New York State Universal Newborn Hearing Screening Demonstration Project: Inpatient Outcome Measures

OBJECTIVE:To evaluate the feasibility of universal newborn hearing screening by examining inpatient outcome measures from 8 hospitals located in geographically diverse areas of New York State over a 3-yr period. DESIGN:Funding was provided by the New York State Department of Health to implement pred...

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Veröffentlicht in:Ear and hearing 2000-04, Vol.21 (2), p.92-103
Hauptverfasser: Spivak, Lynn, Dalzell, Larry, Berg, Abbey, Bradley, Mary, Cacace, Anthony, Campbell, Deborah, DeCristofaro, Joseph, Gravel, Judith, Greenberg, Ellen, Gross, Steven, Orlando, Mark, Pinheiro, Joaquim, Regan, Joan, Stevens, Frances, Prieve, Beth
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container_end_page 103
container_issue 2
container_start_page 92
container_title Ear and hearing
container_volume 21
creator Spivak, Lynn
Dalzell, Larry
Berg, Abbey
Bradley, Mary
Cacace, Anthony
Campbell, Deborah
DeCristofaro, Joseph
Gravel, Judith
Greenberg, Ellen
Gross, Steven
Orlando, Mark
Pinheiro, Joaquim
Regan, Joan
Stevens, Frances
Prieve, Beth
description OBJECTIVE:To evaluate the feasibility of universal newborn hearing screening by examining inpatient outcome measures from 8 hospitals located in geographically diverse areas of New York State over a 3-yr period. DESIGN:Funding was provided by the New York State Department of Health to implement predischarge hearing screening programs in the neonatal intensive care units (NICUs) and well-baby nurseries (WBNs) of eight hospitals. Various screening protocols including transient evoked otoacoustic emissions alone or in combination with conventional auditory brain stem response or screening auditory brain stem response were implemented by each site. Measured outcomes included rate of misses, refusals, and fails. Results were analyzed as a function of year of operation, nursery type, and geographic location. RESULTS:Six out of eight hospitals successfully implemented universal hearing screening during the first year, and the remaining 2 hospitals implemented programs during the second year of the project. Over a period of 3 yr, 69,761 newborns were screened at the eight hospitals representing 96.9% of all live births. The overall fail rate (4.04%) combined with the miss rate (2.61%) resulted in 6.63% of infants referred for outpatient follow-up. Mean data indicated that inpatient outcome measures improved with year of operation, with most individual hospitals also showing improvements. Both fail and miss rates were higher in the NICU than in the WBN and for hospitals located in New York City than in other regions of the state. CONCLUSIONS:Inpatient outcome measures of a universal newborn hearing screening project, which involved multiple centers across geographically diverse regions of New York State, were acceptable in terms of successfully screening a high percentage of live births and attaining low refer rates for outpatient screening. This study adds to the growing body of literature supporting the feasibility of screening all newborns before hospital discharge.
