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Article: Feasibility of implementing a universal neonatal hearing screening programme using distortion product otoacoustic emission detection at a university hospital in Hong Kong

TitleFeasibility of implementing a universal neonatal hearing screening programme using distortion product otoacoustic emission detection at a university hospital in Hong Kong
於香港一所大學醫院推行以畸變產物耳聲發射檢查為新生兒進行聽覺普查計劃之可行性
Authors
Issue Date2004
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org.hk
Citation
Hong Kong Medical Journal, 2004, v. 10 n. 1, p. 6-13 How to Cite?
AbstractOBJECTIVE: To assess the feasibility of implementing a universal neonatal hearing screening programme using distortion product otoacoustic emission detection at a major teaching hospital in Hong Kong. DESIGN: Descriptive study and questionnaire. SETTING. Teaching hospital, Hong Kong. METHODS: A total of 1064 infants, together with their mothers, were successfully recruited for the study. The participation rate was 99.3%. A three-stage hearing screening protocol using distortion product otoacoustic emission detection was adopted. Each of the participating infants was screened on three separate occasions (day 1-4, day 5-14, and day 21-30 after birth), irrespective of the test results. A questionnaire was administered to 364 randomly selected mothers to determine whether as consumers of the hearing screening service, mothers would find screening desirable. RESULTS: Results of the screening demonstrated an incidence of permanent bilateral hearing loss (>or=40 dB in the better ear) of 0.28%. The results also showed that 3.5% of the screened infants were referred for subsequent diagnostic audiological assessment, including those suspected with unilateral as well as bilateral hearing loss. Data obtained were comparable to other reported results obtained using multi-stage screening protocols. Taking both the false positive rate and the default rate into consideration, the most appropriate time for screening in this hospital setting appeared to be around day 5 to 14 when infants returned to the hospital's day centre as out-patients for routine medical follow-up. Since this day centre service is not generally provided by all maternity hospitals in Hong Kong, an alternative time for screening would be around day 21 to 30 when infants could return as out-patients solely for the hearing test. The results of the questionnaire suggested that most mothers thought a neonatal hearing screening would be desirable (91.35%). The majority (81.70%) indicated a preference for screening either within a few days of birth at the maternity ward prior to discharge from the hospital, or between 5 and 30 days when returning to the hospital as an out-patient. CONCLUSION: It was concluded that a universal neonatal hearing screening programme could be readily implemented in a maternity hospital setting in Hong Kong.
Persistent Identifierhttp://hdl.handle.net/10722/45235
ISSN
2014 Impact Factor: 0.872
2014 SCImago Journal Rankings: 0.237

 

DC FieldValueLanguage
dc.contributor.authorNg, PKen_HK
dc.contributor.authorHui, Yen_HK
dc.contributor.authorLam, BCCen_HK
dc.contributor.authorGoh, WHSen_HK
dc.contributor.authorYeung, CYen_HK
dc.date.accessioned2007-10-30T06:20:29Z-
dc.date.available2007-10-30T06:20:29Z-
dc.date.issued2004en_HK
dc.identifier.citationHong Kong Medical Journal, 2004, v. 10 n. 1, p. 6-13en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/45235-
dc.description.abstractOBJECTIVE: To assess the feasibility of implementing a universal neonatal hearing screening programme using distortion product otoacoustic emission detection at a major teaching hospital in Hong Kong. DESIGN: Descriptive study and questionnaire. SETTING. Teaching hospital, Hong Kong. METHODS: A total of 1064 infants, together with their mothers, were successfully recruited for the study. The participation rate was 99.3%. A three-stage hearing screening protocol using distortion product otoacoustic emission detection was adopted. Each of the participating infants was screened on three separate occasions (day 1-4, day 5-14, and day 21-30 after birth), irrespective of the test results. A questionnaire was administered to 364 randomly selected mothers to determine whether as consumers of the hearing screening service, mothers would find screening desirable. RESULTS: Results of the screening demonstrated an incidence of permanent bilateral hearing loss (>or=40 dB in the better ear) of 0.28%. The results also showed that 3.5% of the screened infants were referred for subsequent diagnostic audiological assessment, including those suspected with unilateral as well as bilateral hearing loss. Data obtained were comparable to other reported results obtained using multi-stage screening protocols. Taking both the false positive rate and the default rate into consideration, the most appropriate time for screening in this hospital setting appeared to be around day 5 to 14 when infants returned to the hospital's day centre as out-patients for routine medical follow-up. Since this day centre service is not generally provided by all maternity hospitals in Hong Kong, an alternative time for screening would be around day 21 to 30 when infants could return as out-patients solely for the hearing test. The results of the questionnaire suggested that most mothers thought a neonatal hearing screening would be desirable (91.35%). The majority (81.70%) indicated a preference for screening either within a few days of birth at the maternity ward prior to discharge from the hospital, or between 5 and 30 days when returning to the hospital as an out-patient. CONCLUSION: It was concluded that a universal neonatal hearing screening programme could be readily implemented in a maternity hospital setting in Hong Kong.en_HK
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dc.format.extent3430 bytes-
dc.format.mimetypeapplication/pdf-
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dc.format.mimetypetext/plain-
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dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org.hken_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshHearing Disorders - diagnosisen_HK
dc.subject.meshNeonatal Screening - methodsen_HK
dc.subject.meshOtoacoustic Emissions, Spontaneousen_HK
dc.subject.meshHealth Knowledge, Attitudes, Practiceen_HK
dc.subject.meshHospitals, Universityen_HK
dc.titleFeasibility of implementing a universal neonatal hearing screening programme using distortion product otoacoustic emission detection at a university hospital in Hong Kongen_HK
dc.title於香港一所大學醫院推行以畸變產物耳聲發射檢查為新生兒進行聽覺普查計劃之可行性zh_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=10&issue=1&spage=6&epage=13&date=2004&atitle=Feasibility+of+implementing+a+universal+neonatal+hearing+screening+programme+using+distortion+product+otoacoustic+emission+detection+at+a+university+hospital+in+Hong+Kongen_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid14967849en_HK
dc.identifier.scopuseid_2-s2.0-1942438650-
dc.identifier.hkuros85602-

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