The objective of this study was to describe variations in hearing screening using a survey mailed to a national sample of primary care pediatricians prior to the 2003 American Academy of Pediatrics (AAP) hearing screening guidelines. Of the 390 primary care respondents, only 303 (78%) performed audiometry, routinely beginning at age 3 (32%), 4 (44%), or 5 (17%); 81% defined abnormal audiometry primarily as failure to hear at a specified decibel level: 15 dB hearing level (HL) (<1%), 16 to 20 dB HL (10%), 21 to 25 dB HL (23%), 26 to 30 dB HL (44%), 31 to 40 dB HL (16%), and more than 40 dB HL (6%). This study serves as a baseline for comparison with postguideline practices.
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References
1.
American Academy of Pediatrics. Joint Committee on Infant Hearing 1994 Position Statement. Pediatrics. 1995;95(1):152-156.
2.
National Institutes of Health Consensus Development Conference Statement: Early identification of hearing impairment in infants and young children. Int J Pediatr Otorhinolaryngol.1993;27:215-227.
3.
Barsky-Firkser L, Sun S.Universal newborn hearing screenings: a three-year experience. Pediatrics. 1997;99(6):E4-E4.
4.
Clemens CJ, Davis SA, Bailey AR.The false-positive in universal newborn hearing screening. Pediatrics. 2000; 106(1):E7-E7.
5.
Dalzell L, Orlando M, MacDonald M, et al.The New York State Universal Newborn Hearing Screening Demonstration Project: ages of hearing loss identification, hearing aid fitting, and enrollment in early intervention. Ear Hear. 2000;21:118-130.
Maxon AB, White KR, Behrens TR, Vohr BR.Referral rates and cost efficiency in a universal newborn hearing screening program using transient evoked otoacoustic emissions. J Am Acad Audiol.1995;6:271-277.
10.
Mehl AL, Thomson V.The Colorado Newborn Hearing Screening Project, 1992-1999: on the threshold of effective population-based universal newborn hearing screening. Pediatrics.2002;109:E7-E7.
11.
Vohr BR, Carty LM, Moore PE, Letourneau K.The Rhode Island Hearing Assessment Program: experience with statewide hearing screening (1993-1996). J Pediatr. 1998;133:353-357.
12.
Watkin PM, Baldwin M, McEnery G.Neonatal at risk screening and the identification of deafness. Arch Dis Child. 1991;66:1130-1135.
13.
Coplan J.Deafness: ever heard of it? Delayed recognition of permanent hearing loss. Pediatrics. 1987;79:206-213.
14.
Parving A.Early detection and identification of congenital/early acquired hearing disability. Who takes the initiative?Int J Pediatr Otorhinolaryngol.1984;7:107-117.
15.
Harrison M, Roush J.Age of suspicion, identification, and intervention for infants and young children with hearing loss: a national study. Ear Hear.1996;17:55-62.
16.
Prieve BA, Stevens F.The New York State Universal Newborn Hearing Screening Demonstration Project: Introduction and Overview. Ear Hear.2000;21:85-91.
17.
Kuhl PK, Williams KA, Lacerda F, et al.Linguistic experience alters phonetic perception in infants by 6 months of age. Science. 1992;255:606-608.
18.
Bess FH, Dodd-Murphy J, Parker RA.Children with minimal sensorineural hearing loss: prevalence, educational performance, and functional status. Ear Hear.1998;19:339-354.
19.
Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL.Language of early- and later-identified children with hearing loss. Pediatrics.1998;102:1161-1171.
20.
American Academy of Pediatrics Joint Committee on Infant Hearing Position Statement 1982. Pediatrics.1982;70:496-497.
21.
Elssmann SF, Matkin ND, Sabo MP.Early identification of congenital sensorineural hearing impairment. Hearing J. 1987:13-17.
22.
Mauk GW, White KR, Mortensen LB, Behrens TR.The effectiveness of screening programs based on high-risk characteristics in early identification of hearing impairment. Ear Hear.1991;12:312-319.
23.
American Academy of Pediatrics, Task Force on Newborn and Infant Hearing. Newborn and infant hearing loss: detection and intervention. Pediatrics.1999;103:527-530.
24.
Kerschner JE.Neonatal hearing screening: to do or not to do. Pediatr Clin N Am. 2004;51:725-736.
25.
White KR.The current status of EHDI programs in the United States. Ment Retard Dev Disabil Res Rev. 2003;9:79-88.
26.
White KR.Realities, myths, and challenges of newborn hearing screening in the United States. Am J Audiol.1997;6:95-99.
27.
Kerschner JE, Meurer JR, Conway AE, et al.Voluntary progress toward universal newborn hearing screening. Int J Pediatr Otorhinolaryngol. 2004;68:165-174.
28.
American Academy of Pediatrics, Committee on Practice and Ambulatory Medicine. Recommendations for preventive pediatric health care. Pediatrics. 1995;96:373-374.
29.
American Academy of Pediatrics, Committee on Practice and Ambulatory Medicine. Recommendations for preventive pediatric health care. Pediatrics. 2000;105:645-646.
30.
Green M, Palfrey JS, eds. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. 2nd ed.Arlington, VA: National Center for Education in Maternal and Child Health; 2002.
31.
U. S. Preventive Task Force. Newborn hearing screening: recommendations and rationale. Am Fam Phys. 2001; 64:1995-1999.
32.
Bachmann KR, Arvedson JC.Early identification and intervention for children who are hearing impaired. Pediatr Rev. 1998;19:155-165.
33.
Cunningham M, Cox EO, Committee on Practice and Ambulatory Medicine, Section on Otolarungology and Bronchoesophagology. Hearing assessment in infants and children: recommendations beyond neonatal screening. Pediatrics.2003;111:436-440.
34.
Krueger WWO, Ferguson L.A comparison of screening methods in school-aged children. Otolaryngol Head Neck Surg. 2002;127:516-519.
35.
Jacobs EE, Lavelle WG.Improved case finding for pediatric hearing loss: cost analysis of school screening programs. Laryngoscopy. 1979;89:693-697.
Finitzo T, Crumley WG.The role of the pediatrician in hearing loss: from detection to connection. Pediatr Clin N Am.1999;46:15-34.
38.
Peabody J, Luck F, Glassman P, et al.Comparison of vignettes, standardized patients and chart abstraction: a prospective validation of 3 methods for measuring quality. JAMA. 2000;283:1715-1724.
