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Abstract
The objective of this study was to investigate whether universal neonatal hearing screening could be integrated in the youth health care program. The screening was performed by nurses of the well baby clinics. A three stage transient evoked otoacoustic emission screening was performed in three different screening settings in order to study the most effective set up regarding participation, refer rates, and costs. In one setting parents visited the well baby clinic, and in two settings babies were screened at home (either in combination with the screening for metabolic diseases or during an intake visit). Screening was performed on 3114 healthy newborns. The setting where universal neonatal hearing screening is integrated with the screening for metabolic diseases, proved to be most efficient and effective. The participation rate of 88.9% was highest in this setting and the overall refer rate (1.4%) was the lowest. The implementation of universal neonatal hearing screening by the well baby clinic nurses was judged to be possible. The results of this study formed the basis for nationwide implementation.
| Abbreviations | ||
| A-ABR | = | Automated auditory brainstem response |
| AN | = | Auditory neuropathy |
| CAPAS | = | Compact Amsterdam paedo-audiometric screener |
| CI | = | Cochlear implant |
| ENT | = | Ear, nose, and throat |
| NICU | = | Neonatal intensive care unit |
| OME | = | Otitis media with effusion |
| PCHI | = | Permanent congenital hearing impairment |
| SHC | = | Speech and hearing centre |
| TEOAE | = | Transient evoked otoacoustic emission |
| UNHS | = | Universal neonatal hearing screening |
| WBC | = | Well baby clinic |
| YHC | = | Youth health care |
| Abbreviations | ||
| A-ABR | = | Automated auditory brainstem response |
| AN | = | Auditory neuropathy |
| CAPAS | = | Compact Amsterdam paedo-audiometric screener |
| CI | = | Cochlear implant |
| ENT | = | Ear, nose, and throat |
| NICU | = | Neonatal intensive care unit |
| OME | = | Otitis media with effusion |
| PCHI | = | Permanent congenital hearing impairment |
| SHC | = | Speech and hearing centre |
| TEOAE | = | Transient evoked otoacoustic emission |
| UNHS | = | Universal neonatal hearing screening |
| WBC | = | Well baby clinic |
| YHC | = | Youth health care |
Sumario
El propósito de este estudio fue investigar si el tamiz auditivo neonatal puede integrarse a los programas de cuidados de la salud en edades tempranas. El tamiz fue realizado por enfermeras en clínicas de niños sanos. Se realizó en tres fases con emisiones otoacústicas evocadas por transitorios y en tres ambientes diferentes, con objeto de estudiar el sistema más efectivo en cuanto a participación, tasas de referencia y costos. En un ambiente los padres visitaron la clínica de niño sano y en dos, los niños fueron tamizados en su hogar (tanto en combinación con el tamiz de enfermedades metabólicas como durante otro tipo de visitas). Se realizó el tamiz en 3114 neonatos sanos y la forma como se integró con el tamiz metabólico, demostró ser la más eficiente y efectiva. La tasa de participación del 88.9% fue mayor en esta forma y la tasa total de referencia (1.4%) fue la más baja. Se juzgó como posible la implementación del tamiz auditivo neonatal universal a cargo de las enfermeras de clínicas de niño sano. Los resultados de este estudio constituyen la base para su implementación a nivel nacional.