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EnglishObjective: To determine the feasibility and effectiveness of well-infant nursery hearing screening programme for the early identification of hearing impairment, based on transient evoked otoacoustic emission (TEOAE) with a high “screen sensitivity” reducing the number of more expensive secondary level exams. Methods: The newborns were screened by non-specialist health workers in well babies nursery at the twentieth day of life for 6 years consecutive. Based on PASS/FAIL criteria and presence/absence of audiological risk factors the newborns were divided into four groups each one with its personal step program: G1- PASS without risk factor, free to go home; G2 - PASS with risk factor, retest at the age of 7 months; G3 - FAIL without risk factor, re-screening after 2 weeks for a maximum of four times before audiology assessment; G4 - FAIL with risk factor, retest after 2 weeks. Results: The coverage rate increased progressively from 89.8% to 92%. The referral rate was 1.51% after second stage with a specificity value of 98.78%. The four-stage screening performed for G3 reduced the numbers of global audiology assessment to 0.91% with a final global specificity of 99.4+0.4%. Conclusion: Less than 1% of infants underwent audiological assessment; the false positives resulted 0.62% with hearing loss global incidence of 2.95/1000 and a mean age of confirmation of 3.5 months of age. It is reasonable to think that this screening program could be implement to overall forty-two Western Sicily birth centres within few years.
Martines, F., Bentivegna, D., Ciprì, S., Costantino, C., Marchese, D., & Martines, E. (2012). On the threshold of effective well infant nursery hearing screening in Western Sicily. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 76, 423-427.
| Data di pubblicazione: | 2012 |
| Titolo: | On the threshold of effective well infant nursery hearing screening in Western Sicily |
| Autori: | |
| Citazione: | Martines, F., Bentivegna, D., Ciprì, S., Costantino, C., Marchese, D., & Martines, E. (2012). On the threshold of effective well infant nursery hearing screening in Western Sicily. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 76, 423-427. |
| Rivista: | |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1016/j.ijporl.2011.12.024 |
| Settore Scientifico Disciplinare: | Settore MED/32 - Audiologia Settore MED/31 - Otorinolaringoiatria |
| Appare nelle tipologie: | 1.01 Articolo in rivista |
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| File | Descrizione | Tipologia | Licenza | |
|---|---|---|---|---|
| On the threshold of effective well infant nursery hearing screening in Western Sicily.pdf | On the threshold of effective well infant nursery hearing screening in Western Sicily | N/A | Open Access Visualizza/Apri |
http://hdl.handle.net/10447/63357
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