Uilenburg Noëlle, Kauffman-de Boer Minca, van der Ploeg Kitty, Oudesluys-Murphy Anne Marie, Verkerk Paul
Dutch Foundation for the Deaf and Hard of Hearing Child, Amsterdam, The Netherlands.
Int J Audiol. 2009 Mar;48(3):108-16. doi: 10.1080/14992020802448992.
The objective of this study was to investigate whether universal neonatal hearing screening could be integrated in the youth health care program. The screening was performed by nurses of the well baby clinics. A three stage transient evoked otoacoustic emission screening was performed in three different screening settings in order to study the most effective set up regarding participation, refer rates, and costs. In one setting parents visited the well baby clinic, and in two settings babies were screened at home (either in combination with the screening for metabolic diseases or during an intake visit). Screening was performed on 3114 healthy newborns. The setting where universal neonatal hearing screening is integrated with the screening for metabolic diseases, proved to be most efficient and effective. The participation rate of 88.9% was highest in this setting and the overall refer rate (1.4%) was the lowest. The implementation of universal neonatal hearing screening by the well baby clinic nurses was judged to be possible. The results of this study formed the basis for nationwide implementation.
本研究的目的是调查是否可以将新生儿听力普遍筛查纳入青少年保健计划。筛查由健康婴儿诊所的护士进行。在三种不同的筛查环境中进行了三阶段瞬态诱发耳声发射筛查，以研究在参与率、转诊率和成本方面最有效的设置。在一种环境中，父母前往健康婴儿诊所，在另外两种环境中，婴儿在家中接受筛查（要么与代谢疾病筛查相结合，要么在初次就诊期间）。对3114名健康新生儿进行了筛查。事实证明，将新生儿听力普遍筛查与代谢疾病筛查相结合的环境效率最高且最有效。该环境中的参与率为88.9%，是最高的，而总体转诊率（1.4%）是最低的。健康婴儿诊所的护士实施新生儿听力普遍筛查被认为是可行的。本研究结果为全国范围内的实施奠定了基础。
