Universal newborn hearing screening: the experience of the University Hospital of Parma

Universal newborn hearing screening: the experience of the University Hospital of Parma

Authors

  • Cinzia Magnani Neonatology and Neonatal Intensive Care Unit, Maternal and Child Department, University of Parma – Parma, Italy
  • Giovanna Bacchi Audiology and Pediatric Otorhinolaryngology Unit, Department of Clinical and Experimental Medicine, University of Parma – Parma, Italy
  • Anna Maria Borghini Audiology and Pediatric Otorhinolaryngology Unit, Department of Clinical and Experimental Medicine, University of Parma – Parma, Italy
  • Daniela Delmonte Audiology and Pediatric Otorhinolaryngology Unit, Department of Clinical and Experimental Medicine, University of Parma – Parma, Italy
  • Giovanni Fava Audiology and Pediatric Otorhinolaryngology Unit, Department of Clinical and Experimental Medicine, University of Parma – Parma, Italy
  • Anna Maria Occasio Neonatology and Neonatal Intensive Care Unit, Maternal and Child Department, University of Parma – Parma, Italy
  • Annarita Sarti Audiology and Pediatric Otorhinolaryngology Unit, Department of Clinical and Experimental Medicine, University of Parma – Parma, Italy
  • Vincenzo Vincenti Audiology and Pediatric Otorhinolaryngology Unit, Department of Clinical and Experimental Medicine, University of Parma – Parma, Italy

Keywords:

sensorineural hearing loss, hearing screening, rehabilitation

Abstract

Abstract

Background and aim: Early diagnosis of congenital deafness is fundamental to minimize the negative consequences on a child’s educational and psychosocial development. To lower the age of hearing-impaired children at the time of diagnosis, universal neonatal hearing screening (UNHS) is considered essential. The aim of this study was to review tha data of the first 4 years of implementation of UNHS in the University Hospital of Parma.

Methods: 11624 infants born between February 2010 and December 2013 were included into the study. Transient evoked otoacoustic emissions were used as screening test. When the newborn had failed at the initial test, he was re-tested within 3 weeks from birth. If the same result was obtained at the second step, the newborns were referred for clinical auditory brainstem response. We calculated quality indicators and compared them with international guidelines.

Results: 11592 infants (99.7%) were screened during the birth admission. 10359 (88.5%) were well-babies, while 1233 (11.5%) had audiological risk factors. Among 11592 newborns screened, 42 (3.59‰) had a final diagnosis of sensorineural hearing loss. The incidence of deafness was 1.64‰ in well-babies, and 2.02% in neonates with audiological risk factors. Only 71 infants (0.6%) did not complete the screening program. False-positive rate was 1.7%.

Conclusions: The analysis of benchmarks and outcomes of UNHS demonstrated the good quality of our hearing screening program. Introduction of automated auditory brainstem response as well as enhanced enrollment of patients who do not complete the screening could further improve the quality program.

 

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Published

15-12-2015

Issue

Section

ORIGINAL ARTICLES

How to Cite

1.
Magnani C, Bacchi G, Borghini AM, Delmonte D, Fava G, Occasio AM, et al. Universal newborn hearing screening: the experience of the University Hospital of Parma. Acta Biomed [Internet]. 2015 Dec. 15 [cited 2024 Jul. 24];86(3):273-7. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/4177