doi_str_mv 10.1097/00003446-200004000-00004
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DESIGN:Funding was provided by the New York State Department of Health to implement predischarge hearing screening programs in the neonatal intensive care units (NICUs) and well-baby nurseries (WBNs) of eight hospitals. Various screening protocols including transient evoked otoacoustic emissions alone or in combination with conventional auditory brain stem response or screening auditory brain stem response were implemented by each site. Measured outcomes included rate of misses, refusals, and fails. Results were analyzed as a function of year of operation, nursery type, and geographic location. RESULTS:Six out of eight hospitals successfully implemented universal hearing screening during the first year, and the remaining 2 hospitals implemented programs during the second year of the project. Over a period of 3 yr, 69,761 newborns were screened at the eight hospitals representing 96.9% of all live births. The overall fail rate (4.04%) combined with the miss rate (2.61%) resulted in 6.63% of infants referred for outpatient follow-up. Mean data indicated that inpatient outcome measures improved with year of operation, with most individual hospitals also showing improvements. Both fail and miss rates were higher in the NICU than in the WBN and for hospitals located in New York City than in other regions of the state. CONCLUSIONS:Inpatient outcome measures of a universal newborn hearing screening project, which involved multiple centers across geographically diverse regions of New York State, were acceptable in terms of successfully screening a high percentage of live births and attaining low refer rates for outpatient screening. This study adds to the growing body of literature supporting the feasibility of screening all newborns before hospital discharge.</description><identifier>ISSN: 0196-0202</identifier><identifier>EISSN: 1538-4667</identifier><identifier>DOI: 10.1097/00003446-200004000-00004</identifier><identifier>PMID: 10777017</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Acoustic Stimulation - methods ; Cochlea - physiopathology ; Evoked Potentials, Auditory, Brain Stem - physiology ; Feasibility Studies ; Follow-Up Studies ; Hearing Disorders - diagnosis ; Hearing Disorders - epidemiology ; Hearing Disorders - physiopathology ; Hospitals ; Humans ; Infant, Newborn ; Neonatal Screening ; New York - epidemiology ; Otoacoustic Emissions, Spontaneous - physiology</subject><ispartof>Ear and hearing, 2000-04, Vol.21 (2), p.92-103</ispartof><rights>2000 Lippincott Williams &amp; Wilkins, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4244-709254b637d68c37199e642f92ffb669154b349e5205d0dbd1f578beaf5459183</citedby><cites>FETCH-LOGICAL-c4244-709254b637d68c37199e642f92ffb669154b349e5205d0dbd1f578beaf5459183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10777017$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spivak, Lynn</creatorcontrib><creatorcontrib>Dalzell, Larry</creatorcontrib><creatorcontrib>Berg, Abbey</creatorcontrib><creatorcontrib>Bradley, Mary</creatorcontrib><creatorcontrib>Cacace, Anthony</creatorcontrib><creatorcontrib>Campbell, Deborah</creatorcontrib><creatorcontrib>DeCristofaro, Joseph</creatorcontrib><creatorcontrib>Gravel, Judith</creatorcontrib><creatorcontrib>Greenberg, Ellen</creatorcontrib><creatorcontrib>Gross, Steven</creatorcontrib><creatorcontrib>Orlando, Mark</creatorcontrib><creatorcontrib>Pinheiro, Joaquim</creatorcontrib><creatorcontrib>Regan, Joan</creatorcontrib><creatorcontrib>Stevens, Frances</creatorcontrib><creatorcontrib>Prieve, Beth</creatorcontrib><title>New York State Universal Newborn Hearing Screening Demonstration Project: Inpatient Outcome Measures</title><title>Ear and hearing</title><addtitle>Ear Hear</addtitle><description>OBJECTIVE:To evaluate the feasibility of universal newborn hearing screening by examining inpatient outcome measures from 8 hospitals located in geographically diverse areas of New York State over a 3-yr period. 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The overall fail rate (4.04%) combined with the miss rate (2.61%) resulted in 6.63% of infants referred for outpatient follow-up. Mean data indicated that inpatient outcome measures improved with year of operation, with most individual hospitals also showing improvements. Both fail and miss rates were higher in the NICU than in the WBN and for hospitals located in New York City than in other regions of the state. CONCLUSIONS:Inpatient outcome measures of a universal newborn hearing screening project, which involved multiple centers across geographically diverse regions of New York State, were acceptable in terms of successfully screening a high percentage of live births and attaining low refer rates for outpatient screening. This study adds to the growing body of literature supporting the feasibility of screening all newborns before hospital discharge.