Medicine and Health Sciences Commons^™

Factors Contributing To Late Identification Of Deaf/Hard Of Hearing Children In Louisiana, Danielle D. Mercer, Tri Tran, Dawne Mccabe, Terri Ibieta, Dana Hubbard

Journal of Early Hearing Detection and Intervention

To ensure children who are Deaf/Hard of Hearing (D/HH) receive supports they need to reach their full potential, it is imperative that they be identified as early as possible. Early Hearing Detection and Intervention benchmarks stipulate children who are D/HH be enrolled in early intervention no later than 6 months of age. A major barrier to early enrollment is late identification. We reviewed records of children identified as D/HH in Louisiana after 6 months of age for 2015-2020 birth cohorts to determine factors contributing to the late identification. Cases were examined in-depth after it was determined that a diagnosis was …

Assessing Impact Of Covid-19 Pandemic On Receipt And Timeliness Of Newborn Hearing Screening And Diagnostic Services Among Infants Born In Four States, Suhana Ema, Sana Charania, Xidong Deng, Charles Rose, Craig A. Mason, Marcus Gaffney, Brandt Culpepper, Michael Lo, Tri Tran, Marcia Fort

Journal of Early Hearing Detection and Intervention

The study compares receipt and timeliness of newborn hearing screening and follow-up diagnostic services between the pre-pandemic birth cohort and the pandemic birth cohort in four participating states. Findings from this study will help inform state Early Hearing Detection and Intervention (EHDI) programs in the future should major public health event occur again.

Association Between Craniofacial Anomalies And Newborn Hearing Screening Fail Rate, Kaitlyn Sheapp, Ruth S. Marin, Larry Medwetsky

Journal of Early Hearing Detection and Intervention

Purpose: Increased knowledge of the prevalence of various craniofacial anomalies and their associated risks for hearing loss can help guide 1) development of evidence-based practice regarding detection and documentation of risk factors at birth and 2) health care professionals to make appropriate recommendations for follow-up testing and monitoring.

Method: Records were reviewed for 39,813 infants born at Adventist HealthCare Shady Grove Medical Center and White Oak Medical Center between January 1, 2014 and December 31, 2019 to determine the association between the presence of craniofacial anomalies and newborn hearing screening fail rates, as well as the prevalence of confirmed hearing …

Timeliness Of Ehdi Benchmarks In Infants With A Nicu Admission Greater Than Five Days: Analysis From A Retrospective Cohort, Caitlin Sapp, Tammy O'Hollearn, Elizabeth Ann Walker

Journal of Early Hearing Detection and Intervention

The purpose of this study was to examine the timeline of early hearing healthcare in infants with a history of lengthy (> 5 days) admission to a neonatal intensive care unit (NICU) compared to non-NICU peers. We compiled four years of state Early Hearing Detection and Intervention (EHDI) records from 156,335 infants using a statewide administrative database. We compared age at the time of newborn hearing screening, diagnostic audiological evaluation, and entry into early intervention in NICU infants and non-NICU infants. We also compared the proportion of NICU and non-NICU infants meeting prescriptive EHDI timing benchmarks based on the Joint …

Private Insurance Reimbursements For Newborn Hearing Screening In The United States, 2013-2014, Thuy Quynh Do, Winnie Chung, Scott Grosse

Journal of Early Hearing Detection and Intervention

The purpose of this study was to describe private insurance reimbursements for newborn hearing screening (NBHS) in the United States. Data from the MarketScan® Commercial Databases were used to estimate reimbursement for privately insured infants born between January 1, 2013–December 31, 2014. Estimates were based on billed claims for hearing-related services during infancy (71,820 infants with inpatient NBHS, 1,104 with outpatient NBHS). Median reimbursement for NBHS performed in a hospital setting was $148.00 (range $113.51–$196.02) when billed as an inpatient service and $136.48 (range $86.08–$220.15) when billed as an outpatient service. Both reimbursement amounts were three times greater than the …

Assessment Of Factors Involved In Non-Adherence To Infant Hearing Diagnostic Testing, Anita Shanker, Marcia Vanessa Rojas-Ramirez, Julie A. Jacobs, Jennifer B. Shinn, Cathy Lester, Philip M. Westgate, Matthew L. Bush

