Article Text

other Versions

PDF
Postneonatal care pathways and the identification of deafness
  1. Peter Watkin
  1. Correspondence to Dr Peter Watkin, Department of Audiology, Whipps Cross University Hospital, Whipps Cross Road, Leytonstone, London E11 1NR, UK; peter.watkin{at}whippsx.nhs.uk

Abstract

Background The need to maintain clinical pathways for the postneonatal identification of deafness was investigated following the successful implementation of universal newborn hearing screening.

Methods Identification routes were compared for 378 hearing impaired children ascertained from three 10-year cohorts: one that had not received neonatal screening, one that had received targeted neonatal screening and one that was universally screened. The presence of risk factors was determined in those with a hearing impairment.

Results The cohort comparison confirmed significant changes in the yield from all identification routes apart from referrals reactive to parental or professional concerns. In the cohort universally screened, this reactive yield was 1.23/1000 with 51% having risk factors for deafness. Universal newborn hearing screening did not reduce this postneonatal yield.

Conclusions Despite the successful implementation of newborn hearing screening, clinical pathways with access to audiological assessment need to be maintained within a universal Healthy Child Programme.

Statistics from Altmetric.com

Footnotes

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.