Newborn Hearing Screening in Bavaria—Is It Possible to Reach the Quality Parameters?
Since the 1 January, 2009, newborn hearing screening (NHS) has been obligatory for every child in Germany. NHS is part of the Pediatrics Directive of the Federal Joint Committee. In this directive, details of the procedures and screening quality to be achieved are given. We evaluate if these quality...
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| Format: | Article |
| Language: | English |
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MDPI AG
2018-07-01
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| Series: | International Journal of Neonatal Screening |
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| Online Access: | http://www.mdpi.com/2409-515X/4/3/26 |
| _version_ | 1818963610441875456 |
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| author | Inken Brockow Kristina Söhl Uta Nennstiel |
| author_facet | Inken Brockow Kristina Söhl Uta Nennstiel |
| author_sort | Inken Brockow |
| collection | DOAJ |
| description | Since the 1 January, 2009, newborn hearing screening (NHS) has been obligatory for every child in Germany. NHS is part of the Pediatrics Directive of the Federal Joint Committee. In this directive, details of the procedures and screening quality to be achieved are given. We evaluate if these quality criteria were met in Bavaria in 2016. The NHS data of children born in 2016 in Bavaria were evaluated for quality criteria, such as screening coverage in screening facilities, screening methods, referral rate (rate of failed tests at discharge) and a child’s age at the diagnosis of a hearing disorder. NHS was documented for 116,776 children born in Bavaria in 2016. In the first step, 78,904 newborns were screened with transient evoked otoacoustic emissions and 37,865 with automated auditory brainstem response. Of these, 9182 (7.8%) failed the first test in one or both ears. A second screening before discharge was performed on 53.3% of the newborns with a refer result in the first test, out of which 58.7% received a pass result. After the screening process, 4.6% of the newborns were discharged with a refer result. Only 18% of the first controls after discharge were performed by a pediatric audiologist. In 37.9% of the newborns, the screening center intervened to assure the control of any failed screening test. The median age of diagnosis for bilateral hearing loss was 5.3 months. In Bavaria, NHS was implemented successfully. A tracking system for all children who failed the hearing screening test is pivotal for early diagnosis and therapy of children with hearing deficiency. |
| first_indexed | 2024-12-20T12:47:57Z |
| format | Article |
| id | doaj.art-c49b6be4e7aa4291a98329b3022e2481 |
| institution | Directory Open Access Journal |
| issn | 2409-515X |
| language | English |
| last_indexed | 2024-12-20T12:47:57Z |
| publishDate | 2018-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | International Journal of Neonatal Screening |
| spelling | doaj.art-c49b6be4e7aa4291a98329b3022e24812022-12-21T19:40:16ZengMDPI AGInternational Journal of Neonatal Screening2409-515X2018-07-01432610.3390/ijns4030026ijns4030026Newborn Hearing Screening in Bavaria—Is It Possible to Reach the Quality Parameters?Inken Brockow0Kristina Söhl1Uta Nennstiel2Bavarian Health and Food Safety Authority (LGL), Veterinärstr.2, 85764 Munich-Oberschleißheim, GermanyBavarian Health and Food Safety Authority (LGL), Veterinärstr.2, 85764 Munich-Oberschleißheim, GermanyBavarian Health and Food Safety Authority (LGL), Veterinärstr.2, 85764 Munich-Oberschleißheim, GermanySince the 1 January, 2009, newborn hearing screening (NHS) has been obligatory for every child in Germany. NHS is part of the Pediatrics Directive of the Federal Joint Committee. In this directive, details of the procedures and screening quality to be achieved are given. We evaluate if these quality criteria were met in Bavaria in 2016. The NHS data of children born in 2016 in Bavaria were evaluated for quality criteria, such as screening coverage in screening facilities, screening methods, referral rate (rate of failed tests at discharge) and a child’s age at the diagnosis of a hearing disorder. NHS was documented for 116,776 children born in Bavaria in 2016. In the first step, 78,904 newborns were screened with transient evoked otoacoustic emissions and 37,865 with automated auditory brainstem response. Of these, 9182 (7.8%) failed the first test in one or both ears. A second screening before discharge was performed on 53.3% of the newborns with a refer result in the first test, out of which 58.7% received a pass result. After the screening process, 4.6% of the newborns were discharged with a refer result. Only 18% of the first controls after discharge were performed by a pediatric audiologist. In 37.9% of the newborns, the screening center intervened to assure the control of any failed screening test. The median age of diagnosis for bilateral hearing loss was 5.3 months. In Bavaria, NHS was implemented successfully. A tracking system for all children who failed the hearing screening test is pivotal for early diagnosis and therapy of children with hearing deficiency.http://www.mdpi.com/2409-515X/4/3/26newborn hearing screeningtrackingscreening centercongenital hearing disorder |
| spellingShingle | Inken Brockow Kristina Söhl Uta Nennstiel Newborn Hearing Screening in Bavaria—Is It Possible to Reach the Quality Parameters? International Journal of Neonatal Screening newborn hearing screening tracking screening center congenital hearing disorder |
| title | Newborn Hearing Screening in Bavaria—Is It Possible to Reach the Quality Parameters? |
| title_full | Newborn Hearing Screening in Bavaria—Is It Possible to Reach the Quality Parameters? |
| title_fullStr | Newborn Hearing Screening in Bavaria—Is It Possible to Reach the Quality Parameters? |
| title_full_unstemmed | Newborn Hearing Screening in Bavaria—Is It Possible to Reach the Quality Parameters? |
| title_short | Newborn Hearing Screening in Bavaria—Is It Possible to Reach the Quality Parameters? |
| title_sort | newborn hearing screening in bavaria is it possible to reach the quality parameters |
| topic | newborn hearing screening tracking screening center congenital hearing disorder |
| url | http://www.mdpi.com/2409-515X/4/3/26 |
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