Author(s): Holster IL, Hoeve LJ, Wieringa MH, WillisLorrier RM, de Gier HH
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Abstract OBJECTIVE: We evaluated the causes of hearing loss found after failed universal newborn hearing screening and compared the results with the previously used behavioral observation test (Ewing/CAPAS). STUDY DESIGN: Hearing loss in neonates, born between September 1999 and October 2007 and referred to our center after failed screening, was determined by audiologic testing and physical examination. RESULTS: In 340 included neonates the results of hearing tests were as follows: normal hearing 21.2\%, conductive hearing loss 20.3\%, and sensorineural hearing loss (SNHL) 57.9\%. Children referred from the neonatal intensive care unit were more at risk of SNHL (71\%) than those from the well-baby clinics (54\%). Hearing aids were provided at a median age of 8 months. The positive predictive value of SNHL screening was 54\% for a child from a well-baby clinic and 71\% for a child from the neonatal intensive care unit. CONCLUSION: The use of universal newborn hearing screening results in a lower proportion of infants positive because of otitis media with effusion than the previously used Ewing/CAPAS test (20\% vs 59-81\%). Second, screening leads to identification of hearing loss and intervention at a younger age (8 months vs 15-18 months). Third, the positive predictive value for SNHL has improved (54\% vs 2\%).
This article was published in J Pediatr
and referenced in Journal of Child and Adolescent Behavior