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Cost Analysis And Referral Rates In Newborn Hearing Screening With Integrated 1000hz Typanometry In Special Care Neonates
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Book Synopsis Cost Analysis and Referral Rates in Newborn Hearing Screening with Integrated 1000hz Typanometry in Special Care Neonates by : Pamela Buethe
Download or read book Cost Analysis and Referral Rates in Newborn Hearing Screening with Integrated 1000hz Typanometry in Special Care Neonates written by Pamela Buethe and published by . This book was released on 2011 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Universal newboelrn hearing screening (NHS) and the implementation of early hearing detection and intervention (EHDI) programs have become the standard of care of identify and manage hearing loss in children at the earliest age. The Joint Committee on Infant Hearing has set national targets for EHDI programs to screen an infant's hearing by one month of age, comprehensively assess auditory function by three months of age, and intervene for those infants confirmed with hearing disorders by six months of age. One obstacle to meeting the objectives outlined by a one-, three-, and six- month EHDI framework is confirmation of hearing loss type (e.g., conductive, sensorineural). A procedure roptinely used to assess middle ear function and help determine hearing loss type in the neonatal and infant population is 1000 Hz tympanometry. Although not a component of NHS guidelines, anecdotal reports suggest that 1000 Hz tympanometry is combined in some NHaaS protocols to help determine the influence of middle ear function on screening results. This dissertation investigated the economic and clinical viability of adding 1000 Hz tympanometry (TYMP) to the existing NHS protocol of screening auditory brainstem respons (SABR) technology for special care neonates at Children's National Medical Center in Washington D.C. A descriptive satatistical analysis was employed to assess cost factors ssociated with resource utilization for a combined screening protocol and compare outcomes for both measurements. Results revealed that the addition of the TYMP measurement increased NHS program costs by 29% and raised the referral rate from 18% with the SABR protocol to 32% with the combined SABRand TYMP protocol. Based on results of this study, implementation of TYMP was not considered to be a viable economic and clinical application for the NHS program." -Abstract, leaf v.
Book Synopsis Universal Newborn Hearing Screening by : Lynn G. Spivak
Download or read book Universal Newborn Hearing Screening written by Lynn G. Spivak and published by Thieme. This book was released on 1998 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following the NIH recommendations of 1993, most U.S. hospitals now carry out Universal Newborn Hearing Screening. This new book-the first complete guide to this expanding field-provides detailed information on staff training, data collection, quality control measures and other UNHS issues. Practical and up-to-date, the book is a must for all specialists concerned with the development and management of newborn screening programs. The only book to combine specific management tips with the first-hand experience of seasoned UNHS professionals, this book should be in the collection of all audiologists, physicians, nurses and hospital administrators.
Book Synopsis Early Identification of Hearing Loss by : Karl White
Download or read book Early Identification of Hearing Loss written by Karl White and published by . This book was released on 1999 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Newborn Screening Systems by : Carlie J. Driscoll
Download or read book Newborn Screening Systems written by Carlie J. Driscoll and published by Plural Publishing. This book was released on 2010-02-15 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Cost-analysis of Universal Newborn Hearing Screening by : Anna Margaret Barker
Download or read book Cost-analysis of Universal Newborn Hearing Screening written by Anna Margaret Barker and published by . This book was released on 1995 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Neonatal Hearing Screening by : Elca T. Swigart
Download or read book Neonatal Hearing Screening written by Elca T. Swigart and published by Pro-Ed. This book was released on 1986 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis A Hearing Screening Programme for Infants from a Neonatal Intensive Care Unit in a South African Provincial Hospital by : Frances Kriek
Download or read book A Hearing Screening Programme for Infants from a Neonatal Intensive Care Unit in a South African Provincial Hospital written by Frances Kriek and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The field of early detection and intervention of hearing loss in neonates and infants has been marked by a growing international body of research investigating hearing screening programmes, protocols and outcomes of early detection for hearing loss. In South Africa, screening for neonates and infants in general and particularly for hearing loss is not common practice and is not meeting the needs of the South African population, with very few infants identified with hearing loss early in life. The Year 2002 Hearing Screening Position Statement recommends an intermediate step toward universal screening in the form of Targeted Newborn Hearing Screening (TNHS) as an option for developing countries with limited resources. The Neonatal Intensive Care Unit (NICU) provides a starting point for TNHS because it encompasses a number of risk factors for hearing loss. A combined descriptive