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J Pediatr. 1998 Sep;133(3):353-7.

The Rhode Island Hearing Assessment Program: experience with statewide hearing screening (1993-1996)

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  • 1Brown University School of Medicine and Rhode Island Hearing Assessment Program, Women and Infants' Hospital, Providence 02905, USA.

Abstract

OBJECTIVE:

The objective of this study was to evaluate key outcomes of a universal hearing screen/rescreen program for all births with transient evoked otoacoustic emissions in all 8 maternity hospitals in the state of Rhode Island over a 4-year period.

STUDY DESIGN:

This was a retrospective analysis of the hearing screen/rescreen refer data collected prospectively for 53,121 survivors born in Rhode Island between January 1, 1993, and December 31, 1996. Primary outcomes included the first-stage refer rates, rescreen compliance, diagnostic referral rates, identification rates, and the age of amplification.

RESULTS:

During this 4-year time period 11 infants were identified with permanent hearing loss, resulting in an impairment rate of 2 per 1000. The mean age of hearing loss confirmation decreased from 8.7 months to 3.5 months, and the age at amplification declined from 13.3 months to 5.7 months.

CONCLUSION:

We conclude that time and experience are important factors in the development and refinement of a universal hearing screen program. Hearing screen outcome data collected over a 4-year period in Rhode Island reveal a steady improvement in the percent of infants completing the 2-stage screen process, the stage 1 and stage 2 refer rates, compliance with rescreen and diagnostic testing, and significant improvement in the age of identification and age of amplification.

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PMID:
9738715
[PubMed - indexed for MEDLINE]
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