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G155(P) A service evaluation of routes of identification of childhood hearing loss, post the new born screening programme
  1. LJ Keast1,
  2. A Roberts2
  1. 1Cardiff University School of Medicine, Cardiff University, Cardiff, UK
  2. 2Paediatric Audiology, Cardiff and Vale Health Board, Cardiff, UK


Objective To identify and evaluate the routes through which children with hearing loss are identified post the newborn hearing screening programme, in a chosen healthcare trust.

Method Establish a database of a sample of 62 children born between 2004 and 2012 identified through a route other than direct assessment following a failed newborn hearing screen and in the care of the chosen Paediatric Audiology department for a permanent hearing loss. Use this data to evaluate their routes of identification.

Results 30.6% of children were identified by the targeted behavioural test, having met the criteria and been eligible for this. 27.4% of children were identified by parental concern. Interestingly, 24.2% were identified by school-entry screening, despite recent efficacy concerns. Other significant pathways included school concern, professional concern, oncology referral and post-meningitic referral.

Conclusions Despite the success of the newborn hearing screening programme, a significant population of children rely on alternative and reactive pathways of identification. In this area, these pathways provide an invaluable back-up to the newborn hearing screening programme.

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