A Two-stage Bipodal Screening Model for Universal Neonatal Hearing Screening
作者:
Paul Govaerts,
Marjan Yperman,
Geert De Ceulaer,
Kristin Daemers,
Kristin Van Driessche,
Thomas Somers,
F. Offeciers,
期刊:
Otology & Neurotology
(OVID Available online 2001)
卷期:
Volume 22,
issue 6
页码: 850-854
ISSN:1531-7129
年代: 2001
出版商: OVID
关键词: Universal neonatal screening;Sensorineural hearing loss;Neonatal abnormalities
数据来源: OVID
摘要:
ObjectiveA model is proposed for universal neonatal hearing screening.MethodsThe screening model is two-staged because it consists of a first test and, in case of failure (1.4% of the subjects), of a retest 3 weeks later. It is bipodal because it involves both the hospital audiologic department and a central Well Baby Organization. The idea is to have a maximal number of newborns tested at the maternity by trained audiologists and to have the Well Baby Organization trace and chase the missing subjects. The model has been evaluated during 1 calendar year (1999) in a maternity with 2,012 newborns.ResultThe result is a coverage of 99.3%. Most newborns (97.3%) were tested at the maternity ward with a total time investment of less than 15 minutes per child. The actual test time is 2 minutes, 12 seconds (median value). The Well Baby Organization keeps track of all the results and has to test no more than 2% of the newborns. Sensitivity and specificity were not the primary outcomes of this evaluation, but they were similar to those of a previous study evaluating the screen procedure on a larger scale, giving a sensitivity of approximately 100% and a false alarm rate of 1/1,000.ConclusionThese figures demonstrate that universal neonatal hearing screening is feasible within the existing health care structure, with unprecedented coverage, sensitivity, and specificity.
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