Universal newborn hearing screening, a revolutionary diagnosis of deafness: real benefits and limitations

Papacharalampous, George X.; Nikolopoulos, Thomas P.; Davilis, Dimitrios I.; Xenellis, Ioannis E.; Korres, Stavros G.
October 2011
European Archives of Oto-Rhino-Laryngology;Oct2011, Vol. 268 Issue 10, p1399
Academic Journal
The finding that early detection of permanent congenital childhood hearing loss produces worthwhile benefit in terms of improved speech and language provides the rationale for the universal screening of newborns. The aim of the present study is to collect the current evidence with regard to the efficacy, the results and outcomes of universal hearing screening programs. An extensive search of the literature was performed in Medline and other available database sources. Study selection was based on the evaluation of the protocols used and the assessment of their efficacy in the early diagnosis of congenital hearing impairment. The initial referral rate and the rate of false positives were also evaluated. A total of 676,043 screened children have been identified in 20 studies. The average initial referral rate in these studies was 3.89%. The initial referral rate varied from 0.6 to 16.7%. The lost-to-follow-up rates varied from 3.7 to 65%. Although universal hearing screening is now widely adopted, there are still some serious drawbacks and limitations. False positives rates remain considerably high when newborns are screened with TEOAE's. The combination of TEOAE's and a-ABR provides a significantly reduced referral rate. Close cooperation between audiological centres and maternity units and a dedicated secretariat team are of paramount importance with regard to the reliability and efficacy of universal hearing screening.


Related Articles

  • Tympanometry in Newborn Infants 1 kHz Norms. Margolis, Robert H.; Bass-Ringdahl, Sandie; Hanks, Wendy D.; Holte, Lenore; Zapala, David A. // Journal of the American Academy of Audiology;Sep2003, Vol. 14 Issue 7, p383 

    With the rapid implementation of universal newborn hearing screening (UNHS) programs, a test of middle-ear function for infants is urgently needed. Recent evidence suggests that 1 kHz tympanometry may be effective. Normative data are presented for newborn intensive care unit (NICU) graduates...

  • Maternal Worry About Neonatal Hearing Screening. Vohr, Betty R; Letourneau, Kristen S; McDermott, Cheryl // Journal of Perinatology;Jan2001, Vol. 21 Issue 1, p15 

    OBJECTIVE: To identify and compare the prevalence and degree of maternal wow about neonatal hearing screening at the time of an initial neonatal hearing screen and rescreen in 1997 and 1999. STUDY DESIGN: We report on a prospective cross-sectional investigation of maternal wow about newborn...

  • Can Automated Auditory Brainstem Response be Used as an Initial Stage Screening Test in Newborn Hearing Screening Programs? Konukseven, Ozlem; Genc, Aydan; Muderris, Togay; Kayikci, Mavis Kulak; Turkyilmaz, Didem; Ozturk, Burak; Gunduz, Bulent // Journal of International Advanced Otology;2010, Vol. 6 Issue 2, p231 

    Objectives: Generally, newborns have been tested according to the method recommended by the Joint Committee on Infant Hearing all around the world: a two-stage automated transient evoked oto-acoustic emissions (ATEOAE) program, completed by an automated auditory brainstem response (AABR) for the...

  • Sounds of Silence. Gorman, Christine // Time;1/1/2000, Vol. 155 Issue 1, p117 

    Offers information on hearing loss. How hospitals are testing newborns; Campaign for mandatory screening of newborns for hearing loss; Signs of possible hearing loss. INSETS: Chew On This;Life at the Pump;Cancer Conundrum;Gone to Pot, by Janice M. Horowitz

  • Update on Newborn Hearing Screening Problems. Johnson, Amy Nagorski // Pediatric Nursing;May/Jun2002, Vol. 28 Issue 3, p267 

    Examines the legislation and healthy policy initiatives for universal newborn hearing screening. Position statements of American Academy of Pediatrics Joint Committee on Infant Hearing; Principles of early hearing detection and intervention services; Initiatives supporting program development.

  • Newborn Hearing Screening.  // ASHA Leader;9/5/2006, Vol. 11 Issue 12, p23 

    The article reports on the implementation of Early Hearing Detection and Intervention laws or voluntary compliance programs in Washington D.C. that screen the hearing of 95 percent or more of newborns. Forty states have laws and five states have voluntary programs. Although more than 90 percent...

  • A Multisite Study to Examine the Efficacy of the Otoacoustic Emission/Automated Auditory Brainstem Response Newborn Hearing Screening Protocol: Introduction and Overview of the Study. Johnson, Jean L.; White, Karl R.; Widen, Judith E.; Gravel, Judith S.; Vohr, Betty R.; James, Michele; Kennalley, Teresa; Maxon, Antonia B.; Spivak, Lynn; Sullivan-Mahoney, Maureen; Weirather, Yusnita; Meyer, Sally // American Journal of Audiology;Dec2005, Vol. 14 Issue 2, pS178 

    Purpose: This article is the 1st in a series of 4 articles on a recently completed multistate study of newborn hearing screening. Method: The study examined the efficacy of the 2-stage otoacoustic emission/automated auditory brainstem response (OAE/A-ABR) protocol for identifying hearing loss in...

  • 7 Reasons Why People Don't Get Their Hearing Tested. Reasons Why You Should. Jenkins, Barbara // Hearing Health;Fall2014, Vol. 30 Issue 4, p20 

    The article focuses on several reasons that prevent people to get their hearing tested and treated. The excuses presented include blaming others for not talking clearly, the test not recommended by the primary care physician and wrong perception of people about hearing aids. It also present...

  • REPORT ON HEARING SCREENING PILOT STUDY IN KYRGYZSTAN, 30 JANUARY - 3 FEBRUARY 2013. Majchrzak, Agnieszka; Skarzynski, Piotr H. // Journal of Hearing Science;Jun2013, Vol. 3 Issue 2, p71 

    The article focuses on the hearing screening pilot study by a team from the Institute of Physiology and Pathology of Hearing in Kyrgyzstan, Poland from January 30 and February 3, 2013. Among the findings include school children with mild to moderate unilateral or bilateral hearing losses, few...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics