Objective: 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 [10.1016/j.ijporl.2011.12.024].

On the threshold of effective well infant nursery hearing screening in Western Sicily

MARTINES, Francesco;BENTIVEGNA, Daniela Linda;COSTANTINO, Claudio;MARCHESE, Donatella;MARTINES, Enrico
2012-01-01

Abstract

Objective: 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.
Settore MED/32 - Audiologia
Settore MED/31 - Otorinolaringoiatria
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 [10.1016/j.ijporl.2011.12.024].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/63357
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