Overcoming Challenges in Newborn Hearing Screening

Abstract

Retrospective hearing screening data were analyzed on 66,292 newborns to assess factors which contribute to overall program success, especially those related to tracking and follow-up of positive initial hearing screens. Newborn hearing screens were performed in 46 sites within five regions utilizing automated auditory brainstem response (AABR) technology. Pediatrix Medical Group managed all 46 sites and tracked all positive screens under the direction of the national program director. One hundred and fourteen newborns were confirmed with hearing loss, with 60% exhibiting no known risk factors. The five regions collectively yielded a final refer rate of 1.01% over a 1-year period, whereas two of the five regions boasted capture rates of 98%. Fifty percent of the confirmed hearing losses was bilateral in nature. Several key factors were noted to have a positive impact on the overall success of the program as related to follow-up. This paper demonstrates that tracking and follow-up can be successful if program management and implementation are considered when establishing a newborn hearing screening program. The protocol presented can be viewed as a model for existing programs by those who are interested in overcoming challenges related to follow-up and can ensure program success.