Ten-year quality assurance of the nationwide hearing screening programme in Dutch neonatal intensive care units

P. van Dommelen*, H. L. M. van Straaten, P. H. Verkerk, Dutch NICU Neonatal Hearing Screen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

24 Citations (Scopus)

Abstract

Aim: To evaluate 10-year quality assurance of newborn hearing screening (NHS) in Dutch neonatal intensive care units (NICU).

Methods: Results of the two-stage automated auditory brainstem response (AABR) screening and diagnostic examination in NICU graduates were centrally registered between October 1998 and December 2008. This registration facilitates screening, tracking and follow-up after abnormal screening results. Outcome measures are referral rates, prevalence rate of hearing loss and (trends of) coverage rates and timeliness of follow-up.

Results: Thirty-two thousand one hundred and two infants have been screened. Referral rates were 9.2% at the first and 26.3% at the second stage. Hearing loss was diagnosed in 728 infants (2.2%). Coverage rates were 98.7% at the first, 92.1% at the second stage, 92.3% for the diagnostic examination and 97.9% for the complete programme. After correction for gestational age, 95.8% of the infants had their first AABR <1 month, 81.8% of the referred infants had their second AABR <6 weeks and 67.1% were diagnosed <3 months. There was a positive trend in referred infants that had their second AABR <6 weeks (p = 0.004) as well as in infants diagnosed <3 months (p <0.001).

Conclusion: The NHS in Dutch NICUs is effective. Timely identification of hearing loss is improving over time.

Original languageEnglish
Pages (from-to)1097-1103
Number of pages7
JournalActa Paediatrica
Volume100
Issue number8
DOIs
Publication statusPublished - Aug-2011

Keywords

  • Hearing
  • Newborn
  • Quality
  • Screening
  • Trend
  • INTERVENTION PROGRAMS
  • POSITION STATEMENT
  • CHILDREN
  • NEWBORN
  • IMPAIRMENT
  • PRINCIPLES
  • GUIDELINES
  • KNOWLEDGE

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