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Titolo:
A two-stage bipodal screening model for universal neonatal hearing screening
Autore:
Govaerts, PJ; Yperman, M; De Ceulaer, G; Daemers, K; Van Driessche, K; Somers, T; Offeciers, FE;
Indirizzi:
Univ Instelling Antwerp, Dept Otolaryngol, St Augustinus Hosp, B-2610 Wilrijk, Belgium Univ Instelling Antwerp Wilrijk Belgium B-2610 , B-2610 Wilrijk, Belgium
Titolo Testata:
OTOLOGY & NEUROTOLOGY
fascicolo: 6, volume: 22, anno: 2001,
pagine: 850 - 854
SICI:
1531-7129(200111)22:6<850:ATBSMF>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
EVOKED OTOACOUSTIC EMISSIONS; BRAIN-STEM RESPONSE; INFANT HEARING; NEWBORNS; IDENTIFICATION; IMPAIRMENT; CRITERIA; CHILDREN; PROGRAM;
Keywords:
universal neonatal screening; sensorineural hearing loss; neonatal abnormalities;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Govaerts, PJ Univ Instelling Antwerp, Dept Otolaryngol, St Augustinus Hosp, Oosterveldlaan 24, B-2610 Wilrijk, Belgium Univ Instelling Antwerp Oosterveldlaan 24 Wilrijk Belgium B-2610
Citazione:
P.J. Govaerts et al., "A two-stage bipodal screening model for universal neonatal hearing screening", OTOL NEURO, 22(6), 2001, pp. 850-854

Abstract

Objective: A model is proposed for universal neonatal hearing screening. Methods: The screening model is two-staged because it consists of a first test and, in case of failure (1.4% of the subjects), of a retest 3 weeks later. It is bipodal because it involves both the hospital audiologic department and a central Well Baby Organization. The idea is to have a maximal number of newborns tested at the maternity by trained audiologists and to havethe Well Baby Organization trace and chase the missing subjects. The modelhas been evaluated during 1 calendar year (1999) in a maternity with 2,012newborns. Result: The result is a coverage of 99.3%. Most newborns (97.3%) were tested at the maternity ward with a total time investment of less than 15 minutes per child. The actual test time is 2 minutes, 12 seconds (median value). The Well Baby Organization keeps track of all the results and has to test no more than 2% of the newborns. Sensitivity and specificity were not the primary outcomes of this evaluation, but they were similar to those of a previous study evaluating the screen procedure on a larger scale, giving a sensitivity of approximately 100% and a false alarm rate of 1/1,000,Conclusion: These figures demonstrate that universal neonatal hearing screening is feasible within the existing health care structure, with unprecedented coverage, sensitivity, and specificity.

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Documento generato il 04/04/20 alle ore 08:31:41