,719 newborns in a large public Italian hospital. Screening was divided into two levels: automated transient otoacoustic emissions were used for first level; automated auditory brainstem response for second level. Second level included children with a "refer" response at first level and babies with a family history for hearing loss or other risk factors. Hearing loss diagnosis was made using clinical auditory brainstem response. RESULTS During first level, 254 (5.4% ) newborns were "refer". At retest, 130 (51.1% ) babies were PASS and 48 (18.8% ) were "refer". 76 babies dropped out (29.9% ). 146 babies (3.1% ) were referred to the second level: 48 for a "refer" response at first level and 98 for a PASS response but potential hearing loss due to risk factors. 24 babies dropped out (16.4% ). Out of 122 newborns tested in the second level, 105 (86.1% ) had a PASS response and 17 (13.9% ) were "refer". Our screening protocol identified 7 (0.14% ) babies with profound hearing loss; 5 had unilateral and 2 had bilateral hearing loss. 2 babies dropped out at diagnostic level (11.8% ). CONCLUSIONS A correct and early diagnosis of hearing loss is mandatory to prevent permanent consequences; the spread of hearing screening programs is the optimal solution to reach this goal.
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Affiliation(s)
- F Cianfrone
- Department of Otolaryngology, San Camillo Forlanini Hospital, Rome, Italy
| | - F Mammarella
- Department of Otolaryngology, San Camillo Forlanini Hospital, Rome, Italy
| | - M Ralli
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Italy
| | - V Evetovic
- Department of Otolaryngology, San Camillo Forlanini Hospital, Rome, Italy
| | - C M Pianura
- Department of Otolaryngology, San Camillo Forlanini Hospital, Rome, Italy
| | - G Bellocchi
- Department of Otolaryngology, San Camillo Forlanini Hospital, Rome, Italy
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