16th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
February 26-28, 2017 • Atlanta, GA
| Analysis of Initial Newborn Hearing Screening’s Referral Rate According to the Test Days After Birth: Comparison Between Well Newborns and NICU Infants
In South Korea, Ministry of Health and Welfare has supported early newborn hearing loss detection program of lower income class since 2009. Many guidelines recommended that the initial screening should be performed as close to discharge as possible, preferably 12 hours or more after birth. The screening may be performed sooner if needed.The aim of this study is to evaluate the referral rate according to the initial test day after birth between well babies and NICU infants in South Korea.
We adopted a coupon system to track babies. The content of coupon are baby type (well baby or NICU baby), screening tool, birth date, screening result, et al. We collected data of newborns who born in 2015.
The total No of newborns was 68,458, which made up for about 15% of all newborns in 2015. The No. of NICU babies was 2,088 (3.2%). The Average referral rate was 1.5%. The majority of well babies tested within 24 hour after birth (29,309, 44.3%) and that of NICU babies 8~13 days after birth (513, 23.7%). The serial referral rate of well and NICU babies respectively as follows: 0.6% vs 7.7% at within 24 hours, 1% vs 8.6%, at 2nd day, 0.6% vs 2.5% at 3rd day, 0.9% vs 6.4% at 4th day, 1.2~1.3% vs 5.5~8.7% at 5~7 days, 2.0% vs 5.3% at 8-13 days, 3.4% vs 5.7% at 14~20 days, 4.2 vs 9.3% at 21~31 days, 7.0% vs 14.5% at 32~60 days and 13.3% vs 22.1% at more than 61 days after birth.In well babies’ referral rate, that of within 24 hours was the lowest referral rate unlike other reports. The lowest referral rate of well babies might be the repetition of screening test. In all newborns, the referral rate was significantly high in 31 days more after birth.
- When is proper time for newborn hearing screening?
- What is the difference of referral rate between well baby and NICU babies?
- How does referral rate different according to initial screening day after birth?
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(), The Korean Audiological Society, email@example.com;
2007-2013 Assistant Professor, Dept. of Otolaryngolgy-Head and Neck Surgery, Colllege of Medicine, Hallym University, Kangnam Sacred Heart Hospital 2014-2015 Associate Professor, Same hospital as above 2007-2015 Principal Researcher of Early Detection of Newborn Hearing Loss Project of Division of Population Policy, the Korean Ministry of Health and Welfare
Financial - No relevant financial relationship exist.
Nonfinancial - No relevant nonfinancial relationship exist.
(), Seoul National University College of Medicine, firstname.lastname@example.org;
Professor of Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine Principal Researcher of Early Detection of Newborn Hearing Loss Project of Division of Population Policy, the Korean Ministry of Health and Welfare Chairman of Korean Otological Society