Recommendations for monitoring hearing in children using a risk factor registry

Beswick, Rachael, Driscoll, Carlie, Kei, Joseph and Glennon, Shirley (2012) Recommendations for monitoring hearing in children using a risk factor registry. Journal of Hearing Science, 2 3: 57-65.

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Author Beswick, Rachael
Driscoll, Carlie
Kei, Joseph
Glennon, Shirley
Title Recommendations for monitoring hearing in children using a risk factor registry
Journal name Journal of Hearing Science   Check publisher's open access policy
ISSN 2083-389X
Publication date 2012-09
Sub-type Article (original research)
Open Access Status File (Publisher version)
Volume 2
Issue 3
Start page 57
End page 65
Total pages 9
Place of publication New York, United States
Publisher International Scientific Literature
Collection year 2013
Language eng
Formatted abstract
Background: The Joint Committee on Infant Hearing (JCIH) of the American Academy of Pediatrics recommends targeted
surveillance of at-risk infants using a risk factor registry, in conjunction with parent and/or professional monitoring to detect
hearing loss that develops after newborn hearing screening. However, criticisms of these recommendations are emerging
as targeted surveillance programs are costly, resource intensive, have poor follow-up rates, and lack evidence of best practice.
The purpose of the current paper is to provide recommendations for risk factor registries incorporated within targeted
surveillance programs.
Methods: Recommendations provided in this document were developed by combining the results of previous research, done
with a systematic review of the literature, together with a comprehensive evaluation of a targeted surveillance program in
Queensland, Australia.
Results: Recommendations are as follows. Children with the risk factors of family history or craniofacial anomalies should
have their hearing monitored, whereas children with the risk factor of low birth weight should not. Children with the risk factors
of syndrome or prolonged ventilation should potentially have their hearing monitored; however, the evidence is not definitive.
Equally, children with bacterial meningitis, hyperbilirubinemia, or professional concern as a risk factor may potentially
not need their hearing monitored, but again the evidence is not definitive. For the risk factors of severe asphyxia and congenital
infection, the evidence was inconclusive and/or conflicting, so no recommendations are made.
Conclusion: More research is needed to further inform evidence-based clinical policy recommendations for hearing loss detection
in early childhood.
Keyword Surveillance
Risk factors
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Health and Rehabilitation Sciences Publications
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Created: Fri, 11 Jan 2013, 12:11:57 EST by Dr Carlie Driscoll on behalf of School of Health & Rehabilitation Sciences