16th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
February 26-28, 2017 • Atlanta, GA

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  |  Identification of Oral Clefts as a Risk Factor for Hearing Loss During Newborn Hearing Screening

Identification of Oral Clefts as a Risk Factor for Hearing Loss During Newborn Hearing Screening

The Joint Committee on Infant Hearing (JCIH) recommends follow-up for children at-risk for hearing loss, including those with craniofacial anomalies. Using birth certificate and Early Hearing-loss Detection, Diagnosis, and Intervention (EHDDI) data, we 1) assessed whether children with oral clefts are appropriately classified as at-risk at the time of newborn hearing screening and 2) determined whether inappropriate classification adversely impact diagnostic assessment and intervention. We found that the majority of infants with oral clefts were not properly classified by hearing screening staff at the time of screening. Children who were misclassified were less likely to meet JCIH guidelines for screening and diagnosis. These findings indicate a need for improved education for hearing screeners in classifying risk factors for late onset hearing loss and prompts the question of what can be done to improve the system of risk factor monitoring.

  • • Explain how Washington State monitors risk factors for late onset hearing loss.
  • • Describe the impact that misclassification of oral clefts has on screening and diagnostic assessment.
  • • Identify ways to improve the statewide system of risk factor monitoring.

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Presenters/Authors

Karin Neidt (), Washington State Dept. Of Health, karin.neidt@doh.wa.gov;
Karin Neidt is the Washington State Early Hearing-loss Detection, Diagnosis, and Intervention (EHDDI) Coordinator, implementing and managing the newborn hearing screen follow-up and tracking/surveillance system. Karin previously worked for two years with the Department of Health Newborn Screening Program, consulting health care providers and families in the appropriate follow-up for infants with abnormal screening results. Karin received her Master in Public Health from the University of Washington in Seattle, WA, and her Bachelor’s degree in Microbiology from Montana State University in Bozeman, MT.

ASHA DISCLOSURE:

Financial - Receives Salary,Grants for Employment from HRSA and CDC.   Receives Salary,Grants for Employment from HRSA and CDC.  

Nonfinancial - No relevant nonfinancial relationship exist.


Marcie Rider (), WA State Department of Health, marcie.rider@doh.wa.gov;
Marcie Rider, AuD, received her doctorate of audiology from the University of Washington. She is a follow-up coordinator for the Washington State Department of Health EHDDI program. She takes part in ensuring that babies who do not receive a hearing scree or do not pass a hearing screen receive appropriate follow-up series. She assists in coordinating care between hospital screening programs, primary care physicians and audiologists so children with hearing loss do not fall through the cracks but instead are provided with the advantages of early identification and intervention.

ASHA DISCLOSURE:

Financial -

Nonfinancial -


Patricia Purcell (), , Department of Otolaryngology - Head & Neck Surgery, University of Washington, plpurcel@u.washington.edu;
Patricia Purcell, MD, MPH, is a clinical resident and research fellow in the Department of Otolaryngology – Head and Neck Surgery at the University of Washington. Her research interests include pediatric hearing loss and craniofacial disorders. Recently, she completed course work toward a Master of Public Health in Health Services from the University of Washington, School of Public Health. She will complete her clinical residency in otolaryngology in 2018 and plans to then pursue fellowship training in pediatric otolaryngology. In her free time, she enjoys spending time with her husband and 7-year-old son; they currently live in Seattle, WA.

ASHA DISCLOSURE:

Financial -

Nonfinancial -