March 13-15, 2016 • San Diego, CA


  |   -   |  6 - Follow-up, Tracking and Data Management

Exploring Nebraska Regional Differences and Variables for Lost to Follow-up Rates

Exploring Nebraska Regional Differences and Variables for Lost to Follow-up Rates Track: Follow-up, Tracking and Data Management Author: Courtney Smejdir B.S. Affiliations: 1) University of Nebraska – Lincoln 2) NE-EHDI Program, Department of Health and Human Services, Lincoln, Nebraska Presenter: Courtney Smejdir Universal Newborn Hearing Screening identifies permanent childhood hearing loss at an early age and assists in early intervention, which has a significant impact on language development. While approximately 92% of infants are screened nationally for hearing loss within one month of birth, almost 32% do not complete the diagnostic testing protocol after failing the final screening. The objective of this study was to determine the lost to follow-up rate for Newborn Hearing Screening (NHS) across Nebraska, by region, and to explore variables that could account for regional differences. A retrospective review of data on newborns who failed NHS over a seven-year time span (2007 – 2014) was utilized through the Nebraska Early Hearing Detection and Intervention (NE-EHDI) database. The following variables were evaluated: length of stay in newborn intensive care unit, birthing hospital location, inpatient and outpatient testing results, days to diagnosis, location of diagnosis, distance to a follow-up facility, lost to follow-up status, location of follow-up, place of residence within Nebraska, socio-economic status, and parental education. This information is a necessary first step to understand the current state of the lost to follow-up rate by region and to implement change. While the lost to follow-up rate in Nebraska has been comparable to the national lost rate in the past, this project identifies variables that may be risk factors for infants later classified as lost. Keywords: newborn hearing screening, regional differences, loss to follow-up Contact Information: Courtney Smejdir courtney.smejdir@nebraska.gov courtney.smejdir@huskers.unl.edu (402)471-6746

  • Recognize potential variables for a child to become lost to follow-up.
  • Identify the similarities and differences between infants who are diagnosed with hearing loss and those who are lost to follow-up.

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Courtney Smejdir (Primary Presenter,Author,POC), NE-EHDI, courtney.smejdir@huskers.unl.edu;
Courtney is working towards her Clinical Doctorate in Audiology at the University of Nebraska-Lincoln while putting in time working for EHDI as the Community Health Educator. She attended the University of Nebraska-Kearney for a Bachelors in Communication Disorders.


Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.