Scanlon P E, Bamford J M
West Berkshire Health Authority, Department of Community Child Health, Reading.
Arch Dis Child. 1990 May;65(5):479-84; discussion 484-5. doi: 10.1136/adc.65.5.479.
Service monitoring data on the outcomes of health visitors' screening for hearing loss at 8 months in West Berkshire indicate low sensitivity and low positive predictive value, despite efforts to improve the conduct of the screen. Nevertheless, data on a recent series of severely hearing impaired children indicate significantly earlier diagnosis than previously, due in part in the introduction of other service changes including neonatal 'at risk' screening and surveillance using parental observation. For a trial period the traditional screening method for the detection of hearing loss in babies will be discontinued and effort concentrated on these alternative procedures.
西伯克郡关于健康访视员在婴儿8个月时进行听力损失筛查结果的服务监测数据表明，尽管已努力改进筛查操作，但敏感性和阳性预测值仍较低。然而，最近一系列重度听力受损儿童的数据显示，诊断时间比以前显著提前，部分原因是引入了其他服务变革，包括新生儿“风险”筛查以及利用家长观察进行监测。在试验期内，将停止使用传统的婴儿听力损失检测筛查方法，并将精力集中在这些替代程序上。