Journal of Early Hearing Detection and Intervention

Abstract

Introduction: Delayed diagnosis of pediatric hearing loss can cause delays in cognitive and social development. This study described the sociodemographic factors associated with delayed timing of a final hearing diagnosis after an abnormal newborn hearing screening (NBHS). Methods: Parent-infant dyads were recruited after being referred for further audiologic testing on an abnormal result from the NBHS. Results: Of the 53 participants, 55% (n=29) did not receive a final diagnosis by the recommended 3 months of age. Of those with a delayed diagnosis, 45% (n=13) had their first appointment within 3 months, but a delay was caused by an inconclusive …

Identification Of Oral Clefts As A Risk Factor For Hearing Loss During Newborn Hearing Screening, Patricia L. Purcell, Kathleen Cy Sie, Todd C. Edwards, Debra Lochner Doyle, Karin Neidt

Journal of Early Hearing Detection and Intervention

Objective: This study assessed whether children with oral clefts are appropriately classified as at-risk for hearing loss at the time of newborn hearing screening and describes their screening and diagnostic results.

Design: Birth certificates were used to identify children with cleft lip and palate or isolated cleft palate born in Washington State from 2008–2013. These were cross-referenced with the state’s Early Hearing Detection, Diagnosis and Intervention (EHDDI) database. Multivariate logistic regression was used to examine associations.

Results: Birth records identified 235 children with cleft lip and palate and 116 with isolated cleft palate. Six children were listed as having both …

Home Visiting Programs For Families Of Children Who Are Deaf Or Hard Of Hearing: A Systematic Review, Nannette Nicholson, Patti Martin, Abby Smith, Sheila Thomas, Ahmad A. Alanazi M.Aud.

Journal of Early Hearing Detection and Intervention

Prelingual hearing loss greatly restricts a child’s language development, hindering his or her behavioral, cognitive and social functioning. Although technology such as hearing aids and cochlear implants are an option for providing access to sound, they fail to teach the child how to listen or attend, how to process language (whether visual or spoken), or how to produce language and communicate. Home visiting is widely recognized as a cost-effective intervention service delivery model. Home visiting programs for promoting language development in children who are diagnosed as deaf or hard of hearing have been in existence for over 50 years, yet …

Time Trend And Factors Associated With Late Enrollment In Early Intervention Among Children With Permanent Hearing Loss In Louisiana 2008-2013, Tri Tran, Yao Wang, Mary Jo Smith, Brenda Sharp, Terri Ibieta, Jeanette Webb, Wendy Jumonville, Melinda Peat, Susan Berry

Journal of Early Hearing Detection and Intervention

This study aimed to identify the time trend of and factors associated with late enrollment in early intervention (EI) services among children with permanent hearing loss (HL) born between 2008 and 2013 in Louisiana. 2008-2013 linked Louisiana Early Hearing Detection and Intervention, birth records, EarlySteps (IDEA, Part C), Parent-Pupil Education Program, and Medicaid data were analyzed. Logistic regression models were used to evaluate the trend and associations of mother and child’s demographic and hearing loss characteristics with late EI enrollment. Results of data analyses did not show any trend of late enrollment in EI services from 2008 to 2013. Delayed …

Prevalence And Trends Of Childhood Hearing Loss Based On Federally-Funded National Surveys: 1994–2013, Tyson S. Barrett, Karl R. White

Journal of Early Hearing Detection and Intervention

A recent highly cited publication, using data from the National Health and Nutrition Examination Survey (NHANES), concluded that the prevalence of childhood hearing loss in the United States is increasing (Shargorodsky, Curan, Curhan, & Eavey, 2010). This article examines the accuracy of that conclusion based on additional data from three nationally-representative surveys of childhood health. Using data from NHANES, the National Survey of Children’s Health (NSCH), and the National Health Interview Survey (NHIS), logistic regression was used to assess trends from audiometry-measured and parent-reported childhood hearing loss.

In contrast to prior research, the results were highly conflicting. NHANES suggested both …