and exploratory research methodology was followed to provide a comprehensive perspective on longitudinal hearing screening for NICU neonates and infants at a provincial hospital in South Africa. The quantitative methods included a structured interview to compile risk factor information. Immittance measurements used included acoustic reflex measurements, 226 Hz and 1000 Hz tympanometry. Automated Otoacoustic Emission (AOAE) as well as Automated Auditory Brainstem Response (AABR) screening was conducted. Routine follow-up visits at three month intervals were booked if a subject passed the screen and a follow-up screening for further testing was booked if a subject referred the screening. A total of 49 neonates and infants as well as mothers were enrolled in the first year and followed up for the second year of data collection period. The results indicated that the NICU had potential as platform for TNHS in South Africa. The high incidence of risk factors reported is more when compared with developed countries and highlights the importance of hearing screening in the at risk population for a developing country. The results confirmed reports that 226 Hz probe tone tympanometry produces erroneous responses in young infants. A high correspondence between high frequency tympanometry and AOAE results was found and underlines the need for differential diagnosis to accurately detect middle ear effusion and/or sensorineural hearing loss in neonates and infants. The unilateral AOAE refer rate (7%) was within range of the reported values for initial screening at discharge from the NICU. AABR results indicated a relatively high unilateral refer result (24%) and may be attributed to irritability and restlessness. The highest referral rates in the current study were recorded during the second and third visit and may be attributed to the presence of middle-ear pathology in older infants. The perceptions of mothers emphasized the lack of awareness regarding hearing and hearing loss in South Africa. Lack of knowledge may be a contributing actor to poor compliance with screening follow-up. Despite prevailing challenges, such as a low follow-up return rate, lack of awareness regarding the benefits of early detection of hearing loss, the effect of middle ear effusion on screening results, the cost of hearing screening and different priorities of the national healthcare system, such as Human Immunodeficiency Virus, demonstrated the NICU promise as platform for TNHS in South Africa. TNHS programmes may serve as starting point to direct universal neonatal hearing screening programmes in South Africa.
Book Synopsis Low Follow-up Rates in Newborn Hearing Screening by : Tamara Lynn Graham
Download or read book Low Follow-up Rates in Newborn Hearing Screening written by Tamara Lynn Graham and published by . This book was released on 2002 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Infants and Hearing by : Deborah Hayes
Download or read book Infants and Hearing written by Deborah Hayes and published by Singular. This book was released on 1996 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: CONTENTSForeword by Marion P. Downs, D.H.S. Perspectives on Infant Hearing. The Quest for Early Identification of Hearing Loss. Components of an Infant Hearing Program. Clinical Aspects of Hearing in Infants. Clinical Genetics. Human Development Before Birth, Care of Premature and Critically Ill Newborns. Disorders Affecting Newborns and Infants. Evaluation and Management. Hearing Screening. The Hearing Evaluation of Infants. Comprehensive Assessment of Infants with Hearing Loss. Habilitation and Amplification for Infants. Index.
Book Synopsis Otoacoustic Emission Refer Rates in Newborn Hearing Screening Program by : Carly Madeleine Tobin
Download or read book Otoacoustic Emission Refer Rates in Newborn Hearing Screening Program written by Carly Madeleine Tobin and published by . This book was released on 2013 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Hospital-Based Implementation of Newborn Hearing Screening in a Cohort of Infants Admitted to the NICU by : Liza Michelle Creel
Download or read book Hospital-Based Implementation of Newborn Hearing Screening in a Cohort of Infants Admitted to the NICU written by Liza Michelle Creel and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Hearing loss affects approximately 1-3 live births per 1,000. Infants admitted to the NICU are at greater risk of hearing loss than infants in the newborn nursery. Family history, as well as very low birth weight and exposure to certain therapies such as assisted ventilation, are also risk factors associated with hearing loss. Many states mandate newborn screening for hearing loss after birth due to evidence that early diagnosis and intervention improve communication skills and school performance, but following these infants over time can be challenging. This retrospective study describes temporal trends in primary screening outcomes including screening rates, loss to follow-up, and screen sensitivity and specificity. It also evaluated the likelihood of newborn hearing screening, loss to follow-up, false-positive and false-negative results, as well as hearing loss diagnosis among at-risk infants. Time-to-diagnosis for infants with and without screening was also assessed. The study utilizes a database of births and follow-up encounters for infants born in a large Texas integrated health system between 1996 and 2007. Most newborn hearing screening program outcomes have improved since implementation in 1996. Outcomes differ by group, with black infants having higher probabilities of being lost to follow-up and receiving a false-positive result, but a lower