Audiology Programme, Centre for Rehabilitation & Special Needs Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Centre for Ear, Hearing and Speech, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
J Med Screen. 2021 Sep;28(3):238-243. doi: 10.1177/0969141320973060. Epub 2020 Nov 17.
To evaluate and discuss the outcomes of the universal newborn hearing screening program conducted at four public hospitals in Malaysia.
A retrospective analysis of the universal newborn hearing screening database from each hospital was performed. The database consisted of 28,432 and 30,340 screening results of babies born in 2015 and 2016, respectively. Quality indicators (coverage rate, referral rate, return for follow-up rate, and ages at screening and diagnosis) were calculated.
Overall coverage rate across the four hospitals was 75% in 2015 and 87.4% in 2016. Over the two years, the referral rates for the first screening ranged from 2.7% to 33.93% with only one hospital achieving the recommended benchmark of <4% in both years. The return for follow-up rates for each participating hospital was generally below the recommended benchmark of ≥95%. The mean age at screening was 3.9 ± 1.2 days and 3.3 ± 0.4 days, respectively. The mean age at diagnosis for 70 infants diagnosed with permanent hearing loss was 4.7 ± 0.7 months in 2015 and 3.6 ± 0.9 months in 2016.
Quality measures for the universal newborn hearing screening program in four public hospitals in Malaysia were lower than the required standards. Nevertheless, some quality indicators showed statistically significant improvements over the two years. Next steps involve identifying and implementing the best practice strategies to improve the outcome measures and thus the quality of the program.
评估和讨论马来西亚四家公立医院开展的普遍新生儿听力筛查计划的结果。
对每家医院的普遍新生儿听力筛查数据库进行回顾性分析。该数据库包含分别于 2015 年和 2016 年出生的 28432 名和 30340 名婴儿的筛查结果。计算了质量指标（覆盖率、转诊率、随访回归率以及筛查和诊断年龄）。
2015 年和 2016 年，这四家医院的总体覆盖率分别为 75%和 87.4%。在这两年中，第一次筛查的转诊率在 2.7%至 33.93%之间波动，只有一家医院在这两年中都达到了<4%的推荐基准。每家参与医院的随访回归率普遍低于≥95%的推荐基准。平均筛查年龄分别为 3.9±1.2 天和 3.3±0.4 天。2015 年和 2016 年，70 名被诊断为永久性听力损失的婴儿的平均确诊年龄分别为 4.7±0.7 个月和 3.6±0.9 个月。
马来西亚四家公立医院普遍新生儿听力筛查计划的质量指标低于要求的标准。尽管如此，一些质量指标在这两年中显示出了统计学上的显著改善。下一步包括确定和实施最佳实践策略，以提高结果指标，从而提高该计划的质量。
