Newborn hearing screening: An outpatient model

International Journal of Pediatric Otorhinolaryngology (Impact Factor: 1.19). 01/2009; 73(1):1-7. DOI: 10.1016/j.ijporl.2008.09.002
Source: PubMed


The purpose of this study was to assess the feasibility of implementing an outpatient model of a newborn hearing screening program with a particular focus on determining how compliance with the follow-up appointment related to specific socio-economic and demographic factors associated with the mother.
Mothers who delivered their babies in public hospitals in Recife, northeast Brazil, were invited to participate in a two-step program. In Step 1 they were interviewed with regard to specific socio-economic and demographic factors, and then scheduled for a hearing screening test for their baby 1 month after discharge. In Step 2, the baby's hearing was screened using transient otoacoustic emissions.
A total of 1035 mothers consented to participate in Step 1, but only 149 returned to participate in Step 2 (14.3%). Analysis of the socio-economic and demographic factors indicated that mothers who did not comply with the scheduled newborn hearing screening (NHS) test generally had less than a high school education and came from primarily lower income families who lived in rural areas outside of Recife.
The results of this study highlight some socio-economic and demographic factors of the population of northeast Brazil that contribute to a low compliance rate for an outpatient model of a newborn hearing screening program. Possible solutions to the low compliance rate are considered.

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    • "While no defi nitive pattern could be observed between the referral rates and ambient noise levels across all sites, the high false-positive rates associated with TEOAE in this study would underscore the need for a second-stage screening with AABR to bring the overall referral rates within the recommended limit of 4% (JCIH, 2007). This is without prejudice to the possible reduction that could be achieved through a second-stage screening with the same technology on a return visit after several days, as has been reported with TEOAE in some studies from other developing countries (Tanon-Anoh et al, 2010; Griz et al, 2009; Tasci et al, 2009; Bansal et al, 2008). However, it was unlikely that the reduction achieved from the combined TEOAE/AABR in this population was possible with a TEOAE-only protocol given the age profi le in "
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