Universal newborn hearing screenings: a three-year experience.
OBJECTIVE
To perform hearing screenings on all newborns before hospital discharge, using auditory brainstem evoked responses with analysis of time, cost, and failure rates to evaluate and determine the screening practicality.


METHODS
Over a 3-year period from January 1, 1993 to December 31, 1995, auditory brainstem evoked response screenings were performed on 15 749 infants born at Saint Barnabas Medical Center, Livingston, New Jersey, before their hospital discharge by certified/licensed audiologists. The auditory brainstem evoked response screenings were conducted using the Nicolet Compass Evoked Potential System.


RESULTS
A 3-year experience of testing 15 749 infants proved to be a cost-effective program with costs less than $30.00/baby. To date, 46 babies have been identified with bilateral sensorineural hearing loss and 6 babies with unilateral sensorineural hearing loss.


CONCLUSIONS
The universal newborn hearing screening program at Saint Barnabas Medical Center has proved to be effective, beneficial, and necessary for an institution with more than 5000 births, annually. Early identification of hearing loss has resulted in infants receiving early intervention, and the screening program has provided education and follow-up services to both parents and physicians.
Barsky-Firkser
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Speech and Hearing Department, Department of Pediatrics, Saint Barnabas Medical Center, Livingston, NJ 07039, USA.
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D001299:Audiometry / Q000379:methods; D001300:Audiometry, Evoked Response / Q000191:economics / Q000592:standards*; D003362:Cost-Benefit Analysis; D016057:Evoked Potentials, Auditory, Brain Stem; D005500:Follow-Up Studies; D006319:Hearing Loss, Sensorineural / Q000151:congenital / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D007231:Infant, Newborn; D015997:Neonatal Screening / Q000191:economics / Q000592:standards*; D009515:New Jersey / Q000453:epidemiology; D015995:Prevalence; D012680:Sensitivity and Specificity