</description><subject>Acoustic Stimulation - methods</subject><subject>Cochlea - physiopathology</subject><subject>Evoked Potentials, Auditory, Brain Stem - physiology</subject><subject>Feasibility Studies</subject><subject>Follow-Up Studies</subject><subject>Hearing Disorders - diagnosis</subject><subject>Hearing Disorders - epidemiology</subject><subject>Hearing Disorders - physiopathology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Neonatal Screening</subject><subject>New York - epidemiology</subject><subject>Otoacoustic Emissions, Spontaneous - physiology</subject><issn>0196-0202</issn><issn>1538-4667</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtPxCAUhYnR6Pj4C4aVuypQCsWd8TmJr0RduCK0vdVqCyNQJ_57GUeNG0kIJ_eec2_ygRCmZJ8SJQ9IOjnnImMLxdPNvsQKmtAiLzMuhFxFE0KVyAgjbANthvBCCGVK8HW0QYmUklA5Qc01zPGj86_4LpoI-MF27-CD6XFqVM5bfAHGd_YJ39UewC7UCQzOhuhN7JzFt969QB0P8dTOUgVsxDdjrN0A-ApMGD2EbbTWmj7Azve7hR7OTu-PL7LLm_Pp8dFlVnPGeSaJYgWvRC4bUda5pEqB4KxVrG0rIRRNzZwrKBgpGtJUDW0LWVZg2oIXipb5Ftpbzp159zZCiHroQg19byy4MWhJCZdlzpKxXBpr70Lw0OqZ7wbjPzQlekFY_xDWv4S_SjxFd793jNUAzZ_gEmky8KVh7vqYUL724xy8fgbTx2f938_ln_86hZY</recordid><startdate>200004</startdate><enddate>200004</enddate><creator>Spivak, Lynn</creator><creator>Dalzell, Larry</creator><creator>Berg, Abbey</creator><creator>Bradley, Mary</creator><creator>Cacace, Anthony</creator><creator>Campbell, Deborah</creator><creator>DeCristofaro, Joseph</creator><creator>Gravel, Judith</creator><creator>Greenberg, Ellen</creator><creator>Gross, Steven</creator><creator>Orlando, Mark</creator><creator>Pinheiro, Joaquim</creator><creator>Regan, Joan</creator><creator>Stevens, Frances</creator><creator>Prieve, Beth</creator><general>Lippincott Williams &amp; 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DESIGN:Funding was provided by the New York State Department of Health to implement predischarge hearing screening programs in the neonatal intensive care units (NICUs) and well-baby nurseries (WBNs) of eight hospitals. Various screening protocols including transient evoked otoacoustic emissions alone or in combination with conventional auditory brain stem response or screening auditory brain stem response were implemented by each site. Measured outcomes included rate of misses, refusals, and fails. Results were analyzed as a function of year of operation, nursery type, and geographic location. RESULTS:Six out of eight hospitals successfully implemented universal hearing screening during the first year, and the remaining 2 hospitals implemented programs during the second year of the project. Over a period of 3 yr, 69,761 newborns were screened at the eight hospitals representing 96.9% of all live births. The overall fail rate (4.04%) combined with the miss rate (2.61%) resulted in 6.63% of infants referred for outpatient follow-up. Mean data indicated that inpatient outcome measures improved with year of operation, with most individual hospitals also showing improvements. Both fail and miss rates were higher in the NICU than in the WBN and for hospitals located in New York City than in other regions of the state. CONCLUSIONS:Inpatient outcome measures of a universal newborn hearing screening project, which involved multiple centers across geographically diverse regions of New York State, were acceptable in terms of successfully screening a high percentage of live births and attaining low refer rates for outpatient screening. This study adds to the growing body of literature supporting the feasibility of screening all newborns before hospital discharge.</abstract><cop>United States</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>10777017</pmid><doi>10.1097/00003446-200004000-00004</doi><tpages>12</tpages></addata></record>
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identifier ISSN: 0196-0202
ispartof Ear and hearing, 2000-04, Vol.21 (2), p.92-103
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subjects Acoustic Stimulation - methods
Cochlea - physiopathology
Evoked Potentials, Auditory, Brain Stem - physiology
Feasibility Studies
Follow-Up Studies
Hearing Disorders - diagnosis
Hearing Disorders - epidemiology
Hearing Disorders - physiopathology
Hospitals
Humans
Infant, Newborn
Neonatal Screening
New York - epidemiology
Otoacoustic Emissions, Spontaneous - physiology
title New York State Universal Newborn Hearing Screening Demonstration Project: Inpatient Outcome Measures
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