NICU-only versus universal screening for newborn hearing loss: Population audit
Journal of Paediatrics and Child Health,

Barker MJ et al. – NICU screening offered within a larger universal newborn hearing screening (UNHS) program outperformed the stand–alone NICU hearing screening program on all measured parameters. Greater resourcing might address shortcomings of the stand–alone program but would also reduce its potential savings. The high loss to follow–up also argues against the often–advocated approach of referring all NICU infants for diagnostic audiologic testing, bypassing hearing screening altogether.

Methods
  • Comparison of two consecutive hearing screening programs delivered under similar conditions in the four NICUs in Victoria, Australia.
  • All NICU infants were eligible for pre-discharge automated auditory brainstem response (AABR) hearing screening.
  • Capture, referral and diagnostic data were collected for all NICU infants during the NICU-only (April 2003–February 2005) and subsequent UNHS (April 2005–June 2006) programs.

Results
  • 4704 eligible infants were admitted during the 23-month NICU-only period, and 3160 during the 15-month UNHS period.
  • Double AABR using ALGO 3i equipment was planned for both programs but, due to clinician concern about this high-risk clinical population, the NICU-only protocol was amended to single AABR using AccuScreen equipment.
  • Capture rates were 71.1% (NICU-only) vs. 95.4% (UNHS) (P < 0.001), successful follow-up rates were 85.8% vs. 96% (P= 0.004), and mean corrected age at the first audiology appointment was 51.5 vs. 40.2 days (P= 0.05).

Please login or register to follow this author.
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Emergency Medicine

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Emergency Medicine Articles

1 Does a single dose of intravenous dexamethasone reduce Symptoms in Emergency department patients with low Back pain and RAdiculopathy (SEBRA)? A double-blind randomised controlled trial Emergency Medicine Journal, August 22, 2014    Clinical Article

2 Comparison of therapeutic effects of magnesium sulfate vs. dexamethasone/metoclopramide on alleviating acute migraine headache The Journal of Emergency Medicine, October 10, 2014    Clinical Article

3 Antiemetic use for nausea and vomiting in adult emergency department patients: randomized controlled trial comparing ondansetron, metoclopramide, and placebo Annals of Emergency Medicine, October 28, 2014    Clinical Article

4 Early deterioration after thrombolysis plus aspirin in acute stroke Stroke, September 25, 2014    Clinical Article

5 Early versus delayed administration of norepinephrine in patients with septic shock Critical Care, October 8, 2014    Clinical Article

6 Topical petrolatum gel alone versus topical silver sulfadiazine with standard gauze dressings for the treatment of superficial partial thickness burns in adults: A randomized controlled trial Burns, September 17, 2014    Clinical Article

7 The effects of intravenous insulin infusions on early mortality for patients with acute coronary syndromes who present with hyperglycaemia: A matched propensity analysis using data from the MINAP database 2008–2012 European Heart Journal: Acute Cardiovascular Care, October 1, 2014    Clinical Article

8 Chest compression with kneeling posture in hospital cardiopulmonary resuscitation: A randomised crossover simulation study Emergency Medicine Australasia, October 14, 2014    Clinical Article

9 Effect of daily vitamin B-12 and folic acid supplementation on fracture incidence in elderly individuals with an elevated plasma homocysteine concentration: B-PROOF, a randomized controlled trial American Journal of Clinical Nutrition, October 7, 2014    Clinical Article

10 Accuracy and radiation dose reduction of a limited abdominopelvic CT in the diagnosis of acute appendicitis Abdominal Imaging , October 24, 2014    Clinical Article

11 Topical petrolatum gel alone versus topical silver sulfadiazine with standard gauze dressings for the treatment of superficial partial thickness burns in adults: A randomized controlled trial Burns, September 2, 2014    Clinical Article

12 Hospital and emergency department factors associated with variations in missed diagnosis and costs for patients age 65 years and older with acute myocardial infarction who present to emergency departments Academic Emergency Medicine, October 29, 2014    Clinical Article

13 Electrocardiographic findings of takotsubo cardiomyopathy as compared with those of anterior acute myocardial infarction Journal of Electrocardiology, September 10, 2014    Review Article

14 Randomized, double-blinded, clinical trial of propofol, 1:1 propofol/ketamine, and 4:1 propofol/ketamine for deep procedural sedation in the emergency department Annals of Emergency Medicine, October 28, 2014    Clinical Article

15 Implementation of an intensified antibiotic stewardship programme targeting third-generation cephalosporin and fluoroquinolone use in an emergency medicine department Emergency Medicine Journal, October 17, 2014    Clinical Article

16 Improved outcome of extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest – A comparison with that for extracorporeal rescue for in-hospital cardiac arrest Resuscitation, October 23, 2014    Clinical Article

17 The efficacy of propofol vs. subcutaneous sumatriptan for treatment of acute migraine headaches in the emergency department: a double-blinded clinical trial Pain Practice, July 15, 2014    Clinical Article

18 Early management of patients with acute heart failure: state of the art and future directions. a consensus document from the society for academic emergency medicine/heart failure society of America acute heart failure working group Journal of Cardiac Failure, September 30, 2014    Clinical Article

19 Management of simple nail bed lacerations and subungual hematomas in the emergency department Pediatric Emergency Care, October 14, 2014    Clinical Article

20 Effect of cholecalciferol recommended daily allowances on vitamin D status and fibroblast growth factor-23: An observational study in acute burn patients Burns, October 13, 2014    Clinical Article

Indexed Journals in Emergency Medicine: Journal of Emergency Medicine, Annals of Emergency Medicine, Injurymore