Childhood hearing loss detected beyond the newborn screen

Abstract

Objective

To understand the characteristics of postnatal hearing loss (PNHL) identified via different referral pathways, to inform childhood hearing screening and referral practices.

Design

Retrospective analysis of screening and audiology records.

Study sample

A cohort of 385 children who passed newborn hearing screening in Queensland, Australia between September 2004 and December 2017 and were later diagnosed with permanent hearing loss.

Results

Neonatally identified risk factors facilitated detection for half the cohort, with PNHL detected earlier (average age of 31 months) and at a milder degree. PNHL was detected at an average age of 49 months via other pathways. Proportions of bilateral moderate or greater PNHL were greatest in children with significant medical circumstances (60.7%) and those with noted delays or concerns (39.2%), whereas childhood hearing screening programs detected greater proportions of unilateral moderate or greater PNHL (47.4%).

Conclusions

Risk-factor-based surveillance detects PNHL early but does not detect all cases. Screening children with speech and language delays, parental or professional concern, or with relevant medical circumstances (eg meningitis or chemotherapy) is warranted based on the types of PNHL detected. Further evidence may be required to justify the rollout of postnatal population childhood screening programs.

Keywords:

• Postnatal hearing loss
• screening
• audiology
• risk factors
• surveillance

Disclosure statement

No potential conflict of interest was reported by the author(s).

Data availability statement

The raw data set was generated at Healthy Hearing, Children’s Health Queensland Hospital and Health Service and is not publicly available due to privacy restrictions. The authors confirm that the derived data supporting the findings of this study are available within the article.