TY - JOUR
T1 - The Parkland Memorial Hospital experience in ensuring compliance with Universal Newborn Hearing Screening follow-up
AU - Shoup, Angela G.
AU - Owen, Kris E.
AU - Jackson, Greg
AU - Laptook, Abbot
N1 - Funding Information:
We thank the rest of the Parkland Memorial Hospital UNHS planning and oversight team for their valuable contributions: Dale Talley, CPNP, Pam Ford, RN, Cheryl Aldridge, CPNP, and Janet Cover, CPNP. Our dedicated and talented newborn hearing screening technicians are appreciated for their commitment to the program. We also thank the National Council of Jewish Women and their faithful volunteers for financial assistance in establishing the high-risk and NICU screening programs in 1986 and their continued commitment in both time and funds to the program. The Hoblitzelle Foundation made the transition to UNHS possible with a challenge grant to Parkland. Successful UNHS at Parkland would not be possible without the continued support from the newborn nursery, neonatal intensive care unit, and Parkland administration. Appreciation is extended to William Frawley, PhD, for assistance with and review of data analysis.
PY - 2005/1
Y1 - 2005/1
N2 - Reduce false-positive results and loss to follow-up through systematic modifications in Universal Newborn Hearing Screening at a large public hospital. During a pilot program, neonates who failed technician-performed automated auditory brain stem response were scheduled for diagnostic evaluation. In year 1, audiologists rescreened neonates who failed, and those who did not pass were screened as outpatients. For years 2 through 4, neonates who failed were rescreened by technicians before inpatient audiology rescreening. For the pilot, 3759 neonates were screened; 1% (n = 43) failed and 44% (n = 19) were lost to follow-up. In year 1, 15,297 neonates were screened and 2% (n = 365) failed; audiology rescreening reduced this to <1% (n = 129). Outpatient rescreening yielded 0.5% (n = 70) who failed; 17% (n = 12) were lost to follow-up. In year 2, 16,384 neonates were screened, 3% (n = 456) failed, and 1% (n = 167) failed after technician rescreen; audiology rescreening reduced inpatient fails to 0.6% (n = 108), and 0.4% (n = 61) failed outpatient rescreening; 11% (n = 7) were lost to follow-up. Results for years 3 and 4 were similar to year 2, with further reduction in loss to follow-up to 11% (n = 6) and 1.7% (n = 1). Successful Universal Newborn Hearing Screening with reduced false-positive results and loss to follow-up can be accomplished with a planned schedule of inpatient rescreens and outpatient rescreening at the birthing facility.
AB - Reduce false-positive results and loss to follow-up through systematic modifications in Universal Newborn Hearing Screening at a large public hospital. During a pilot program, neonates who failed technician-performed automated auditory brain stem response were scheduled for diagnostic evaluation. In year 1, audiologists rescreened neonates who failed, and those who did not pass were screened as outpatients. For years 2 through 4, neonates who failed were rescreened by technicians before inpatient audiology rescreening. For the pilot, 3759 neonates were screened; 1% (n = 43) failed and 44% (n = 19) were lost to follow-up. In year 1, 15,297 neonates were screened and 2% (n = 365) failed; audiology rescreening reduced this to <1% (n = 129). Outpatient rescreening yielded 0.5% (n = 70) who failed; 17% (n = 12) were lost to follow-up. In year 2, 16,384 neonates were screened, 3% (n = 456) failed, and 1% (n = 167) failed after technician rescreen; audiology rescreening reduced inpatient fails to 0.6% (n = 108), and 0.4% (n = 61) failed outpatient rescreening; 11% (n = 7) were lost to follow-up. Results for years 3 and 4 were similar to year 2, with further reduction in loss to follow-up to 11% (n = 6) and 1.7% (n = 1). Successful Universal Newborn Hearing Screening with reduced false-positive results and loss to follow-up can be accomplished with a planned schedule of inpatient rescreens and outpatient rescreening at the birthing facility.
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U2 - 10.1016/j.jpeds.2004.08.052
DO - 10.1016/j.jpeds.2004.08.052
M3 - Article
C2 - 15644825
AN - SCOPUS:11844297776
SN - 0022-3476
VL - 146
SP - 66
EP - 72
JO - Journal of Pediatrics
JF - Journal of Pediatrics
IS - 1
ER -