probability of hearing loss than the overall study population. Infants diagnosed with persistent pulmonary hypertension had a higher probability of a false-negative result. Infants with craniofacial anomalies and neonatal infections have 5-7 times higher probability of hearing loss than those without the diagnoses. The overall incidence of hearing loss among the study population was 5%. Survival estimates demonstrate that infants identified through screening have a higher probability of early diagnosis. Infants with false-negative screens have the same probability of early diagnosis as infants with no screen. The study findings can inform both policy and practice. Newborn hearing screening leads to earlier diagnosis of infants with hearing loss, but improving targeted follow-up of high risk NICU infants may lead to earlier diagnosis of infants with delayed onset of hearing loss. Community-based providers can monitor high risk NICU infants after discharge for potential hearing loss.The electronic version of this dissertation is accessible from http://hdl.handle.net/1969.1/155380
Book Synopsis Universal Newborn Hearing Screening by : Heidi D. Nelson
Download or read book Universal Newborn Hearing Screening written by Heidi D. Nelson and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: OBJECTIVE: This review is an update for the U.S. Preventive Services Task Force (USPSTF) on universal newborn hearing screening (UNHS) to detect moderate to severe permanent, bilateral congenital hearing loss. The review focuses on 3 key questions regarding the effectiveness of universal screening and early interventions in improving language and other outcomes in childhood, the effectiveness of universal screening in identifying infants with hearing loss and leading them to early interventions, and adverse effects of screening and early interventions. METHODOLOGY: Literature searches of MEDLINE and Cochrane databases (2000-November 2007) were conducted to systematically identify articles addressing the 3 key questions published since the prior recommendation in 2001. Additional articles were obtained from reference lists of related reviews, studies, editorials, reports, websites, and by consulting experts. Articles were subjected to inclusion and exclusion criteria, data from included studies were abstracted, and studies were rated for quality with pre-determined criteria. Results were summarized descriptively in tables. An outcomes table estimating the number needed to screen was determined using estimates from the most relevant studies. RESULTS: A good-quality retrospective study of children with hearing loss indicates that those who had early versus late confirmation and those who had undergone UNHS versus none had better receptive language at age 8 years, but not better expressive language or speech. A good-quality nonrandomized trial of a large birth cohort indicates that infants identified with hearing loss through UNHS have earlier referral, diagnosis, and treatment than those not screened. These findings are corroborated by multiple descriptive studies of ages of referral, diagnosis, and treatment. Universal newborn hearing screening programs have low false-positive and referral rates and are generally well accepted and tolerated by parents of newborns. Studies indicate that usual parental reactions to an initial non-pass on a hearing screen include worry, questioning, and distress. These negative emotions resolve for most parents when a diagnostic test is provided with a normal result. Little information exists about the adverse effects of early interventions, although cochlear implants are associated with higher risks for bacterial meningitis in young children. CONCLUSIONS: Children with hearing loss who had UNHS have better language outcomes at school age than those not screened. Infants identified with hearing loss through universal screening have significantly earlier referral, diagnosis, and treatment than those identified in other ways.
Book Synopsis Newborn Hearing Screening and Genetic Referrals by : Cynthia Livingston Murray
Download or read book Newborn Hearing Screening and Genetic Referrals written by Cynthia Livingston Murray and published by . This book was released on 2005 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Pass/refer Rates of Two Newborn Hearing Screening Instruments by : Jennifer S. Schlaud
Download or read book Pass/refer Rates of Two Newborn Hearing Screening Instruments written by Jennifer S. Schlaud and published by . This book was released on 1999 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Early Intervention for Special Populations of Infants and Toddlers by : Louis Michael Rossetti
Download or read book Early Intervention for Special Populations of Infants and Toddlers written by Louis Michael Rossetti and published by Singular. This book was released on 1997 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: CONTENTSPARTI: Identification, Assessment, and Management of Hearing Impairment. PART II: Enhancing the Overall Performance of Children with Physical Limitations. PART III: Effects of Cocaine and Drug Exposure. PART IV: Tracheostomy, Vocalizations, and Communicative Intentions. PART V: Development of Premature and Low Birthweight Children.
Download or read book Den Danskfødte Amerikaner written by and published by . This book was released on 1912 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Screening Children for Auditory Function by : Fred H. Bess
Download or read book Screening Children for Auditory Function written by Fred H. Bess and published by . This book was released on 1992 with total page 568 pages. Available in PDF, EPUB and Kindle. Book excerpt:
